Tarsus Pharmaceuticals, Inc.
For the period ended Mar 31, 2026. Filed May 6, 2026.
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A company's report for each of its first three quarters. The financial statements are not audited. It shows how the business has moved since the last annual report, and what management says changed.
Mar 31, 2026 · Filed May 6, 2026
What changed in Management’s Discussion and Analysis?
Read the current filingPrevious report: 10-Q
Period ended 2025-09-30; filed 2025-11-04.
0001819790-25-000121
Item 2. Management’s Discussion and Analysis of Financial Condition and Results of OperationsCurrent report: 10-Q
Period ended 2026-03-31; filed 2026-05-06.
0001819790-26-000038
Item 2. Management’s Discussion and Analysis of Financial Condition and Results of OperationsThe baseline is this issuer’s latest earlier reporting period of the same form that was filed before the current report. A previous 10-Q is a different quarter, not a year-over-year comparison. Amendments are excluded.
Compared 168 previous paragraphs and 160 current paragraphs.
101 unchanged; 35 reworded; 21 added; 27 removed; 5 previous and 3 current paragraphs rearranged.
Tables are not compared: 5 previous and 3 current tables excluded. Dates, whitespace, punctuation and numbering changes are ignored; changes to financial figures remain significant.
A changed paragraph is not evidence that risk increased or decreased. An unchanged paragraph does not establish that risk stayed the same.
Added paragraphs (21)
Current report
In December 2025, we initiated a Phase 2 clinical trial (the “KORE Trial”) evaluating TP-04, a lotilaner-based sterile ophthalmic gel formulation for the potential treatment of ocular rosacea. The KORE Trial continues to progress, with topline results expected in the first half of 2027.
Current report
In March 2026, we initiated a Phase 2 clinical trial (the “Calliope Trial”) evaluating TP-05, a novel investigational lotilaner-based oral prophylactic designed to kill ticks before potential disease transmission. Topline results are expected in the first half of 2027, which we believe will have the potential to support a Phase 3-ready package by the end of 2027.
Current report
Recent Business and Corporate Highlights
Current report
•XDEMVY continues to be one of the best-selling prescription eye drops.
Current report
◦During the first quarter of 2026, recognized $145.4 million in net product sales, a year-over-year increase of more than 85%.
Current report
◦Continued depth of prescribing as eye care professionals (“ECPs”) broaden screening and treatment across a wider range of patients.
Current report
•Direct-to-Consumer (“DTC”) campaign drove tremendous engagement and generated an increasingly positive and growing return on investment.
Current report
◦Continued to drive millions of visitors to the XDEMVY website and certain increased high-value actions on the website by approximately 40% quarter-over-quarter reflecting strong patient activation and conversion.
Current report
•On track to activate approximately 20 new Key Account Leaders by the third quarter of 2026 focusing on driving deeper utilization within high-opportunity eye care practices.
Current report
•We maintained strong engagement across key ophthalmology and optometry conferences in the first quarter of 2026, presenting numerous data sets that reinforce the clinical importance of diagnosing and treating Demodex blepharitis and expand how ECPs identify and treat the disease.
Current report
TP-04 Rosacea for the Potential Treatment of Ocular Rosacea:
Current report
We are exploring the therapeutic potential of TP-04 as an investigational sterile aqueous gel formulation of lotilaner, for the treatment of ocular rosacea, a chronic eye disease characterized by prominent and visible blood vessels, or telangiectasia, as well as redness, flushing and inflammation of the eyelid margin and surrounding peri-ocular skin. Ocular rosacea is a highly prevalent disease, with approximately 15-18 million Americans impacted by ocular rosacea and there are currently no FDA-approved therapeutics to treat this disease. One of the potential root causes of ocular rosacea, similar to Demodex blepharitis, is believed to be Demodex mites.
Current report
In March 2026, we initiated the Calliope Trial evaluating TP-05, a novel investigational lotilaner-based oral prophylactic designed to kill ticks before potential disease transmission. Topline results are expected in the first half of 2027, which we believe will have the potential to support a Phase 3-ready package by the end of 2027.
Current report
In March 2026, GrandPharma obtained regulatory approval of TP-03, in the People’s Republic of China (“PRC”), following a previous regulatory approval in Macau. The regulatory approval in the PRC, together with a previous patent issuance in the PRC relating to TP-03, triggered a $15.0 million milestone payment to us, which was recorded as license fees and collaboration revenue (see Note 9).
Current report
Recent global economic conditions have been marked by significant volatility and heightened trade tensions. In addition, persistent inflationary pressures, a prolonged higher interest rate environment, energy supply disruptions in certain regions, evolving trade policies, including increased tariffs, regulatory uncertainty, and ongoing and emerging geopolitical conflicts, including war, have contributed to regional and global macroeconomic challenges. These conditions have created uncertainty in global markets and may continue to impact economic conditions for an extended period.
Current report
For three months ended March 31, 2026, we recognized $16.7 million in license fees and collaboration revenue related to (i) a $15.0 million regulatory milestone achievement under the China Out-License (see Note 9) and (ii) $1.7 million of required China withholding tax payable by GrandPharma on the associated milestone (see Note 11). The milestone payment was recorded on a gross basis, which increased license fees and collaboration revenue by $1.7 million, with an equal offsetting amount recorded as foreign tax expense within provision for income taxes. During the three months ended March 31, 2025, we did not recognize any license fees and collaboration revenue.
Current report
Cost of Sales
Current report
Income Taxes
Current report
In July 2025, the OBBB Act was enacted in the U.S., which contains a broad range of tax reform provisions affecting businesses, including permitting the immediate expensing of domestic research and development expenditures. Provision for income taxes was $2.4 million for the three months ended March 31, 2026, primarily due to (i) $0.7 million of state income tax expense resulting from states that do not conform to the OBBB Act and therefore continue to require the capitalization and amortization of domestic research and development expenditures and (ii) $1.7 million of foreign withholding tax expense in connection with our China Out-License and a milestone that was achieved during the three months ended March 31, 2026. There was no provision for income taxes recorded during the three months ended March 31, 2025.
