Core Insights - Krystal Biotech, Inc. reported preliminary unaudited net product revenue for VYJUVEK® of $106 million to $107 million for Q4 2025, and $388 million to $389 million for the full year 2025, indicating strong financial performance [3][4] - The company aims to establish itself as a global leader in rare diseases, leveraging its HSV-1 platform to develop differentiated genetic medicines [2][5] - A robust clinical pipeline is in place, with multiple potential blockbuster launches anticipated in the next four years, positioning the company for sustained growth [2][5] Financial Performance - Preliminary net product revenue for VYJUVEK is projected to be between $106 million and $107 million for Q4 2025, and between $388 million and $389 million for the full year 2025 [3] - As of December 31, 2025, the company had approximately $955 million in cash, cash equivalents, and investments, indicating a strong balance sheet [3] Strategic Vision - The company’s strategic vision includes having at least four marketed rare disease medicines by the end of 2030, aiming to treat over 10,000 patients globally [7] - The company plans to accelerate clinical development for its rare disease pipeline, including increasing enrollment targets for ongoing studies [6][8] Corporate Objectives for 2026 - Key objectives include launching VYJUVEK in additional major European markets, expanding the specialty distributor network to over 40 countries, and reporting top-line results from various registrational studies [14] - The company expects combined non-GAAP R&D and SG&A expenses for 2026 to be between $175 million and $195 million [9]

Key Takeaways Krystal Biotech shares have climbed 57.2% in a year, far outperforming the biotech industry and sector.Vyjuvek uptake remains strong after FDA label expansion and approvals in the U.S., Japan and Europe.KRYS is advancing a broad pipeline across respiratory, ophthalmology, oncology, dermatology and aesthetics.Shares of Krystal Biotech (KRYS) have surged 57.2% in a year compared with the industry’s growth of 17.1%. The stock has also outperformed the industry and the sector in this time frame.Th ...

Financial Data and Key Metrics Changes - The company reported net Vyjuvek revenue of $97.8 million for Q3 2025, reflecting sustained growth compared to the previous quarter, including early sales from the German launch [9][26] - Gross margin improved to 96% for the quarter, up from 93% in the prior quarter, due to manufacturing process optimizations in the U.S. [26] - Net income for the quarter was $79.4 million, translating to $2.74 per basic share and $2.66 per diluted share, influenced by one-time benefits from tax adjustments [28][29] Business Line Data and Key Metrics Changes - Vyjuvek's total net revenues since launch exceeded $623 million, with significant contributions from the U.S. and early traction in Europe [9][10] - The company added over 40 new reimbursement approvals in the U.S., bringing the total to over 615, indicating a strong acceleration in reimbursement approvals [10][26] Market Data and Key Metrics Changes - The launch of Vyjuvek in Germany has seen approximately 20 patients prescribed since late August, with broad prescribing patterns across over 10 centers [12] - In France, Vyjuvek received early access approval and was launched, with the potential for pricing discussions following its ASMR 3 designation [13][14] Company Strategy and Development Direction - The company is focused on expanding its global footprint with Vyjuvek, having launched in Germany, France, and Japan, and is also contracting with regional specialty distributors for broader market access [16][17] - The strategic emphasis is on accelerating patient access to therapy and expanding the prescriber network, with over 450 prescribers now in the U.S. [10][11] Management's Comments on Operating Environment and Future Outlook - Management expressed confidence in the long-term growth trajectory of Vyjuvek, anticipating continued revenue growth and successful clinical pipeline advancements [30] - The company is optimistic about upcoming readouts in cystic fibrosis and other pipeline programs, indicating a robust clinical development strategy [30][31] Other Important Information - The company revised its full-year non-GAAP R&D and SG&A guidance to $145-$155 million, reflecting improved performance and confidence in execution [27] - The FDA granted a platform therapy designation for the HSV-1 gene delivery platform, which could expedite the approval process for related programs [18][19] Q&A Session Summary Question: What is the focus for the ex-U.S. launch? - The company aims to accelerate patient access by expanding the breadth of prescribers while also deepening relationships with existing prescribers [34] Question: What optimizations led to better gross margins? - The optimization involved moving to a larger bioreactor, with plans to apply for approval in Europe based on U.S. data [34][36] Question: What are the expectations for ex-U.S. revenue contributions? - The company anticipates steady growth in ex-U.S. markets, with Germany showing promising early results [39] Question: How is the NK trial progressing? - Enrollment has started, with a focus on adding sites globally to facilitate patient recruitment [44] Question: What are the expectations for the CF program? - The company plans to report on a minimum of three null patients, focusing on molecular correction as a success metric [48] Question: Will there be revenue guidance for Vyjuvek in 2026? - The company will not provide revenue guidance for 2026 due to the complexity of multiple launches [57] Question: Can you provide a breakdown of U.S. and ex-U.S. sales for Vyjuvek? - The company did not break down sales this quarter but plans to do so in 2026 as contributions grow [59]

