Mirum Pharmaceuticals
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Mirum Pharmaceuticals (MIRM) investor relations material

Mirum Pharmaceuticals Q2 2026 earnings summary

Complete event summary combining all related documents: earnings call transcript, report, and slide presentation.
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Q2 2026 earnings summary5 Aug, 2026

Executive summary

  • Achieved Q2 2026 global net product sales of $176.2 million, up from $127.8 million in Q2 2025, driven by strong demand across the portfolio and commercial momentum.

  • Increased full-year 2026 net product sales guidance to $680–$700 million, reflecting confidence in continued growth.

  • Preparing for the potential launch of zilurgisertib for FOP, with a PDUFA date in September 2026 and positive pivotal Phase 2 results.

  • Major acquisition of Bluejay Therapeutics added brelovitug to the pipeline and resulted in a $726.3 million IPR&D charge.

  • Strengthened capital structure and financial flexibility through recent financing activities, ending Q2 with $561.3 million in cash, cash equivalents, and investments.

Financial highlights

  • Q2 2026 net product sales reached $176.2 million, a 38% increase year-over-year, with LIVMARLI sales up 46% to $128.7 million and Bile Acid Medicines up 20% to $47.5 million.

  • Operating expenses for Q2 2026 were $218.8 million, up from $132.8 million in Q2 2025, mainly due to R&D and acquisition costs.

  • Net loss for Q2 2026 was $67.2 million, compared to $5.9 million in Q2 2025, reflecting significant R&D and acquisition-related charges.

  • Gross margin for Q2 2026 was approximately 83%.

  • Cash, cash equivalents, and investments totaled $561.3 million as of June 30, 2026.

Outlook and guidance

  • Full-year 2026 net product sales guidance raised to $680–$700 million, excluding potential FOP revenue.

  • NDA submission for volixibat in PSC delayed to H1 2027 due to ongoing FDA discussions; topline data from multiple late-stage studies expected in 2026–2027.

  • Anticipates initial FOP launch revenue to begin in 2027.

  • Sufficient liquidity to fund operations for at least 12 months from the filing date.

  • Expect continued annual growth in product sales, but quarterly fluctuations due to large periodic orders and variable consideration.

FDA Phase 3 recommendation for volixibat in PSC
AZURE-1 and AZURE-4 Phase 3 results timeline
Zilurgisertib launch readiness for PDUFA date
Terms of the 2032 convertible senior notes
Brelovitug BLA submission and launch timeline
Plan to address FDA Phase III request for PSC
Strategy to capture 2,000 adult PFIC patients
Zilurgisertib launch synergies with genetics team
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