Current report
Net cash used in operating activities was $24.7 million for the three months ended March 31, 2026, which primarily consisted of a net loss of $7.0 million and a net decrease in operating assets and liabilities of $29.5 million, partially offset by non-cash charges of $11.8 million. Our cash outflows primarily related to: (i) $214.5 million of vendor payments, (ii) $36.4 million of personnel-related costs, and (iii) $9.1 million of royalty payments. These cash outflows were partially offset by cash receipts of $234.8 million related to XDEMVY net product sales.
Current report
Net cash used in operating activities was $20.7 million for the three months ended March 31, 2025, which primarily consisted of a net loss of $25.1 million and a net decrease in operating assets and liabilities of $1.9 million, partially offset by non-cash charges of $6.4 million. Our cash outflows primarily related to: (i) $108.4 million of vendor payments, (ii) $30.7 million of personnel-related costs, and (iii) $3.3 million of royalty payments. These cash outflows were partially offset by cash receipts of $122.8 million related to XDEMVY net product sales.
Removed paragraphs (27)
Previous report
Recent Business and Clinical Highlights
Previous report
•XDEMVY is continuing on a strong growth trajectory. During the third quarter of 2025, the Company:
Previous report
◦Recognized $118.7 million in net product sales, an increase of approximately 147% year over year.
Previous report
◦Delivered more than 103,000 bottles of XDEMVY to patients.
Previous report
◦Obtained broad, high quality coverage, with more than 90% of commercial, Medicare and Medicaid lives covered leading to a gross-to-net discount of 44.7%.
Previous report
•We are two years into launch and believe we are fundamentally changing how eye care professionals (“ECPs”) diagnose and treat Demodex blepharitis.
Previous report
◦More than 20,000 ECPs have written multiple prescriptions reflecting growing confidence and the consistent integration of XDEMVY into clinical practice.
Previous report
◦At the end of the third quarter of 2025, the number of ECPs prescribing more than one bottle per week increased by approximately 30% compared to the second quarter of 2025.
Previous report
TP-04 Rosacea, Galatea Trial:
Previous report
TP-05 Lyme Disease, Carpo Trial:
Previous report
Recently, the economy has experienced significant volatility and escalating trade tensions. Together with high rates of inflation and energy supply issues experienced in certain regions, the potential enactment of tariffs, war and geopolitical conflicts, these conditions have led to regional and/or global macroeconomic challenges, the effects of which may be of an extended duration.
Previous report
In July 2025, the One Big Beautiful Bill Act (the “OBBB Act”) was enacted in the U.S, which contains a broad range of tax reform provisions affecting businesses. We evaluated the impact of the OBBB Act on our financial position and it did not have a material impact on our effective tax rate or cash flows during the three months ended September 30, 2025.
Previous report
Comparison of the Nine Months Ended
Previous report
Product Sales, Net
Previous report
During the nine months ended September 30, 2025 and 2024, we recognized revenue of $299.7 million and $113.7 million, respectively, from product sales, net of rebates, chargebacks, discounts, and other adjustments primarily driven by approximately 266,000 bottles of XDEMVY delivered to patients, compared to approximately 104,400 bottles delivered to patients in the prior year period.
Previous report
During the nine months ended September 30, 2025, we did not recognize any license fees and collaboration revenue. During the nine months ended September 30, 2024, we recognized $2.9 million of license fees and collaboration revenue including (i) $2.5 million for a termination payment related to the Novation Agreement, and (ii) $0.4 million for a warrant termination payment (see Note 9).
Previous report
Research and Development Expenses
Previous report
Research and development expenses increased by $9.8 million for the nine months ended September 30, 2025, as compared to the prior year period. The increase was primarily due to (i) $5.1 million of increased payroll and personnel-related costs (including increased stock-based compensation expense of $1.3 million) for employee additions to drive our product development initiatives, (ii) $1.0 million of increased other indirect expenses, (iii) $2.6 million of increased early-stage programs, and (iv) $2.1 million of increased TP-04 program expenses. These increases were partially offset by $0.6 million of decreased TP-05 program expenses and $0.5 million of decreased TP-03 program expenses.
Previous report
Selling, General and Administrative Expenses
Previous report
Selling, general and administrative expenses increased by $128.4 million for the nine months ended September 30, 2025, as compared to the prior year period. The increase was primarily due to (i) $24.0 million of increased payroll and personnel-related costs (including increased stock-based compensation expense of $5.6 million) for commercial and corporate employee additions to support our business growth and commercial leadership hires for XDEMVY, (ii) $81.5 million of increased commercial and marketing costs, including DTC advertising costs, as we continued our commercial expansion for the commercial launch of XDEMVY, and (iii) $22.9 million of increased variable costs including certain patient assistance programs, fees related to increased bottles dispensed, information technology applications, legal, professional and other corporate expenses. Our field sales headcount and associated vendor expenses increased during 2025 due to further growth and expansion of our commercial activities for XDEMVY and other corporate initiatives.
Previous report
Other Income (Expense), Net
Previous report
Other income (expense), net increased by $1.2 million primarily due to a $1.9 million loss on debt extinguishment related to the 2022 Credit Facility (see Note 10), which was recognized in the prior year period and $0.4 million of increased interest income earned on our cash, cash equivalents and marketable securities, partially offset by $1.2 million of increased interest expense related to the Credit Facilities.
Previous report
In July 2025, the OBBB Act was enacted in the U.S, which contains a broad range of tax reform provisions affecting businesses. We evaluated the potential impact of the OBBB Act on our financial position and it did not have a material impact on our effective tax rate or cash flows during the nine months ended September 30, 2025.
Previous report
•the availability of our 2024 Credit Facility;
Previous report
Net cash used in operating activities was $31.8 million for the nine months ended September 30, 2025, which primarily consisted of a net loss of $58.0 million, partially offset by net increases in operating assets and liabilities of $1.1 million and non-cash and other charges of $25.2 million. The increase in net operating assets and liabilities was primarily due to cash increases in accounts payable and other accrued liabilities of $37.4 million, partially offset by cash decreases including accounts receivable of $25.9 million, prepaid expenses of $6.5 million, accrued payroll and benefits of $2.3 million and inventories of $1.2 million. The increase in net non-cash and other charges was primarily related to stock-based compensation expense of $27.4 million and amortization of intangible assets and depreciation of property, plant and equipment totaling $1.4 million, partially offset by net amortization/accretion of marketable securities of $4.6 million.
