ZLAB earnings / call
ZLAB Q3 2026 earnings call transcript, November 5, 2026
Zai Lab Third Quarter 2026 Financial Results
Key takeaways from this call : results vs expectations, guidance, what analysts asked
- Rafael 37%
- Management 19%
- Yayin 9%
- Christine Cho 3%
- Analysts 13%
Management
Rafael
Management
12 min
Yayin
Management
3 min
Christine Cho
Senior Vice President of Investor Relations
1 min
Analysts · 5
<1 min
1 min
- ?
Eagle
Analyst
<1 min
- L
2 min
1 min
Transcribed automatically by Lician from the company's public webcast; it can contain errors and speaker names are best effort.
- Prepared remarks11:26
- Operator
Ladies and gentlemen, thank you for standing by and welcome to ZLAB's third quarter 2026 financial results conference call. At this time, all participants are in the listen-only mode.
- Q&A11:40
- Operator
Later, we will conduct a question and answer session and instructions will follow at that time. As a reminder, today's call is being recorded. It is now my pleasure to turn the floor over to Christine Cho, Senior Vice President of Investor Relations. Please go ahead.
- Christine ChoSenior Vice President of Investor Relations
Thank you, Operator.
Hello and welcome, everyone. Today's earnings call will be led by Dr. Samantha Du, ZLAB's founder, CEO, and chairperson. She will be joined by Dr. Rafael Amato, President and Head of Global Research and Development. And Dr. Yajin Chen, Chief Financial Officer. Dr. Shan He, our Chief Business Officer, and Dr. Yijia Wang, our operating partner, will also be available to answer questions during the Q&A portion of the call. As a reminder, during today's call, we will be making certain forward-looking statements based on our current expectations. These statements are subject to numerous risks and uncertainties that may cause actual results to differ materially from what we expect due to a variety of factors. including those discussed in our SEC filings. We will also refer to adjusted loss from operations which is a non-GAAP financial measure. Please refer to our earnings release furnished with the SEC on November 5th, 2026 for additional information on this non-GAAP financial measure. At this time, it is my pleasure to turn the call over to Dr. Samantha Du.
- Management
Thanks, Christine.
- Management
Good morning and good evening, everyone. We're entering one of the most important periods in ZLAB's history. I founded ZLAB to discover and develop innovative medicines for patients around the world. We have spent years building the talent, scientific capabilities, and infrastructure to make that possible. With Josie advancing toward a potential U.S. DLA submission next year, that vision is within our reach. Our first lung asthma data strengthened our confidence that Josie can become the ADC backbone in small cell lung cancer. We are advancing the Josie IL doublet into a global phase 3 study and building on it through our T-cell engager collaborations with Amgen and BIA. The next two years are pivotal. By year end, we expect three registrational studies underway across small cell lung cancer and neuroendocrine carcinomas. In 2027, we anticipate two registrational results on our first potential U.S. DLA submission, positioning us for a U.S. launch as early as 2028. This would be a defining achievement for our company. The recent $250 million financing further strengthens our ability to deliver on the plan. Our ambition extends well beyond OC. Next week, we will present the first clinical data for GL1503, our internally developed biospecific for atopic dermatitis. We also expect three additional oncology and immunology assets. in clinical development next year. Meanwhile, we continued to strengthen our China commercial business. Net product revenue grew 2% sequentially, and our China business remained profitable. This performance is consistent with the stabilization we outlined on our second quarter call. We remain on track with that trajectory, and continue to expect
- Management
and continue to expect.
- Management
Thank you very much.
- Management
We return to year-over-year product revenue growth in 2027. I'm very proud of what our team has accomplished, but our most important achievements are still ahead of us, and I look forward to updating you over the next year. With that, I'll turn the call over to Rafael. Thank you.
- RafaelManagement
Thank you, Samantha.