VYJUVEK Launch and Revenue - Since launch, VYJUVEK has generated over $623 million in net revenue[10] - Q3 2025 VYJUVEK product revenue reached $97.8 million, compared to $83.8 million in Q3 2024[35] - The company has secured over 615 reimbursement approvals for VYJUVEK in the U S[14] European and Japanese Expansion - VYJUVEK launched in Germany in late August, with over 10 prescribing centers and prescriptions for an estimated 20 DEB patients[15] - VYJUVEK launched in Japan in October, targeting over 500 estimated DEB patients[17, 18] - The company is building a specialty distributor partner network to reach thousands of potential DEB patients in rest-of-world markets[20] Pipeline Development - The FDA granted Platform Technology Designation for KB801, potentially accelerating its path to market[21] - The company expects to report molecular data from the KB407 Phase 1 trial for Cystic Fibrosis by year-end[28] - KB111 is entering clinical trials for the treatment of Hailey-Hailey disease, targeting an estimated 10,000-15,000 patients in the U S and Europe[34] Financial Performance - The company's cash and investments totaled $864.2 million as of September 30, 2025[35] - Net income for Q3 2025 was $79.4 million, compared to $27.2 million in Q3 2024[35] - Non-GAAP R&D and SG&A expense guidance for full year 2025 is updated to $145 million to $155 million[36]

Core Insights - The FDA granted platform technology designation to Krystal Biotech's genetically modified HSV-1 viral vector used in the gene therapy KB801 for neurotrophic keratitis [1][2][3] Group 1: FDA Designation and Implications - The platform technology designation is a significant milestone for Krystal Biotech, recognizing the reproducibility and scalability of their HSV-1 gene delivery platform [2] - This designation may provide development efficiencies, including early engagement with the FDA and the ability to leverage data from previously approved products like VYJUVEK [2][3] - The program aims to streamline drug development, manufacturing, and review processes for products utilizing designated platform technologies [3] Group 2: About KB801 - KB801 is a redosable eye drop gene therapy designed to enable sustained expression of nerve growth factor (NGF) for treating neurotrophic keratitis, a rare corneal disease [4] - The therapy aims to reduce the treatment burden on patients by allowing local production of NGF, addressing the limitations of current recombinant NGF eye drops that require frequent administration [4] - The safety and efficacy of KB801 are currently being evaluated in the EMERALD-1 Phase 1/2 study, which is a randomized, double-masked, multicenter, placebo-controlled trial [4] Group 3: Company Overview - Krystal Biotech is a global biotechnology company focused on developing genetic medicines for diseases with high unmet medical needs [5] - The company’s first commercial product, VYJUVEK, is the first redosable gene therapy approved in the U.S., Europe, and Japan for dystrophic epidermolysis bullosa [5] - Krystal Biotech is advancing a pipeline of investigational genetic medicines across various therapeutic areas, including respiratory, oncology, dermatology, ophthalmology, and aesthetics [5]