Previous report
Net cash used in operating activities was $60.8 million for the nine months ended September 30, 2024, which primarily consisted of a net loss of $92.4 million, partially offset by net increases in non-cash and other charges of $22.0 million and net operating assets and liabilities of $9.6 million. The increase in net non-cash and other charges was primarily related to stock-based compensation expense of $20.4 million and a loss on debt extinguishment of $1.9 million. The increase in net operating assets and liabilities was primarily due to cash increases in accounts payable and other accrued liabilities of $25.3 million and prepaid expenses of $0.7 million, partially offset by cash decreases including $12.5 million of accounts receivable, $1.9 million of accrued payroll and benefits, and $2.3 million of inventory.
Previous report
Net cash provided by financing activities was $151.7 million for the nine months ended September 30, 2024, and primarily related to (i) $98.3 million of net proceeds from the issuance of common stock in the March 2024 Public Offering, (ii) $9.4 million of net proceeds from the issuance of pre-funded warrants in the March 2024 Public Offering, (iii) $75.0 million of proceeds from an initial draw against our 2024 Credit Facility, (iv) $3.3 million of proceeds from employee stock option exercises, and (v) $1.1 million of proceeds from the issuance of common stock for our ESPP. These increases to cash were partially offset by $31.9 million of debt extinguishment payments on the 2022 Credit Facility, and $3.5 million of cash paid for loan issuance costs on the 2024 Credit Facility.
Reworded paragraphs (35)
Previous wording
This Quarterly Report on Form 10-Q contains certain forward-looking statements. All statements other than statements of historical facts contained in this report, including statements regarding our future results of operations and financial position, future revenue, business strategy, product candidates, planned preclinical studies and clinical trials, results of clinical trials, research and development costs, regulatory approvals, timing and likelihood of success, as well as plans and objectives of management for future operations, are forward-looking statements. These statements involve known and unknown risks, uncertainties and other important factors that are in some cases beyond our control and may cause our actual results, performance or achievements to be materially different from any future results, performance or achievements expressed or implied by the forward-looking statements.
Current wording
This Quarterly Report on Form 10-Q contains certain forward-looking statements. All statements other than statements of historical facts contained in this report, including statements regarding our future results of operations and financial position, future revenue, business strategy, product and product candidates, planned preclinical studies and clinical trials, results of clinical trials, research and development costs, regulatory approvals, timing and likelihood of success, as well as plans and objectives of management for future operations, are forward-looking statements. These statements involve known and unknown risks, uncertainties and other important factors that are in some cases beyond our control and may cause our actual results, performance or achievements to be materially different from any future results, performance or achievements expressed or implied by the forward-looking statements.
Previous wording
•any statements regarding our ability to achieve distribution and patient access for our products including XDEMVY and timing and breadth of payer coverage; our expectations of the potential market size, pricing, gross-to-net yields, eye care provider and patient acceptance of our product and product candidates, opportunity and patient populations for our product and product candidates, including XDEMVY;
Current wording
•any statements regarding our ability to achieve distribution and patient access for XDEMVY and timing and breadth of payer coverage; our expectations of the potential market size, pricing, gross-to-net yields, eye care professional and patient acceptance of our product and product candidates, opportunity and patient populations for our product and product candidates, including XDEMVY;
Previous wording
•our plans and ability to obtain or protect intellectual property rights, including extensions of existing patent terms where available;
Current wording
•our plans and ability to obtain, maintain, or protect intellectual property rights, including extensions of existing patent terms where available;
Previous wording
We are a commercial stage biopharmaceutical company focused on the development and commercialization of therapeutics, starting with eye care. We launched XDEMVY® (lotilaner ophthalmic solution) 0.25%, formerly known as TP-03, for the treatment of Demodex blepharitis, in August 2023 after receiving U.S. Food and Drug Administration (“FDA”) approval in July 2023. Demodex blepharitis is caused by the infestation of Demodex mites. Blepharitis (“Blephar” is a reference to eyelid and “itis” is a reference to inflammation) is an ophthalmic lid margin disease characterized by inflammation of the eyelid margin, redness and ocular irritation, including a specific type of eyelash dandruff called collarettes, which are pathognomonic for Demodex blepharitis. Poorly controlled and progressive blepharitis can lead to corneal damage over time and, in extreme cases, blindness. There may be as many as approximately 25 million people in the U.S. who suffer from Demodex blepharitis.
Current wording
We are a commercial stage biopharmaceutical company focused on the development and commercialization of therapeutics, starting with eye care. We launched XDEMVY® (lotilaner ophthalmic solution) 0.25%, formerly known as TP-03, for the treatment of Demodex blepharitis, in August 2023 after receiving U.S. Food and Drug Administration (“FDA”) approval in July 2023. Demodex blepharitis is caused by the infestation of Demodex mites. Demodex blepharitis (“blephar” is a reference to eyelid and “itis” is a reference to inflammation) is an ophthalmic lid margin disease characterized by inflammation of the eyelid margin, redness and ocular irritation, including a specific type of eyelash dandruff called collarettes, which are pathognomonic for Demodex blepharitis. Poorly controlled and progressive Demodex blepharitis can lead to corneal damage over time and, in extreme cases, blindness. There may be as many as approximately 25 million people in the U.S. who suffer from Demodex blepharitis. XDEMVY is the first and only therapeutic approved by the FDA and we believe is the definitive standard of care for the treatment of Demodex blepharitis.
Previous wording
To date, we have completed seven clinical trials that include a Phase 3 Saturn-2 trial, a Phase 2b/3 Saturn-1 trial, four Phase 2 trials, and a Phase 1 trial for XDEMVY in Demodex blepharitis, all of which met their primary, secondary and/or certain exploratory endpoints, with the drug well tolerated throughout each trial. We have also completed clinical trials in Demodex blepharitis patients with Meibomian Gland Disease (“MGD”) including the Ersa clinical trial involving XDEMVY (the “Ersa Trial”), and the Rhea clinical trial involving an XDEMVY vehicle (the “Rhea Trial”), all of which met their primary, secondary, and/or certain exploratory endpoints, with the drug well tolerated throughout each trial.