I'll focus on our two lead programs, Josie and... DL1503. Let me start with Josie, our potential first and best in class DL03 targeting ADC. At ESMO, we presented first-line small cell lung cancer data from our global phase one study of Josie plus atezolizumab. Across 33 efficacy available previously untreated patients at the selected 1.6 milligrams per kilogram dose, the doublet achieves a confirmed objective response... rate of 81.8%. Responses were rapid with nearly all observed in the first tumor assessment. We're also seeing encouraging signs of durability. In all 33 patients, the estimated six-month progression-free survival was 81.9%. Among the first 15 patients who had a median follow-up of 10 months, median progression-free survival and median duration of response had not been reached. At the data... ...cut off, 10 of these 15 patients had not progressed. For context, chemo IEO has historically delivered a median PFS of roughly five months. What further differentiates ZOZI is its potential to deliver this level of efficacy with substantially improved tolerability. With a 1.6 milligrams per kilogram doublet, grade 3 or higher ZOZI-related adverse events occurred in 9.1% of patients. There was a single... case of grade 1 interstitial lung disease, which is consistent with our monotherapy experience. By comparison, grade 3 or higher treatment-related adverse events occur in roughly 60% or more of patients with chemo I.O. We believe these results are unprecedented in first-line small cell lung cancer in an unselected patient population for platinum responsiveness. Together, this data challenged the conventional view of what an ADC-based regimen...
...and could achieve in first-line small cell lung cancer, both in terms of efficacy, durability, and tolerability. On the strength of this data, we're advancing ZOLSI 1.6 milligrams per kilogram plus immunotherapy doublet into a global randomized SACE-3 study. We're also building on this backbone with T-cell engager. The scientific rationale is complementary. ZOLSI rapidly reduces tumor burden, while the T-cell engager provides... ...durable immune-mediate screening. Importantly, ZOLSI's favorite profile may be particularly advantageous in these combinations, as T-cell engagers carry their own toxicity risk. Our global phase 1B study in small cell lung cancer with Amgen is moving rapidly, and our collaboration with BI is also advancing. Beyond first-line disease, our registration of phase 3 DELABATE study is evaluating ZOLSI in second-line. and later disease, including patients previously treated with TALATAMAP. Contingent on enrolling sufficient post-TALATAMAP, in addition to second-line patients, an interim analysis in 2027 could support a USBLA submission for accelerated approval. Turning to extra-pulmonary neuroendocrine carcinomas, or EPNECs. This is an aggressive disease where there is no established standard of care beyond first-line chemotherapy. Medical response rates are between 10 to 20%, and median overall survival is about six months. We have completed enrollment in our Phase 1b-2 second-line EPNEC study. Tomorrow, at the North American Neuroendocrine Tumor Society Conference, we will present preliminary results showing activity observed across a diversity of EPNEC subtypes. Based on the totality of the clinical data thus far, and
feedback from FDA, we plan to pursue a potential accelerated approval supported by this single-arm study. We expect final results in 2027 and a potential submission that same year. Now turning to immunology and ZL1503, I internally discovered long-acting IL-13, IL-31 receptor alpha bispecific antibody for atopic dermatitis. ZL1503 is designed to address and the first-line EPNEC. ZL1503 is designed to address the two major drivers of disease, IL-13 driven inflammation and IL-31 mediated itch. By simultaneously blocking both pathways, ZL1503 has the potential to break the itch-scratch inflammation cycle, providing more comprehensive disease control with a single biologic. ZL1503 also incorporates YTE modifications that extend its half-life with the goal of enabling substantially less frequent dosing. and currently available biologics. Next week, at the American College of Allergy, Asthma, and Immunology meeting in Phoenix, we will present first-in-human data from the single ascending dose portion of our global Phase I study in Healthy Volunteers. The SAG study has met its pre-specified endpoints, and we will share results demonstrating its safety profile, pharmacokinetics, immunogenicity, and sustained inhibition of the IL-13 inflammatory pathway. Two more data sets follow next year. First, clinical efficacy, including each control in patients with moderate to severe atopic dermatitis, and second, initial data from our fully enrolled IV to subcutaneous bridging study.
We are planning Phase IIb development in atopic dermatitis while also evaluating the potential for ZL1503 across additional IL-13 and IL-13. IL-31-mediated diseases. Our next wave of global assets continue to advance. This includes ZL6201, our LRR-C15-targeted ADC, ZL1311, our MAC17-targeting T-cell engager, and ZL1222, our PD-1 IL-12 immunocytocon. Lastly, with our China Regional Pipeline, we continue to progress multiple regulatory and development opportunities including potential additional filings for escartigimab and the ongoing registrational development of AllegroBard and thyroid eye disease. And with that, I'll hand it over to Yayin.
- YayinManagement
Thank you, Rafael.