Core Viewpoint - Krystal Biotech, Inc. has shown a positive performance with an 8.5% increase in shares since the last earnings report, outperforming the S&P 500, but faces concerns regarding future revenue guidance [1][2]. Financial Performance - The company reported Q2 2025 earnings per share (EPS) of $1.29, exceeding the Zacks Consensus Estimate of $1.08, and up from $0.93 in the same quarter last year [3]. - Revenues reached $96 million, a 36.6% year-over-year increase, surpassing the Zacks Consensus Estimate of $91 million, with all revenues derived from Vyjuvek sales [3]. - Despite strong quarterly results, shares fell by 14% due to soft guidance for third-quarter revenues [4]. Product Developments - Vyjuvek, the first-ever revocable gene therapy for dystrophic epidermolysis bullosa (DEB), received FDA approval in 2023 and has secured over 575 reimbursement approvals in the U.S. as of July [5]. - The European Commission approved Vyjuvek for treating DEB-related wounds, with launches planned in Germany and France in Q3 and Q4 respectively [7]. - Vyjuvek was also approved in Japan for DEB treatment, with a target launch before the end of 2025 [7]. Research and Development - Research and development expenses were $14.4 million, down 7.5% year-over-year, while selling, general, and administrative expenses rose to $35.2 million, a 27.2% increase from the previous year [6]. - The company is evaluating KB407 for cystic fibrosis, with four patients enrolled in a study, and expects interim data before year-end [8]. - KB408 is being assessed for alpha-1 antitrypsin deficiency, with positive results reported in a patient from a dose escalation study [9]. Pipeline Progress - Krystal Biotech is advancing multiple candidates, including KB801 for neurotrophic keratitis and KB707 for solid tumors, with ongoing enrollment in various studies [11][12]. - Jeune Aesthetics, a subsidiary, reported positive results for KB304 in treating décolleté wrinkles, leading to its progression into phase II studies [13][14]. Market Outlook - Since the earnings release, there has been a downward trend in estimates, with a consensus estimate shift of -16.13% [15]. - The stock has an average Growth Score of C, a Momentum Score of F, and a Value Score of D, resulting in an aggregate VGM Score of F [16]. - Krystal Biotech holds a Zacks Rank 3 (Hold), indicating expectations for an in-line return in the coming months [17][18].

Core Insights - Krystal Biotech reported Q2 2025 EPS of $1.29, exceeding the Zacks Consensus Estimate of $1.08, and up from $0.93 in the same quarter last year [1][8] - Revenues reached $96 million, a 36.6% increase year over year, surpassing the Zacks Consensus Estimate of $91 million, driven solely by Vyjuvek sales [1][8] - Despite strong quarterly results, shares fell 14% due to soft guidance for Q3 revenues [2][17] Financial Performance - Gross margin for the reported quarter was 93% [5] - Research and development expenses were $14.4 million, down 7.5% year over year [5] - Selling, general and administrative expenses increased by 27.2% to $35.2 million, attributed to higher professional services fees [5] - As of June 30, 2025, cash, cash equivalents, and investments totaled $820.8 million, up from $765.3 million as of March 31, 2025 [6] Product Developments - Vyjuvek, the first revocable gene therapy for dystrophic epidermolysis bullosa (DEB), received FDA approval in 2023 and has over 575 reimbursement approvals in the U.S. as of July [4][9] - The European Commission approved Vyjuvek for DEB treatment, with launches planned in Germany and France in Q3 and Q4 respectively [9] - Vyjuvek was also approved in Japan for DEB treatment, with a target launch before the end of 2025 [9] Pipeline Progress - Krystal Biotech is advancing multiple gene therapy candidates, including KB407 for cystic fibrosis and KB408 for alpha-1 antitrypsin deficiency, with ongoing clinical trials [10][11] - Enrollment is ongoing for various studies, including EMERALD-1 for KB801 and KYANITE-1 for inhaled KB707 [13][14] - Jeune Aesthetics, a subsidiary, is developing KB304 for aesthetic treatments, with positive results from the PEARL-2 study leading to progression into phase II [15][16] Market Outlook - Despite a strong Q2 performance, revenues are expected to decline in Q3 due to seasonal trends, but growth is anticipated to resume in Q4 [17]