Current wording
To date, we have completed seven clinical trials that include a Phase 3 Saturn-2 trial, a Phase 2b/3 Saturn-1 trial, four Phase 2 trials, and a Phase 1 trial for XDEMVY in Demodex blepharitis, all of which met their primary, secondary and/or certain exploratory endpoints, with the drug well tolerated throughout each trial. We have also completed clinical trials in Demodex blepharitis patients with Meibomian Gland Disease (“MGD”), including the Phase 2a clinical trial (the “Ersa Trial”), and a pilot clinical trial (the “Rhea Trial”) involving an XDEMVY vehicle.
Previous wording
We intend to further advance our pipeline with, e.g., the lotilaner API to address several diseases in human medicine, including eye care, and infectious disease prevention. We are investigating the development of our product candidates to address targeted diseases with high unmet medical needs, which currently include TP-04, an investigational sterile aqueous gel formulation of lotilaner for the potential treatment of ocular rosacea and TP-05, an investigational oral systemic formulation of lotilaner, for potential Lyme disease prophylaxis and community malaria reduction.
Current wording
We intend to further advance our pipeline with, e.g., lotilaner API to address several diseases in human medicine, including eye care, and infectious disease prevention. We are investigating the development of our product candidates to address targeted diseases with high unmet medical needs, which currently include TP-04, an investigational sterile aqueous gel formulation of lotilaner for the potential treatment of ocular rosacea and TP-05, an investigational oral tablet formulation of lotilaner, for potential Lyme disease prophylaxis and community malaria reduction.
Previous wording
the presence and quality of liquid secretion as measured by the Meibomian Gland Secretion Score; ii) the number of glands secreting normal or clear liquid; and iii) the number of glands yielding any liquid. Improvements were also demonstrated across certain patient reported outcomes, including fluctuating vision, itching and redness. Further, XDEMVY demonstrated statistically significant rates of collarette cure and lid margin erythema cure that are consistent with previous XDEMVY studies. No statistically significant differences were observed between the BID and TID treatment arms in both the Ersa and Rhea Trials, respectively, and XDEMVY and the XDEMVY vehicle were well tolerated. Given the positive results of these trials, plus the FDA’s feedback that these patients are already covered under XDEMVY’s label for the treatment of Demodex blepharitis, our medical affairs team is continuing to move forward with sharing this data with ECPs.
Current wording
The presentations, which combined the Ersa and Rhea Trials data in a pooled analysis, demonstrated that XDEMVY provided statistically significant and clinically meaningful improvements of the meibomian glands from baseline and when compared to vehicle, including at least three times more glands secreting normal or clear liquid in patients treated with XDEMVY compared to vehicle at day 43. These improvements were shown across three objective measures of MGD: i) the presence and quality of liquid secretion as measured by the Meibomian Gland Secretion Score; ii) the number of glands secreting normal or clear liquid; and iii) the number of glands yielding any liquid. Improvements were also demonstrated across certain patient reported outcomes, including fluctuating vision, itching and redness. Further, XDEMVY demonstrated statistically significant rates of collarette cure and lid margin erythema cure that are consistent with previous XDEMVY studies. No statistically significant differences were observed between the BID and TID treatment arms in both the Ersa and Rhea Trials, respectively, and XDEMVY and the XDEMVY vehicle were well tolerated. Given the positive results of these trials, plus the FDA’s feedback that these patients are already covered under XDEMVY’s label for the treatment of Demodex blepharitis, our medical affairs team is continuing to move forward with sharing this data with ECPs.
Previous wording
In February 2024, we announced positive topline results from the Galatea trial, a Phase 2a trial evaluating TP-04, an investigational sterile aqueous gel formulation of lotilaner, for the treatment of rosacea (the “Galatea Trial”). The positive topline results demonstrated statistically significant improvements (p<0.05) in inflammatory lesions and Investigator's Global Assessment score (change in baseline and success rate) were observed compared to vehicle at week 12. TP-04 was generally well tolerated. After review of this data with the FDA and key opinion leaders, we decided to pursue development of TP-04 for the potential treatment for ocular rosacea, a highly prevalent and underserved eye disease with no FDA-approved therapy. In January 2025, we announced plans to initiate a Phase 2 study for the potential treatment of ocular rosacea in the second half of 2025, which we expect to initiate in December 2025, with topline results expected by year-end 2026.
Current wording
In February 2024, we announced positive topline results from the Galatea trial, a Phase 2a trial evaluating TP-04, an investigational sterile aqueous gel formulation of lotilaner, for the potential treatment of papulopustular rosacea, for which Demodex mites is believed to be one of the root causes. The positive topline results demonstrated statistically significant improvements (p<0.05) in inflammatory lesions and Investigator’s Global Assessment score (change in baseline and success rate) were observed compared to vehicle at week 12. TP-04 was generally well tolerated.
Previous wording
We believe TP-05 is currently the only on-demand, oral tablet in development that targets ticks, and potentially prevents Lyme disease transmission. It is designed to rapidly and durably provide systemic blood levels of lotilaner potentially sufficient to kill infected ticks attached to the human body before they can transmit the Borrelia bacteria that causes Lyme disease.
Current wording
We are exploring the therapeutic potential of TP-05 as a novel investigational lotilaner-based oral prophylactic designed to kill ticks. There are approximately 80 million people in the U.S. at risk of Lyme disease exposure with nearly 30 million of which are moderate to high risk. Further, there are approximately 400,000 reported cases of Lyme disease in the U.S. each year, but it is believed that the actual number of cases could be much higher. We believe TP-05 is currently the only on-demand, oral tablet in development that targets ticks, and potentially prevents Lyme disease transmission. It is designed to rapidly and durably provide systemic blood levels of lotilaner potentially sufficient to kill infected ticks attached to the human body before they can transmit the Borrelia bacteria that causes Lyme disease.
