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1. Company Snapshot

1.a. Company Description

Phathom Pharmaceuticals, Inc., a clinical-stage biopharmaceutical company, focuses on developing and commercializing treatments for gastrointestinal diseases.The company has the rights in the United States, Europe, and Canada to vonoprazan, a potassium-competitive acid blocker (P-CAB) that blocks acid secretion in the stomach.It is also developing vonoprazan, which is in Phase III clinical trials for the treatment of erosive gastroesophageal reflux disease; and in combination with antibiotics for the treatment of Helicobacter pylori infection.


Phathom Pharmaceuticals, Inc.was incorporated in 2018 and is headquartered in Florham Park, New Jersey.

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1.b. Last Insights on PHAT

Phathom Pharmaceuticals' recent performance was driven by several positive factors. The company's VOQUEZNA launch momentum continues, with over 390,000 prescriptions filled to date, written by more than 23,600 healthcare providers. This strong adoption rate is a testament to the product's effectiveness in treating gastrointestinal diseases. Additionally, the company's net revenues of $28.5 million reported for Q1 2025 exceeded expectations. Furthermore, Phathom Pharmaceuticals has implemented strategic cost reductions and executive leadership changes to support sustainable revenue growth and achieve profit from operations, excluding stock-based compensation, in 2026. The company's recent FDA decision to recognize 10 years of regulatory exclusivity for VOQUEZNA through May 3, 2032, also provides a significant boost to the company's prospects.

1.c. Company Highlights

2. Phathom Pharmaceuticals Reports Strong Revenue Growth

Phathom Pharmaceuticals reported its fourth quarter and full year 2025 earnings results, showcasing a significant increase in revenue. The company's net revenues were $175.1 million for the full year 2025, representing 217% year-over-year growth, and Q4 revenue was $57.6 million. The company achieved a net cash usage of approximately $5 million in Q4, with cash operating expenses of $50.3 million for the quarter and $284 million for the full year. The actual EPS was -$0.08, beating estimates of -$0.09.

Publication Date: Mar -09

📋 Highlights
  • Revenue Growth: Full-year 2025 net revenue reached $175.1 million, a 217% YoY increase, with Q4 revenue at $57.6 million.
  • Operating Expenses: Annual cash operating expenses totaled $284 million, with Q4 expenses at $50.3 million, resulting in $5 million net cash usage in Q4.
  • Capital Structure Improvements: Completed a $130 million equity offering and renegotiated a term loan to February 2029 maturity at 9.85% interest, reducing financial pressure.
  • 2026 Guidance: Projects $320–$345 million revenue for 2026, with operational profitability by Q3 2026 and cash flow positivity by 2027.

Financial Performance

The company's financial performance was strong, driven by the growing adoption of its product, VOQUEZNA. The revenue growth is expected to continue, with analysts estimating a 59.0% increase in revenues for the next year. The company's guidance for 2026 is $320 million to $345 million in revenue, with cash operating expenses expected to be $235 million to $255 million.

Operational Highlights

Phathom Pharmaceuticals is seeing consistent signs of momentum in its growth strategy, with a focus on converting new writers and growing existing writers of VOQUEZNA. The company has a strong sales force, with over 285 sales representatives currently filled out of 300 positions. More than 1.1 million VOQUEZNA prescriptions have been filled to date, with a broad penetration within the GI community.

Growth Prospects

The company is driving towards consistent growth month-over-month and quarter-over-quarter, with a near-term focus on GI conversion. Phathom expects to achieve operational profitability by Q3 2026 and cash flow positivity in 2027. The company's long-term growth plan is to build a GI company, bring in additional assets, and leverage the existing GI network, potentially through partnerships or bringing in commercial or Phase II/III clinical stage products.

Valuation

The company's valuation metrics indicate a high growth expectation. The P/S Ratio is 4.8, and the EV/EBITDA is -14.53. The ROE is negative due to the company's net loss, but the return on assets is not available. The company's high P/S ratio and negative ROE suggest that the market is pricing in high growth expectations.

Competitive Landscape

Phathom Pharmaceuticals is tracking competitive developments in the P-CAB space, including Sebela's tegoprazan, which is expected to be approved by early 2027. The company believes that a second entrant in the P-CAB space will grow category awareness, benefiting both parties, and that VOQUEZNA's lead position will still garner the most prescriptions.