Our financial priorities are clear. Return our China commercial business to growth, maintain a disciplined cost structure, and fund our highest-value global program. Our third quarter results showed progress on all three. Total revenue was $108.2 million. Net product revenue increased 2% sequentially, reflecting continued stabilization of our China commercial business. Across our priority brands, ZLAB held its competitive position despite ongoing volume-based pricing-related dynamics and a competitive help. Inhibitor landscape, Vivgard volumes continued to grow sequentially on new patient starts. And Cox-T continued to gain traction ahead of potential NRDO inclusion next year. We expect a return to year-over-year product revenue growth in 2027, driven by continued demand across our priority brands and a new NRDO listing. At the same time, we have maintained strong discipline in managing our operating expenses. Both R&D and SG&A expenses remained relatively stable compared with the prior year period, reflecting the operational efficiencies and resource optimization initiatives we have implemented across the organization. Our China commercial business remained profitable, providing a strong operating function. As we continue investing in our global development program, we ended the quarter with a cash position of $659.7 million as of September 30th, 2026. And in October, we raised approximately $250 million in equity at no discount to market, which further provides the financial flexibility to continue
investing in the highest value opportunities. In summary, we have a profitable commercial business, a disciplined cost structure, and a balance sheet that supports our global innovative pipeline through its most important milestones. With that, I will open it up for questions. Thank you. We will now begin the question and answer session. To withdraw your question, please press star 11 on your telephone and wait for your name to be announced. To withdraw your question, please press star 11 again. Please stand by while we compile the Q&A roster.
- Operator
And our first question comes from the line of Anupam Rama from JPMorgan. Please go ahead, Anupam. Your line is open.
Question · J.P. Morgan
Anupam RamaAnalyst · J.P. MorganHey, guys.
Thanks so much for taking the question. With the pivotal Delevate study enrollment ongoing here, based on your discussions with regulators, can you give us a sense of how many patients, the amount of follow-up, and if there's an ORR threshold that you need to meet for accelerated approval?
- RafaelManagement
Hi, this is Rafael.
Let me take that. Question, and thanks for it. We did have discussions with the agency that studies a randomized trial with overall survival as a primary endpoint, but there is a possibility that there's accelerated approval based on response rate. So to answer your question, the number of patients in the response rate accelerated approval analysis. It's a formal interim analysis. It will include 200 patients, and this will be a mixture of patients that are after platinum progression or after platinum plus carlatanol. In terms of the length of follow-up, it will be six months after the first scan assessment so that we can assess durability of response. The other criteria is all patients must be approved by the time this analysis is done, and in terms of assumptions, we don't disclose assumptions, but with 200 patients, the study is overpowered really for efficacy given that the historical rates are, you know, in the 20% range or so, and we've disclosed data in the 60% overall. response rates in the second line plus. So the reason for the 200 is so that we have a good safety database in addition to efficacy. So hopefully those details, you know, help you understand the interim analysis and the possibility of accelerated approval at that interim analysis.
- Operator
Thanks so much for taking our question. Thank you. We will now move to our next question. And our next question comes from Michael E. from UBS. Please go ahead, Michael. Your line is open.
Great. Thanks. Yeah, so maybe two questions. On the DLL-3 opportunity, clearly there is a multibillion-dollar horizon given what Amgen's tarlatumab is showing this week. And yet... They're also partnering or collaborating, I should say, with your ADC. Can you talk a little bit about how that collaboration is going and what studies have started or how you envision the two mechanisms perhaps working together such that you could maximize that multibillion-dollar opportunity? So that's question one. And then maybe the second question is, presuming that we do have great data next year and we're going to file the FDL. Do you have any view on whether you would partner, launch yourself? How are you thinking about the different scenarios for your product? Thank you.
Thanks, Michael.
- Operator
I think Rafael will answer your first question. And this is Samantha. I'll address your second one. Great.
Thanks, Mike.
