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II

ImmunityBio, Inc. (IBRX)·Q2 2025 Earnings Summary

Executive Summary

  • Revenue accelerated 60% sequentially to $26.4M in Q2 2025, with year-to-date sales of $42.9M; unit volumes rose 246% in 1H25 vs 2H24 as J-code adoption and rBCG EAP broadened uptake of ANKTIVA. This was a material positive surprise on commercialization momentum .
  • Net loss narrowed to $92.6M (EPS $(0.10) diluted) from $134.6M YoY, aided by revenue growth and lower SG&A; cash was $153.7M at quarter-end, supplemented by a $80M equity financing with warrants that could add ~$96M gross proceeds if exercised .
  • Regulatory developments were mixed: UK MHRA granted marketing authorization for ANKTIVA+BCG, expanding ex-US potential, while the FDA issued an RTF on the papillary-only sBLA, pushing ImmunityBio toward an RCT and potential filing amendment; NCCN guideline expansion was submitted for review .
  • Strategic pipeline progress: ResQ201A randomized NSCLC trial initiated; lymphopenia EAP activated with supportive FDA feedback; CD19 CAR-NK program reported complete responses in Waldenström patients; Phase 2 Long COVID study opened .
  • No earnings call transcript was available, and S&P Global consensus estimates for Q2 2025 were unavailable; investors should focus on sequential demand strength, regulatory path clarity (papillary NMIBC), and cash runway bolstered by the financing .

What Went Well and What Went Wrong

What Went Well

  • Strong commercial traction: Q2 revenue $26.4M, up 60% QoQ; 1H25 unit volumes +246% vs 2H24 since J-code approval, signaling broadening adoption across urology practices. “We’re seeing robust demand across U.S. urology practices of all sizes…” — CEO Richard Adcock .
  • Balance sheet strengthened: quarter-end cash/cash equivalents/marketable securities of $153.7M, plus $80M equity financing and warrants that could add ~$96M gross proceeds if exercised .
  • International/regulatory tailwind: UK MHRA approved ANKTIVA+BCG, ImmunityBio evaluating UK go-to-market strategy; EMA filings submitted .

What Went Wrong

  • U.S. regulatory setback in papillary NMIBC: FDA Refuse-to-File on sBLA, requiring an RCT vs chemotherapy; company now considering amending the initial filing with new data and committing to an RCT .
  • Operating expenses remain high: Q2 total operating costs/expenses $97.7M; R&D increased to $52.4M reflecting higher manufacturing and trial activity .
  • Interest burdens: interest expense related to revenue interest liability rose to $13.4M in Q2, contributing to total other expense of $(21.0)M .

Financial Results

Consolidated P&L and EPS vs prior quarters

MetricQ4 2024Q1 2025Q2 2025
Total Revenue ($USD Thousands)$7,552 $16,517 $26,425
Product Revenue, Net ($USD Thousands)$7,206 $16,509 $26,421
Loss from Operations ($USD Thousands)$(69,400) $(64,429) $(71,285)
Net Loss Attributable to Common ($USD Thousands)$(59,162) $(129,646) $(92,555)
Net Loss per Share – Basic ($USD)$(0.08) $(0.15) $(0.10)
Net Loss per Share – Diluted ($USD)$(0.09) $(0.15) $(0.10)
Weighted Avg Shares – Basic (000s)733,204 853,162 888,216

Revenue composition

MetricQ4 2024Q1 2025Q2 2025
Product Revenue, Net ($USD Thousands)$7,206 $16,509 $26,421
Other Revenues ($USD Thousands)$346 $8 $4
Total Revenue ($USD Thousands)$7,552 $16,517 $26,425

Operating expense detail

MetricQ4 2024Q1 2025Q2 2025
Cost of Sales ($USD Thousands)$58 $136
R&D ($USD Thousands)$35,221 $45,976 $52,430
R&D – Related Parties ($USD Thousands)— (included) $2,258 $2,806
SG&A ($USD Thousands)$41,731 $31,977 $41,862
SG&A – Related Parties ($USD Thousands)— (included) $677 $476
Total Operating Costs & Expenses ($USD Thousands)$76,952 $80,946 $97,710

Balance sheet highlights

MetricQ4 2024Q1 2025Q2 2025
Cash, Cash Equivalents & Marketable Securities ($USD Thousands)$149,809 $136,361 (incl. $74,770 pro forma financing) $153,658
Total Assets ($USD Thousands)$382,933 $303,759 $402,076
Total Liabilities ($USD Thousands)$871,062 $894,241 $971,895
Stockholders’ Deficit ($USD Thousands)$(489,098) $(591,431) $(570,749)
Revenue Interest Liability ($USD Thousands)$284,404 $296,287 $307,049
Total Related-Party Debt ($USD Thousands)$461,877 $485,717 $492,084