3. NewsRoom

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Phathom Pharmaceuticals, Inc. (NASDAQ:PHAT) Receives Consensus Rating of “Moderate Buy” from Analysts

Apr -14

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Phathom Pharmaceuticals to Participate in Upcoming Investor Conferences

Apr -06

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Phathom Pharmaceuticals Upgraded by Barclays to Overweight With $18 Target

Mar -27

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Phathom Pharmaceuticals, Inc. (NASDAQ:PHAT) Receives $22.25 Consensus PT from Brokerages

Mar -23

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Phathom Pharmaceuticals, Inc. (PHAT) Presents at Barclays 28th Annual Global Healthcare Conference Transcript

Mar -11

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Phathom Pharmaceuticals, Inc. (PHAT) Q4 2025 Earnings Call Transcript

Feb -26

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Phathom Pharmaceuticals, Inc. (PHAT) Reports Q4 Loss, Beats Revenue Estimates

Feb -26

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Phathom Pharmaceuticals Reports Fourth Quarter and Full Year 2025 Financial Results and Provides 2026 Financial Guidance

Feb -26

4. Business Breakdown

4.a. Revenues by Country

4.b. Revenues by Segment

5. Expected revenues mid-term growth (8.50%)

6. Segments

Vonoprazan

Expected Growth: 8.5%

Vonoprazan's 8.5% growth is driven by increasing adoption in gastroesophageal reflux disease (GERD) treatment, expanding label indications, and growing demand for proton pump inhibitor (PPI) alternatives. Additionally, Phathom's strategic partnerships, strong marketing efforts, and favorable reimbursement landscape contribute to the drug's rapid growth.

7. Detailed Products

Sonalleve

A non-invasive, ultrasound-based treatment for uterine fibroids

TheraSphere

A yttrium-90 (Y-90) glass microsphere for the treatment of liver cancer

SIR-Spheres

A yttrium-90 (Y-90) resin microsphere for the treatment of liver cancer

Quadramet

A radiopharmaceutical for the treatment of bone metastases

8. Phathom Pharmaceuticals, Inc.'s Porter Forces

Forces Ranking

Threat Of Substitutes

Phathom Pharmaceuticals, Inc. has a moderate threat of substitutes due to the presence of alternative treatments and therapies for gastrointestinal diseases.

Bargaining Power Of Customers

Phathom Pharmaceuticals, Inc. has a low bargaining power of customers due to the lack of negotiating power among individual patients and the complexity of the pharmaceutical supply chain.

Bargaining Power Of Suppliers

Phathom Pharmaceuticals, Inc. has a moderate bargaining power of suppliers due to the presence of multiple suppliers for raw materials and the company's dependence on these suppliers.

Threat Of New Entrants

Phathom Pharmaceuticals, Inc. has a high threat of new entrants due to the growing demand for gastrointestinal treatments and the increasing number of biotech startups entering the market.

Intensity Of Rivalry

Phathom Pharmaceuticals, Inc. operates in a highly competitive market with several established players, leading to a high intensity of rivalry among competitors.

9. SWOT Analysis

10. Capital Structure

10.a. Balance Sheet

10.b. Weighted Average Cost of capital

Value
Debt Weight 209.79%
Debt Cost 7.27%
Equity Weight -109.79%
Equity Cost 7.27%
WACC 7.27%
Leverage -191.08%

11. Quality Control: Phathom Pharmaceuticals, Inc. passed 4 out of 9 key points

12.a Historical Valuation

12.b Price/Earnings Ratio

12.c Margin Valuation

12.d Peers Valuation

Peers Group Analysis

Stock-Card
Phathom Pharmaceuticals

A-Score: 4.9/10

Value: 8.2

Growth: 4.6

Quality: 5.8

Yield: 0.0

Momentum: 10.0

Volatility: 1.0

1-Year Total Return ->

Stock-Card
Fortress Biotech

A-Score: 4.7/10

Value: 7.7

Growth: 5.3

Quality: 6.1

Yield: 0.0

Momentum: 7.5

Volatility: 1.3

1-Year Total Return ->

Stock-Card
AnaptysBio

A-Score: 4.5/10

Value: 8.2

Growth: 3.2

Quality: 3.8

Yield: 0.0

Momentum: 10.0

Volatility: 2.0

1-Year Total Return ->

Stock-Card
Adaptive Biotechnologies

A-Score: 4.3/10

Value: 6.0

Growth: 3.8

Quality: 4.7

Yield: 0.0

Momentum: 9.5

Volatility: 1.7

1-Year Total Return ->

Stock-Card
REGENXBIO

A-Score: 3.8/10

Value: 6.8

Growth: 2.2

Quality: 4.5

Yield: 0.0

Momentum: 7.5

Volatility: 1.7

1-Year Total Return ->

Stock-Card
Tonix Pharmaceuticals

A-Score: 3.7/10

Value: 7.8

Growth: 5.3

Quality: 3.8

Yield: 0.0

Momentum: 5.0

Volatility: 0.3

1-Year Total Return ->

Peers Metrics

12.e Scoring Insights

12.f DCF BETA

Parameters

Short Term Growth

Short term Time

Long-Term Growth

WACC

Target Price

12.61$

Current Price

12.61$

Potential

-0.00%

Expected Cash-Flows