With regards to the collaboration with then, obviously, the results of the W305 are, I think, practice changing. And we're pretty excited to see that those results. At the same time, we presented data ourselves with the combination with IO, where the PFS hadn't been reached after 10 months. I think their PFS was in the order of about 7.4. months. So, there's a possibility of using SOCI with IO, but the big promise, I think, is the combination because, as you know, in the 305s, there were a number of patients, a percentage of patients that couldn't really get maintenance because they progressed. They had less unstable disease on platinum metoposide and IO. So, being able to get... Everybody on maintenance, you know, should be superior to that study because the disease control rate using SOSI is pretty high, approaching 100%. So, with regards to how things are going, the study is progressing well. We started with tarlatamab progressors to make sure there was combinability. We started with two different doses. We're pretty confident we can get to... the standard dose of 1.6 mix per kit for combinability. And, you know, we look forward to the results of treating patients that are treatment-naïve with a triplet and then, you know, continue to discuss with Amgen options going forward. But we believe that both SoC plus IO and SoC plus TCE plus IO would be options. for patients that would move the field beyond even what 305 has done.
Yeah, Michael, in terms of your second question about whether partnering or not, I think our current plan is to take Josie forward ourselves, and that planning is already underway. Our priority today is execution. We're advancing our global program of Josie. and remain fully committed to deliver the key clinical milestones we outlined. That said, we're also disciplined, as you mentioned. Global partners are interested in these assets and will evaluate any option that could accelerate patient access or increase shareholder values. Those evaluations are independent of our development plans, and they won't, they don't, I don't think they will change the pace or urgency with which we are advancing the program.
Thank you, Michael.
- Operator
Thank you. Thank you. We will now move to our next question. And our next question comes from Lee Wasik from Cantor Fitzgerald. Please go ahead, Lee. Your line is open.
Question · Cantor Fitzgerald
Lee WasikAnalyst · Cantor FitzgeraldHey, good morning and congrats on the progress. Two questions from me. So in terms of those in second line, EP and ECS, can you talk a little bit about your alignment with FDA on the AA submission and what the bar is and then in terms of the confirmatory study, what would be the design timing of that? For example, do you need to enroll a certain number of patients before you file for AA? And then second, in terms of the TCE combinations, you might need to enroll a certain number of patients. We have two partners here. When will you be in a position to select a go-forward regimen, and what goes into that decision? Thanks.
- RafaelManagement
This is Rafael. I'll take both questions. With regards to EP NEC or EP NEC, we will present tomorrow at the next conference. Take us the latest data set of about 60 patients. It's an update from what we presented at AACR. Just to give you a sense, there's really no standard second line for extrapulmonary or endocrine carcinoma, and people treat with a variety of regimens. Generally, the response rate is between 10 to 20 percent. The progression... Pre-survival is in the order of two months. So essentially, the next time the patients are scanned, most of them have progressed. So the bar is really low. We present a response rate approaching 40 percent and durability between five and six months. This is really being perceived as an advance in the field, particularly given that... the tolerability is quite good. And, you know, in second line plus non-small cell lung cancer, the treatment-related adverse events in the mid-teens. So those are the discussions we have with the agency. We have two sets of single-arm data that amount to about 100 patients and depending on how the results... ...feed out after waiting for six months after the first scan, then that will determine whether or not we'll be able to file for accelerated approval based on those single-arm studies. As you said, there will need to be a confirmatory study. We have discussed a design with the agency that was accepted. The design will be in front line.
We will get into more detail as we get that study going. But we need to get it well underway before the action date. So the study will start early next year so that there's no delay to the potential accelerated approval file that we expect to file next year. In regards to TCE, well, we're working with both companies, Indeltra and Abrixtamig, Amgen and BI, respectively. Obviously, Amgen has got a very dominant position in this space, and we will obviously follow the development path of both compounds. You know, my sense is that... the combination with Indeltra may move faster, but, you know, we will just have to see. All I can say is that, you know, it's a very fruitful collaboration, and I described before, you know, what the makeup of the phase two study is, and we will take the data from there, and if it is positive, you know... to discuss with our partners how to, you know, advance the field with that combination. So, that's sort of where we are at the moment, but, you know, our desire is to move to the most active combination with the best benefit-risk as soon as possible.
- Operator
And our next question comes from the line of Eagle...
Question
?EagleAnalystHi, this is Caroline.
Thanks for taking your question.
We noticed Zyla came in stronger than expected this quarter. Can you help us understand what drove this upside? And has anything changed in your view of the product's longer-term growth outlook? Thanks.