KPIs and commercialization metrics

KPIQ4 2024Q1 2025Q2 2025
Sequential demand indicatorsFeb’25 ANKTIVA unit volume +97% vs Dec’24; Feb vs Jan +67% Unit volume +150% vs Q4’24; March +69% vs Feb 1H25 unit volume +246% vs 2H24 since J-code
rBCG EAP scale60+ sites being activated; ~45,000 vials anticipated for U.S. in 2025 ~200 urology practices registering for rBCG EAP >150 patients dosed under EAP to date
International approvalsUK MHRA marketing authorization for ANKTIVA+BCG

Guidance Changes

MetricPeriodPrevious GuidanceCurrent GuidanceChange
RevenueFY/Q3 2025None providedNone providedMaintained (no formal guidance)
Margins/OpExFY/Q3 2025None providedNone providedMaintained (no formal guidance)
OI&E / Tax / DividendsFY/Q3 2025None providedNone providedMaintained (no formal guidance)

No formal numeric guidance was issued; management focused commentary on commercialization momentum, regulatory pathways (papillary NMIBC), and pipeline execution .

Earnings Call Themes & Trends

(Note: No Q2 2025 earnings call transcript available; themes synthesized from Q4/Q1/Q2 filings and press releases.)

TopicPrevious Mentions (Q4 2024 and Q1 2025)Current Period (Q2 2025)Trend
Commercial adoptionJ-code permanent in Jan’25; rapid early uptake (Feb +67% MoM) Revenue +60% QoQ; 1H25 unit +246% vs 2H24 Strengthening adoption trajectory
rBCG EAP & supplyFDA authorization; 60+ sites; ~45k vials expected >150 patients dosed; expanded practice participation Scaling access and utilization
Regulatory (papillary NMIBC)Planning sBLA; regulatory interactions ongoing FDA RTF on papillary sBLA; pursuing RCT/amendment; NCCN guideline expansion submitted Mixed: setback in U.S., progress on guidelines
InternationalEMA/MHRA submissions accepted UK MHRA approval granted Positive ex-U.S. momentum
NSCLC programCollaboration with BeOne; Phase 3 planning (ResQ201A) ResQ201A RCT launched in U.S.; EU/UK submissions filed Execution advancing
LymphopeniaRMAT designation; EAP submission FDA supportive meeting; EAP activated; path-to-approval under discussion Constructive regulatory engagement

Management Commentary

  • “We’re seeing robust demand across U.S. urology practices of all sizes, driven in part by ANKTIVA’s ease of storage and administration… With commercial authorization now in place in the UK, we’re actively evaluating our go-to-market strategy for this important initial global market.” — Richard Adcock, President & CEO .
  • “We’ve begun global expansion of key clinical trials… initiated enrollment across multiple trials to validate our novel lymphopenia rescue agent in prolonging duration of survival across multiple tumor types.” — Dr. Patrick Soon‑Shiong, Founder & Executive Chairman & GSMO .
  • On papillary NMIBC: FDA RTF led to a commitment to initiate an RCT and possible amendment of the initial filing; company presented 36‑month PFS and bladder‑sparing data vs chemotherapy in real‑world analyses .

Q&A Highlights

No Q2 2025 earnings call transcript was found; key clarifications came via press releases:

  • Papillary NMIBC path: pursuing RCT and evaluating filing amendment with new data post‑RTF .
  • UK commercialization strategy under evaluation post‑MHRA approval .
  • Financing bolsters runway to accelerate studies; warrants provide potential additional proceeds if exercised .

Estimates Context

  • S&P Global consensus for Q2 2025 EPS and Revenue was unavailable at the time of analysis; no estimates or estimate counts returned for the period. Values retrieved from S&P Global (no data available).
  • Implications: With sequential revenue growth of 60% and expanding unit volumes, sell-side models may need to reflect higher near-term ANKTIVA penetration and updated OpEx trajectories (R&D tied to trial starts; SG&A normalization vs Q1) .

Key Takeaways for Investors

  • Commercial momentum is the core driver: revenue +60% QoQ and 1H25 unit +246% vs 2H24 indicate broadening adoption post‑J‑code; demand appears durable across practice settings .
  • Balance sheet flexibility improved: $153.7M cash at Q2 plus $80M equity and potential ~$96M from warrants enhances funding for trials and commercial scaling .
  • Regulatory path bifurcation: UK approval opens ex‑U.S. opportunity, while U.S. papillary NMIBC requires an RCT and filing strategy refinement; near‑term catalysts include NCCN guideline review and trial initiations .
  • Pipeline breadth supports optionality: NSCLC RCT initiation, lymphopenia EAP with supportive FDA feedback, CAR‑NK complete responses in WM, and a Long COVID Phase 2 study diversify future value drivers .
  • Expense profile and interest costs warrant monitoring: rising R&D with manufacturing/trial activity and revenue interest liability costs pressured P&L; net loss narrowed YoY but remains substantial .
  • Actionable: Near-term trading set‑ups likely hinge on U.S. regulatory clarity (papillary NMIBC RCT plan/timelines), UK launch decisions, and continued quarterly revenue inflection. Sustained unit growth and expanded EAP utilization are key signals to watch .