Financial Data and Key Metrics Changes - Q2 net revenue was $96 million, marking a return to growth due to patients resuming treatment and ongoing sales team expansion [7][8] - Total net revenue for Visovac since launch exceeded $525 million [7] - Net income for the quarter was $38.3 million, representing $1.33 per basic and $1.29 per diluted share, compared to $15.6 million in the prior year's second quarter [30] Business Line Data and Key Metrics Changes - Gross margin remained consistent at 93% in Q2 [29] - Research and development expenses decreased to $14.4 million from $15.6 million in the prior year, while general and administrative expenses increased to $35.2 million from $27.6 million [29] Market Data and Key Metrics Changes - Compliance while on drug was reported at 82%, with expectations of a downward trend as the patient mix shifts [9] - The company secured over 575 reimbursement approvals for patients in the U.S. [8] Company Strategy and Development Direction - The company is focused on the successful launch of Visovac in Europe and Japan, with significant potential for growth in these markets [12][18] - The strategy includes expanding the sales force and enhancing patient support programs to drive adoption [10][15] Management's Comments on Operating Environment and Future Outlook - Management expects Q3 revenues to be below Q2 due to seasonal trends but anticipates a return to growth in Q4 [10] - The company is optimistic about the long-term growth trajectory driven by transformative patient outcomes and global expansion [11][18] Other Important Information - The approval of VYZUVAC in Japan is seen as a significant milestone, with plans for launch before year-end [12] - The company has established dedicated commercial teams in Germany and France for the European launch [14] Q&A Session Summary Question: Was the revenue growth for this quarter impacted by the Salesforce expansion? - Management clarified that part of the increase in Q2 was due to patients resuming treatment, and the full impact of the Salesforce expansion will be felt in the coming quarters [36] Question: Can you provide quantitative commentary on the magnitude of slower growth in the first few weeks of the quarter? - Management refrained from providing specific details, noting that summer vacations typically lead to increased treatment pauses [40] Question: What is the mix of RDEB versus DDEB patients in reimbursement approvals? - The mix was reported to be approximately 64% RDEB and 36% DDEB, with no significant changes noted [42] Question: How do drug holidays factor into the guidance for U.S. patients initiating VYJUVEC? - Management indicated that they are on track but may be a quarter or two behind the original timeline [46] Question: Will patients need to see a healthcare practitioner before initiating VYJUVEC in Japan? - Yes, the process is similar to Europe, requiring an initial visit to a physician [70] Question: What is the compliance rate among patients using different vial counts? - Compliance is defined based on the duration of drug use, with a range of 76% to 84% expected [101] Question: What are the timelines to capture the remaining patient base in the U.S. market? - Management emphasized that the goal is to target the entire 1,200 patient base, with ongoing efforts to reach the remaining patients [92]

Financial Performance & VYJUVEK Launch - VYJUVEK revenue since launch exceeds $525 million[8] - Second quarter 2025 product revenue reached $96 million, compared to $70.3 million in the second quarter of 2024[43] - Gross margin in the second quarter was 93%[10, 43] - Gross to net in the second quarter was 17%[10] VYJUVEK Expansion & Approvals - VYJUVEK received approval in Japan for DEB patients from birth, with launch expected in the fourth quarter of 2025[11, 14] - Over 575 reimbursement approvals in the U S[10] - U S compliance to weekly therapy while on drug at 82% as of end of 2Q 2025[10] - European launch is on track for later this quarter, with over 575 identified DEB patients in Germany and France[15, 16] Pipeline Development - 36% objective response rate was observed with KB707 monotherapy in advanced NSCLC patients[22] - 40% AAT positive cells after KB408[26] - Functional AAT delivery to the lungs was confirmed in the third patient dosed with KB408, showing a 79.3% reduction in free neutrophil elastase in ELF after a single dose[25, 26] Financial Guidance - Non-GAAP R&D and SG&A expense guidance for the full year 2025 is $150 million to $175 million[44]

Financial Performance - The company reported $96.0 million in net product revenue for the second quarter of 2025, a significant increase from $70.3 million in the same quarter of 2024, representing a growth of approximately 36% [20][38] - For the six months ended June 30, 2025, net product revenue totaled $184.2 million, compared to $115.5 million for the same period in 2024, indicating a year-over-year increase of about 61% [18][39] - The gross margin for the second quarter was 93%, reflecting strong profitability [6] - The company ended the quarter with a robust balance sheet, holding $820.8 million in cash and investments [20][37] Product Developments - VYJUVEK, the company's gene therapy product, has been approved in Japan for the treatment of dystrophic epidermolysis bullosa (DEB) patients from birth, with plans to launch before the end of 2025 [6][23] - The company has secured over 575 reimbursement approvals for VYJUVEK in the U.S., maintaining strong access nationwide [6] - VYJUVEK is also set for its first European launch in Germany in the third quarter of 2025 and in France in the fourth quarter of 2025 [6][34] Clinical Trials and Pipeline - The company is actively enrolling patients in various clinical trials, including KB407 for cystic fibrosis and KB408 for alpha-1 antitrypsin deficiency lung disease, with interim data expected before year-end [5][7] - The company has initiated a Phase 3 study for KB803, aimed at treating and preventing corneal abrasions in DEB patients, with ongoing enrollment [13] - In oncology, the company continues to evaluate inhaled KB707 in patients with solid tumors, with promising safety and efficacy data reported [11][19] Management Commentary - The CEO highlighted the company's global expansion plans following VYJUVEK's approvals in Europe and Japan, which are expected to enhance access for DEB patients worldwide [2] - The company is approaching key readouts in both lung and eye treatments, which could have transformative implications for its platform and patient care [2]