Financial Data and Key Metrics Changes - The company reported total revenue of $110.3 million for Q3 2025, a 12% increase compared to $98.2 million in Q3 2024 [20] - Product revenue reached $105.5 million, representing a 15% year-over-year growth [4] - The gross-to-net deduction improved to approximately 31% for Q3 2025, slightly better than Q2 [20] Business Line Data and Key Metrics Changes - IBSRELA generated $78.2 million in revenue during Q3 2025, marking a 92% increase year-over-year [5][20] - XPHOZAH achieved $27.4 million in revenue, a 9% increase compared to Q2 2025 [6][21] - Non-cash royalty and commercial milestone revenue was recorded at $4.8 million, significantly higher than previous quarters [22] Market Data and Key Metrics Changes - The company noted a strong demand for IBSRELA, with record highs in new writers and total writers, indicating growth in both depth and breadth of writing [11][12] - XPHOZAH saw growth in total dispenses, including increased volume for both paid and patient-assisted prescriptions [18] Company Strategy and Development Direction - The company is focused on four key priorities: accelerating IBSRELA's momentum, executing on the XPHOZAH strategy, building a pipeline, and delivering strong financial performance [4] - The announcement of RDX 10531, a next-generation NHE3 inhibitor, marks a significant milestone in reinvigorating the company's pipeline [6][7] - The company aims to leverage its expertise and resources to unlock value and expand its product offerings [9] Management's Comments on Operating Environment and Future Outlook - Management expressed confidence in the continued momentum of IBSRELA and raised revenue guidance for the year to between $270 million and $275 million [6][21] - The management team highlighted the importance of addressing unmet needs in the IBS-C and CKD markets, emphasizing the potential for future growth [19][26] - The company is optimistic about the long-term growth prospects for both IBSRELA and XPHOZAH, citing strong commercial execution and market demand [19][76] Other Important Information - The company ended Q3 2025 with a strong balance sheet, including $242.7 million in cash, cash equivalents, and short-term investments [24] - The company welcomed a new Chief Financial Officer, Suhong Leitner, who is expected to bring strategic expertise to the team [10] Q&A Session Summary Question: What are the plans for increasing front-line share for IBSRELA? - Management acknowledged the challenge of competing with LINZESS for front-line share but emphasized the organic growth and satisfaction among prescribers and patients [28][32] Question: What indications are being considered for RDX 10531? - Management indicated that while there are potential broad indications, it is premature to discuss specifics until initial development steps are completed [29][30] Question: What factors could impact the guidance for IBSRELA? - Management expressed confidence in their strategy and the high unmet need in the IBS-C market, which supports their revenue guidance [42][43] Question: What are the growth strategies for XPHOZAH? - Management highlighted the importance of driving clinical conviction among nephrologists and ensuring patient access through Ardelyx Assist [49][56] Question: What are the potential tailwinds or headwinds for 2026? - Management is optimistic about tailwinds for both IBSRELA and XPHOZAH, anticipating improved market conditions as they emerge from current challenges [75][76]