Previous wording
In February 2024, we announced positive topline results from the Carpo trial, which demonstrated statistical significance in the mortality of ticks compared to vehicle (p<0.001), regardless of treatment arm, and was well tolerated (the “Carpo Trial”). The Carpo Trial was designed to evaluate TP-05, an investigational oral systemic, non-vaccine pharmacological prophylactic for the potential prevention of Lyme disease in humans. The Carpo Trial evaluated the efficacy of TP-05 in killing lab grown, non-disease carrying ticks after they have attached to the skin of healthy volunteers, as well as confirm the safety, tolerability, and blood concentration of TP-05.
Current wording
In February 2024, we announced positive topline results from the Carpo Trial, which demonstrated a statistically significant increase in tick mortality compared to vehicle (p<0.001), regardless of treatment arm, and was well tolerated (the “Carpo Trial”). The Carpo Trial was designed to evaluate TP-05, an investigational oral systemic, non-vaccine pharmacological prophylactic for the potential prevention of Lyme disease in humans. The Carpo Trial evaluated the efficacy of TP-05 in killing lab grown, non-disease carrying ticks after they have attached to the skin of healthy volunteers, as well as confirm the safety, tolerability, and blood concentration of TP-05.
Previous wording
In December 2024, we met with the FDA about our Lyme disease program. The FDA agreed to our proposed approach for a Phase 2b clinical trial of TP-05 (an investigational oral tablet), which would include several hundred subjects with planned trial initiation expected sometime in 2026. Additionally, the FDA confirmed that a Phase 3 clinical study would require a disease prevention field study that would likely require the enrollment of thousands of patients. We continue to believe that the best approach to get this potential prophylactic therapy to patients is to partner this program either prior to the planned initiation of the Phase 2b study or after the completion of the study.
Current wording
The FDA confirmed that a Phase 3 trial would require a disease prevention field study that would likely require the enrollment of thousands of patients. We continue to believe that partnering this program, following completion of the Calliope Trial, could be the best approach to potentially deliver this prophylactic therapy candidate to patients.
Previous wording
We believe we are on track for potential European regulatory submission expected in 2026, and approval expected in 2027, for a preservative-free formulation of XDEMVY for the potential treatment of Demodex blepharitis.
Current wording
In Europe, we believe we are on track to complete stability work of a preservative-free formulation in 2026 and continue to evaluate the path to approval of TP-03 for the potential treatment of Demodex blepharitis.
Previous wording
Communications with regulatory authorities in Japan are ongoing to help determine a regulatory path forward for Demodex blepharitis. The Elara prevalence study showed high prevalence and significant impact of Demodex blepharitis in Japan, consistent with U.S. findings.
Current wording
Ongoing discussions continue with regulatory authorities in Japan on a potential path to approval of TP-03 for Demodex blepharitis. The Elara prevalence trial showed high prevalence and significant impact of Demodex blepharitis in Japan, consistent with U.S. findings.
Previous wording
Prospectus, as well as proceeds from net product sales, our China Out-License, and drawdowns from the 2024 Credit Facility and the previous loan and security agreement with Hercules Capital, Inc. and Silicon Valley Bank, a division of First Citizens Bank & Trust Company (the “2022 Credit Facility”, and collectively the “Credit Facilities”).
Current wording
To date, we have financed our operations through private placements of preferred stock, convertible promissory notes, net proceeds from issuance of common stock in our IPO, our subsequent Follow-On Public Offerings and our 2023 ATM Prospectus, as well as proceeds from net product sales, our China Out-License, and drawdowns from the 2024 Credit Facility and the previous loan and security agreement with Hercules Capital, Inc. and Silicon Valley Bank, a division of First Citizens Bank & Trust Company (the “2022 Credit Facility”, and collectively the “Credit Facilities”).
Previous wording
We have incurred significant net operating losses (“NOLs”) in every year since our inception and expect to continue to incur significant operating expenses as we commercialize XDEMVY for Demodex blepharitis and as we advance our other product candidates through clinical trials, regulatory submissions, and potential commercialization. Our net losses were $12.6 million and $23.4 million for the three months ended September 30, 2025 and 2024, respectively, and $58.0 million and $92.4 million for the nine months ended September 30, 2025 and 2024, respectively. Our net losses may fluctuate significantly from quarter to quarter and year to year and could be substantial. We anticipate that our operating expenses will increase significantly as we:
Current wording
We have incurred significant net operating losses (“NOLs”) in every year since our inception and expect to continue to incur significant operating expenses as we continue to commercialize XDEMVY for Demodex blepharitis and as we advance our other product candidates through clinical trials, regulatory submissions, and potential commercialization. Our net losses were $7.0 million and $25.1 million for the three months ended March 31, 2026 and 2025, respectively. Our net losses may fluctuate significantly from quarter to quarter and year to year and could be substantial. We anticipate that our operating expenses will increase significantly as we:
Previous wording
•advance the clinical development of TP-04 for the potential treatment of ocular rosacea and TP-05 for the potential Lyme disease prophylaxis;
Current wording
•advance the clinical development of various pipeline programs, including TP-04 for the potential treatment of ocular rosacea and TP-05 for the potential Lyme disease prophylaxis;
Previous wording
We began generating XDEMVY product sales in August 2023, following FDA approval in July 2023. Our reported revenue within license fees and collaboration revenue is from our China Out-License and clinical supply agreement; we expect to report additional revenue under this caption in future periods.
Current wording
We began generating XDEMVY product sales in August 2023, following FDA approval in July 2023. Our reported revenue within license fees and collaboration revenue is from our China Out-License; we expect to report additional revenue under this caption in future periods.
Previous wording
As of September 30, 2025, our aggregate cash, cash equivalents and marketable securities was $401.8 million – see the section below titled “Management's Discussion and Analysis of Financial Condition and Results of Operations — Liquidity and Capital Resources.”
Current wording
As of March 31, 2026, our aggregate cash, cash equivalents and marketable securities was $388.7 million – see the section below titled “Management’s Discussion and Analysis of Financial Condition and Results of Operations — Liquidity and Capital Resources.”
