SRPT Q3 Earnings Miss Estimates, Stock Dips on DMD Study Failure

Core Insights - Sarepta Therapeutics reported a third-quarter 2025 adjusted loss of $0.13 per share, missing the Zacks Consensus Estimate of $0.01 per share and reversing last year's profit of $0.43 per share [1][9] - Total revenues for the quarter were $399.4 million, a decline of nearly 15% year over year, primarily due to lower sales of Elevidys, although this figure exceeded the Zacks Consensus Estimate of $352.6 million [3][9] Revenue Breakdown - Product revenues fell 14% year over year to $370.0 million, with $238.5 million generated from the three PMO therapies, down 4% year over year, but beating estimates [4] - Elevidys sales accounted for $131.5 million, down 27% year over year, primarily due to a suspension of shipments to non-ambulatory patients amid safety concerns, yet still surpassing estimates [5][9] - Collaboration and other revenues associated with Elevidys supply to Roche were approximately $29.3 million, down nearly 22% year over year [6] Operating Costs - Adjusted R&D expenses totaled $206.5 million, reflecting a 3% increase year over year due to pipeline development expenses [7] - Adjusted SG&A expenses decreased by 23% to $77.1 million, attributed to a restructuring plan initiated in July [7] Future Guidance - The company expects at least $500 million in annual revenue from Elevidys infusions in the ambulant population for the full year 2025, with fourth-quarter infusion volumes anticipated to be flat to slightly down [8] - Combined adjusted SG&A and R&D expenses for the full year are projected to be between $420 million and $430 million [10] Pipeline Updates - The phase III ESSENCE study evaluating Amondys 45 and Vyondys 53 did not achieve statistical significance on its primary endpoint, raising concerns over the regulatory path for these therapies [11][12] - Sarepta plans to meet with the FDA to discuss a potential path to traditional approval for both therapies, citing a favorable risk-benefit profile [15] Recent Challenges - The company has faced significant investor scrutiny following three patient deaths linked to its gene therapy treatments, leading to a voluntary suspension of Elevidys dosing for non-ambulatory patients [16][17] - Development of most of the LGMD pipeline has been paused, with a shift in focus to siRNA programs acquired from Arrowhead Pharmaceuticals [18][19]