Q3 2026 results

MetricResultChange
Revenue$16.6 billionAhead of expectations
Reported diluted EPS$0.56Not stated
Adjusted diluted EPS$0.87Exceeded expectations
Adjusted gross margin77%Not stated
Adjusted operating margin36%Not stated

Guidance and outlook

  • Full year 2026 revenue guidance raised to a range of $62 billion to $64 billion.
  • Full year 2026 adjusted diluted EPS guidance raised and narrowed to a range of $2.95 to $3.05.
  • Full year 2026 R&D expense expected to be in the range of $10.8 billion to $11.8 billion.
  • Expectation of approximately $4 billion for COVID products reaffirmed.

How management sounded

Positive (+6 on our -10 to +10 scale). Management raised full-year guidance for both revenue and EPS, citing strong commercial execution and confidence in their R&D pipeline. Management sounded more upbeat than on 8% of the 190 calls we cover; most companies sound positive on their own calls, so the comparison says more than the label.

Q&A summary

Pipeline positioning

Asked: How is the trispecific antibody Tilrekimig positioned in atopic dermatitis?

Answer: Management is conducting a head-to-head Phase III study against dupilumab and is targeting both naive and lapsed patients with a first-in-class profile.

Obesity portfolio

Asked: What is the status of the amylin and berobenatide combination study?

Answer: The Phase IIb SOLIS-1 study is fully recruited with efficacy results expected in the second half of 2027.

Capital allocation

Asked: How does management prioritize capital allocation between R&D and business development?

Answer: Priorities remain unchanged, focusing on investing in the business, maintaining the dividend, and preserving flexibility for future value-enhancing actions like share repurchases.

MEVPRO timelines

Asked: What are the updated timelines for the MEVPRO studies?

Answer: MEVPRO-1 is expected to read out in the first quarter of 2027, and MEVPRO-2 is expected in the fourth quarter of 2027.

What to watch before the next call

  • Readout for the MEVPRO-1 study in the first quarter of 2027.
  • Phase III study results for the obesity portfolio and amylin combination program.
  • Regulatory updates regarding the Lyme disease vaccine candidate.
  • Execution of the second phase of cost savings programs from 2027 through 2029.