Previous wording
During the three months ended September 30, 2025 and 2024, we recognized revenue of $118.7 million and $48.1 million, respectively, from product sales, net of rebates, chargebacks, discounts, and other adjustments primarily driven by approximately 103,000 bottles of XDEMVY delivered to patients compared to approximately 41,400 bottles delivered to patients in the prior year period.
Current wording
During the three months ended March 31, 2026 and 2025, we recognized revenue of $145.4 million and $78.3 million, respectively, from product sales, net of rebates, chargebacks, discounts, and other adjustments. This increase in revenue was driven by higher volume and improvement in the gross-to-net discounts.
Previous wording
For the three months ended September 30, 2025 and 2024, we recognized $8.3 million and $3.2 million, respectively, in cost of sales for XDEMVY. Cost of sales consists of direct and indirect costs related to the manufacturing and distribution of XDEMVY, including raw materials, third-party manufacturing costs, packaging services, freight-in, third-party royalties payable on our product sales, net, and amortization of capitalized intangible assets associated with XDEMVY.
Current wording
For the three months ended March 31, 2026 and 2025, we recognized $9.4 million and $5.2 million, respectively, in cost of sales for XDEMVY, and gross margins remained consistent at 94% and 93% for the respective periods. Cost of sales consists of direct and indirect costs related to the manufacturing and distribution of XDEMVY, including raw materials, third- party manufacturing costs, packaging services, freight-in, third-party royalties payable on our product sales, net, and amortization of capitalized intangible assets associated with XDEMVY.
Previous wording
Research and development expenses increased by $4.2 million for the three months ended September 30, 2025, as compared to the prior year period. The increase was primarily due to (i) $0.8 million of increased TP-04 program expenses, (ii) $2.9 million of increased payroll and personnel-related costs (including increased stock-based compensation expense of $1.2 million) related to employee additions to drive our product development initiatives, (iii) $0.7 million of increased early-stage programs, and (iv) $0.4 million of increased other indirect expenses. These increases were partially offset by $0.8 million of decreased TP-05 program expenses.
Current wording
Research and development expenses increased by $7.9 million for the three months ended March 31, 2026, as compared to the prior year period. The increase was primarily due to (i) $3.7 million of increased payroll and personnel-related costs (including increased stock-based compensation expense of $1.5 million) related to employee additions to drive our product development initiatives, (ii) $2.0 million related to an upfront payment upon execution of a new in-license agreement (see Note 8), and (iii) $1.4 million of increased TP-05 program expenses related to our Calliope Trial that was initiated in March 2026. These increases were partially offset by a decrease of $0.3 million of TP-04 program expenses.
Previous wording
Selling, general and administrative expenses increased by $50.7 million for the three months ended September 30, 2025, as compared to the prior year period. The increase was primarily due to (i) $7.4 million of increased payroll and personnel-related costs (including increased stock-based compensation expense of $3.5 million) for commercial and corporate employee additions to support our business growth and commercial leadership hires for XDEMVY, (ii) $26.1 million of increased commercial and marketing costs, including direct-to-consumer (“DTC”) advertising costs, as we continued our commercial expansion of XDEMVY and (iii) $17.2 million of increased variable costs including certain patient assistance programs, fees related to increased bottles dispensed, information technology applications, legal, professional and other corporate expenses. Our field sales headcount and associated vendor expenses increased in 2025 due to further growth and expansion of our commercial activities for XDEMVY and other corporate initiatives.
Current wording
Selling, general and administrative expenses increased by $51.4 million for the three months ended March 31, 2026, as compared to the prior year period. The increase was due to (i) $25.7 million of increased commercial and marketing costs, including DTC advertising costs, as we continue to expand our promotional efforts for XDEMVY’s commercial launch, (ii) $21.2 million of increased patient support functions, information technology, legal, and professional expenses, and (iii) $4.5 million of increased payroll and personnel-related costs (including increased stock-based compensation expense of $3.5 million) for commercial and corporate employee additions to support our business growth and commercial leadership hires for XDEMVY. We expect increased vendor expenses in 2026 due to further growth and expansion of our commercial activities for XDEMVY and other corporate initiatives.
Previous wording
Other income (expense), net for the three months ended September 30, 2025 increased by $0.2 million primarily due to interest expense related to the 2024 Credit Facility.
Current wording
Other income (expense), net for the three months ended March 31, 2026 increased by $0.3 million primarily due to increased interest income earned on our cash, cash equivalents and marketable securities.
Previous wording
Since our inception, we have financed our operations substantially through private placements of preferred stock, net proceeds from the issuance of common stock through our IPO, Follow-on Public Offerings, and the 2023 ATM Prospectus, as well as proceeds from product sales, net, the China Out-License, and drawdowns from our Credit Facilities. As of September 30, 2025, we had cash, cash equivalents and marketable securities of $401.8 million.
Current wording
Since our inception, we have financed our operations substantially through private placements of preferred stock, convertible promissory notes, net proceeds from the issuance of common stock through our IPO, Follow-on Public Offerings, and the 2023 ATM Prospectus, as well as proceeds from net product sales, the China Out-License, and drawdowns from our Credit Facilities. As of March 31, 2026, we had cash, cash equivalents and marketable securities of $388.7 million.
Previous wording
In March 2025, we completed an underwritten follow-on public offering under the 2024 Shelf Registration Statement pursuant to which we sold 2,808,988 shares of our common stock. The price to the public was $44.50 per share. We also granted the underwriters a 30-day option to purchase up to 421,348 additional shares of our common stock at the public offering price of $44.50 per share, which the underwriters exercised in full in March 2025. We received approximately $134.8 million of aggregate net proceeds, after deducting underwriting discounts, commissions, and other estimated offering-related expenses.
Current wording
In February 2024, we filed an automatic shelf registration statement on Form S-3 ASR (the “2024 Shelf Registration Statement”). In March 2025, we completed an underwritten follow-on public offering under the 2024 Shelf Registration Statement pursuant to which we sold 2,808,988 shares of our common stock at a price to the public of $44.50 per share. We also granted the underwriters a 30-day option to purchase up to 421,348 additional shares of our common stock at the public offering price of $44.50 per share, which the underwriters exercised in full in March 2025. We received $134.8 million of aggregate net proceeds, after deducting underwriting discounts, commissions, and other estimated offering-related expenses.
Previous wording
As of the date of this filing, we have received $86.1 million of total proceeds in connection with our China Out-License comprised of (i) $15.0 million of initial consideration, (ii) $67.5 million for the achievement of specified milestones, (iii) $0.7 million related to a special cash dividend, (iv) $2.5 million related to the Novation Agreement, and (v) $0.4 million related to a warrant termination agreement.
Current wording
As of the date of this filing, we have received $86.1 million of total proceeds in connection with our China Out-License comprised of (i) $15.0 million of initial consideration, (ii) $67.5 million for the achievement of specified milestones, and (iii) $3.6 million related to the transition of the China Out-License from LianBio to GrandPharma.
Previous wording
As of September 30, 2025 we are eligible to receive further consideration from GrandPharma upon the achievement of additional TP-03 events, including: (i) additional regulatory approval and/or patent issuance milestones and one-time payments of up to an aggregate of $20.0 million; (ii) China-based TP-03 sales threshold milestones of up to an aggregate of $100.0 million; and (iii) tiered low-to-high-teen royalties for China Territory TP-03 product sales.
Current wording
As of the date of this filing, we are eligible to receive further consideration from GrandPharma upon the achievement of additional TP-03 events, including: (i) additional regulatory approval and/or patent issuance milestones and one-time payments of up to an aggregate of $20.0 million (of which $15.0 million was achieved in March 2026 and the Company is awaiting the corresponding cash receipt); (ii) China-based TP-03 sales threshold milestones of up to an aggregate of $100.0 million; and (iii) tiered low to high-teen royalties for China Territory TP-03 product sales.
Previous wording
In April 2024, we executed the 2024 Credit Facility with Pharmakon with maturity in April 2029. The 2024 Credit Facility is collateralized by substantially all of our presently existing and subsequently acquired assets. Upon execution, we made a $75.0 million draw from the initial tranche, a portion of which was utilized to repay all outstanding indebtedness associated with the 2022 Credit Facility, for total net proceeds of $39.6 million. The 2024 Credit Facility provided for three potential additional term loan tranches in principal amounts up to $25.0 million, $50.0 million, and $50.0 million, respectively, subject to customary conditions to funding and, in the case of the last two tranches, achieving minimum net sales milestones, which have been met. We did not draw on the first or second additional tranches of $25.0 million and $50,0 million, respectively, each of which expired on December 31, 2024 and June 30, 2025. The one remaining $50.0 million tranche may be requested at our option on or prior to December 31, 2025.
Current wording
In April 2024, we executed the 2024 Credit Facility with Pharmakon with maturity in April 2029. The 2024 Credit Facility is collateralized by substantially all of our presently existing and subsequently acquired assets. Upon execution, we made a $75.0 million draw from the initial tranche, a portion of which was utilized to repay all outstanding indebtedness associated with the 2022 Credit Facility, for total net proceeds of $39.6 million. The 2024 Credit Facility provided for three potential additional term loan tranches in principal amounts up to $25.0 million, $50.0 million, and $50.0 million, respectively, subject to customary conditions to funding and, in the case of the last two tranches, achieving minimum net sales milestones, which were met. We did not draw on any of the three additional tranches, each of which expired on December 31, 2024, June 30, 2025, and December 31, 2025.
Previous wording
Our operating expenditures currently consist of cost of sales, research and development costs (including activities within our preclinical, clinical, regulatory, and drug manufacturing initiatives) and selling, general and administrative costs. Our use of cash is impacted by the timing and extent of payments for each of these activities and other business requirements. We have incurred significant losses and negative cash flows from operations since our inception and had an accumulated deficit of $418.3 million and $360.2 million as of September 30, 2025 and December 31, 2024, respectively.
Current wording
Our operating expenditures currently consist of cost of sales, research and development costs (including activities within our preclinical, clinical, regulatory, and drug manufacturing initiatives) and selling, general and administrative costs. Our use of cash is impacted by the timing and extent of payments for each of these activities and other business requirements. We have incurred significant losses and negative cash flows from operations since our inception and had an accumulated deficit of $433.6 million and $426.6 million as of March 31, 2026 and December 31, 2025, respectively.
Previous wording
We believe our cash, cash equivalents and marketable securities of $401.8 million as of September 30, 2025, is sufficient to fund our current and planned operations for at least the next twelve months from the date of filing this Quarterly Report on Form 10-Q. We have additional availability from our 2024 Credit Facility of $50.0 million contingent on reaching certain sales milestones. Our cash runway estimate is predicated on current assumptions for future revenue, operating expenses, and debt availability and may require future adjustments. Accordingly, we may be required to raise additional capital earlier than we currently expect based on our cash requirements and market dynamics.
Current wording
We believe our cash, cash equivalents and marketable securities of $388.7 million as of March 31, 2026, is sufficient to fund our current and planned operations for at least the next twelve months from the date of filing this Quarterly Report on Form 10-Q. Our cash runway estimate is predicated on current assumptions for future revenue, operating expenses, and debt availability and may require future adjustments. Accordingly, we may be required to raise additional capital earlier than we currently expect based on our cash requirements and market dynamics.
Previous wording
In November 2023, we filed a shelf registration statement on Form S-3 that was declared effective by the SEC on November 21, 2023, (the “2023 Shelf Registration Statement”), and as part of the 2023 Shelf Registration Statement, we concurrently filed the 2023 ATM Prospectus with Jefferies. The 2023 ATM Prospectus covers the sale of up to $100.0 million of our common stock pursuant to an Open Market Sales AgreementTM we entered into with Jefferies in 2021 (the “ATM Sales Agreement”). Under the terms of the 2023 ATM Prospectus and ATM Sales Agreement, Jefferies will act as the Company's sales agent and is entitled to compensation for its services equal to 3% of the gross proceeds of any shares of common stock sold. In December 2023, we sold 1,000,000 shares of our common stock under the 2023 ATM Prospectus for $20.00 per share and received net proceeds of $19.2 million, after deducting broker commission and offering-related expenses. We have not sold any shares of our common stock under the 2023 ATM Prospectus during the nine months ended September 30, 2025 and 2024.
Current wording
In November 2023, we filed a shelf registration statement on Form S-3 that was declared effective by the SEC on November 21, 2023, (the “2023 Shelf Registration Statement”), and as part of the 2023 Shelf Registration Statement, we concurrently filed the 2023 ATM Prospectus with Jefferies. The 2023 ATM Prospectus covers the sale of up to $100.0 million of our common stock pursuant to an Open Market Sales Agreement TM we entered into with Jefferies in 2021 (the “ATM Sales Agreement”). Under the terms of the 2023 ATM Prospectus and ATM Sales Agreement, Jefferies will act as the Company’s sales agent and is entitled to compensation for its services equal to 3% of the gross proceeds of any shares of common stock sold.
Previous wording
While we have generated revenue from the launch of XDEMVY, we expect to incur significant operating losses for the foreseeable future, and for these losses to further increase, as we expand our clinical development programs for our other product candidates and continue to commercialize XDEMVY. We may also encounter unforeseen expenses, difficulties, complications, delays and other currently unknown factors that could adversely affect our business.
Current wording
While we have generated revenue from the launch of XDEMVY, we could incur operating losses in the future as we expand our clinical development programs for our other product candidates and continue to commercialize XDEMVY. We may also encounter unforeseen expenses, difficulties, complications, delays and other currently unknown factors that could adversely affect our business.
Previous wording
Net cash used in investing activities was $91.4 million for the nine months ended September 30, 2025, and related to $357.6 million of purchased marketable securities and $3.5 million of purchased property, plant and equipment. These cash decreases were partially offset by $269.7 million of proceeds from maturities of marketable securities.
Current wording
Net cash used in investing activities was $58.6 million for the three months ended March 31, 2026, and related to $126.8 million of purchased marketable securities and $5.8 million of purchased property and equipment, partially offset by $74.1 million of proceeds from maturities of marketable securities.
Previous wording
Net cash used in investing activities was $139.6 million for the nine months ended September 30, 2024, and related to $172.7 million of purchased marketable securities, $3.0 million of purchased long-term investments, and $1.5 million of purchased property, plant and equipment. These cash decreases were partially offset by $37.5 million of proceeds from maturities of marketable securities.
Current wording
Net cash used in investing activities was $34.9 million for the three months ended March 31, 2025, and related to $125.6 million of purchased marketable securities and $0.6 million of purchased property and equipment, partially offset by $91.2 million of proceeds from maturities of marketable securities.
Previous wording
Net cash provided by financing activities was $141.1 million for the nine months ended September 30, 2025, and related to $134.8 million of net proceeds from the issuance of common stock in the March 2025 Public Offering, $5.2 million of proceeds from employee stock option exercises and $1.1 million of proceeds from the issuance of common stock for our employee stock purchase plan (“ESPP”).
Current wording
Net cash provided by financing activities was $136.6 million for the three months ended March 31, 2025, and related to $135.1 million of net proceeds from the issuance of common stock in the March 2025 Public Offering and $1.4 million of proceeds from employee stock option exercises.
Rearranged current paragraphs (3)
Current report — wording carried from elsewhere
After review of the Galatea trial data with the FDA and key opinion leaders, we decided to pursue development of TP-04 for the potential treatment for ocular rosacea. In December 2025, we initiated the KORE Trial, evaluating TP-04 for the potential treatment of ocular rosacea with topline results expected in the first half of 2027.
Current report — wording carried from elsewhere
TP-05 for the Potential Prevention of Lyme Disease:
Current report — wording carried from elsewhere
Net cash provided by financing activities was $1.2 million for the three months ended March 31, 2026, and related to proceeds from employee stock option exercises.
Rearranged previous paragraphs (5)
Previous report — wording carried elsewhere
XDEMVY is the first and only therapeutic approved by the FDA and we believe is the definitive standard of care for the treatment of Demodex blepharitis.
Previous report — wording carried elsewhere
The presentations, which combined the Ersa and Rhea Trials data in a pooled analysis, demonstrated that XDEMVY provided statistically significant and clinically meaningful improvements of the meibomian glands from baseline and when compared to vehicle, including at least three times more glands secreting normal or clear liquid in patients treated with XDEMVY compared to vehicle at day 43. These improvements were shown across three objective measures of MGD: i)
Previous report — wording carried elsewhere
To date, we have financed our operations through private placements of preferred stock, convertible promissory notes, net proceeds from issuance of common stock in our IPO, our subsequent Follow-On Public Offerings and our 2023 ATM
Previous report — wording carried elsewhere
For the nine months ended September 30, 2025 and 2024, we recognized $19.8 million and $7.9 million, respectively, in cost of sales of XDEMVY. Cost of sales consists of direct and indirect costs related to the manufacturing and distribution of XDEMVY, including raw materials, third-party manufacturing costs, packaging services, and freight-in, as well as third-party royalties payable on our product sales, net and amortization of capitalized intangible assets associated with XDEMVY.
Previous report — wording carried elsewhere
In February 2024, we filed an automatic shelf registration statement on Form S-3 ASR (the “2024 Shelf Registration Statement”). In March 2024, we completed the March 2024 Public Offering. The 2024 Public Offering was an underwritten follow-on public offering under the 2024 Shelf Registration Statement, pursuant to which we sold 2,812,500 shares of our common stock, and, in lieu of common stock to a certain investor, pre-funded warrants to purchase 312,500 shares of our common stock. The price to the public was $32.00 per share and $31.9999 per pre-funded warrant, which was the price to the public of each share of common stock sold in the March 2024 Public Offering, minus the $0.0001 exercise price per pre-funded warrant. We also granted the underwriters a 30-day option to purchase up to 468,750 additional shares of our common stock at the public offering price of $32.00 per share, which the underwriters exercised in full in March 2024. We received $107.7 million of aggregate net proceeds, after deducting underwriting discounts, commissions, and other estimated offering-related expenses.