- Management
Yudra, can you take that question? Yeah, can you? Can you repeat the first line? My audio is a little bit choppy here. Which revenue? Sure. I was saying Nuzara came in stronger than expected this quarter. Could you help us understand what drove this upside and whether your long-term view has changed? You mean the which brand? You mean the total revenue? Sales, yeah.
- Management
She's asking about Nuzara sales. Oh, Nuzara, sorry. I really apologize. Yes, I think it's really about, you know, this is our strong partnership with our partners. The Nuzara sales is coming in a little bit stronger. But again, as I said, I think we should be looking at our business in its totality. We do believe that Nuzara could be one of the drivers for our total business going forward. Yes, so we believe this trend will continue.
- Management
Okay, thank you.
- Operator
And our next question comes from the line of Dana Gray-Bosch from Liverink Partners. Please go ahead, Dana. Your line is open.
Question · Liverink Partners
LDana Gray-BoschAnalyst · Liverink PartnersHi, thanks for the question.
I wonder if you could talk about a frontline strategy should Amgen's Delphi 312, where they're giving TARLA an induction of traditional chemo, is successful? If that's great and you have a traditional chemo option in frontline, how do you envision moving forward in frontline with Zosie and TARLA? Thank you. Yeah, great question. I think this is really what happens when, when a drug is being developed in the midst of a field that's evolving. So in Delta, for some patients will become a frontline drug, either in the maintenance setting or if that study is positive in the induction setting. I think the question will be with how positive that study is. What the tolerability is of full-dose chemotherapy plus IO, you know, on these four cycles plus terlatanum and, again, how that compares to the maintenance data and the data with the ADCs, you know, we still see we're pretty confident that the efficacy and the we've seen with IO is pretty strong. The response rates are incredibly high in the 80% range and long PFS. So I think for, and then we'll have to see what the overall survival is eventually. We're launching that study this year, the frontline doublet study against standard of care. So I think the data will really dictate what physicians and patients will choose. You know, my sense is that, you know, we will have to evaluate what the safety of that induction combination is and the tolerability of SOSI is superior to cardboard double-size I.O. by a really big margin.
- Management
So it's a triplet with standard chemotherapy sparing. type of approach is at least equal or superior to chemotherapy plus starlatamab I.O. And I think it would be a preferred regimen to use SOSI than to use carboidoposide. Carboidoposide is a very old regimen, over 40 years old. And I think the field, my sense and the sense of many of the experts that I talk to in this space, is that the field will move away from chemotherapy. If we can demonstrate that an ADC, either with IO or in combination with TARLA plus IO, by IO, I mean checkpoint inhibitor, is superior and is safer. So it's a great question, but the data are not yet there. But the hope is that we can simplify the regimen, make it safer and more effective.
- Operator
Great. Thank you. As a reminder, before we move to our next question, please press star one one if you wish to ask a question now. And our next question comes from the line of Lin Hai Chao from Goldman Sachs. Please go ahead, Lin Hai. Your line is open.
Question · Goldman Sachs
Lin Hai ChaoAnalyst · Goldman SachsThanks. This is Lin Hai from Goldman.
Thanks for the opportunity.
So regarding our sales growth, outlook in 2027, can you bridge the key drivers required to deliver the anticipated resumed growth in 2027, including the excess expansion like NRDL coverage, the new launches, and the stabilization of the mature portfolio? Thanks.
- Management
Thank you for the question.
- Management
I'll take this. Yes, we remain confident in our 2020 guidance on meaningful growth. The key drivers are really a couple of fronts. The first one are two in anticipation of NRDL. There will be volume expansion coming from key brands like BibGuard, SubQ, as well as CarXT, and also our main core brands. Cedula has shown its regain its important patient shares. We believe that business will return to growth next year. And also Zac Duro that as our supply constraint is relieved, we will see a meaningful growth as well. So all in all, we are quite confident that we will be able to drive in 2027 meaningful revenue growth. In addition, and we believe the positive environment overall in China now favors the innovation portfolio, which I have. And we believe that, in combination with our disciplined focused execution, will allow us to really provide a predictable and consistent growth in 2027.
Question · Goldman Sachs
Lin Hai ChaoAnalyst · Goldman SachsThank you. I am showing no further questions. I'll now turn the conference back to Dr. Samantha Du for her closing comments.
- Management
Thank you, Operator.
- Operator
I want to thank everyone for taking the time to join us on the call today. We appreciate your support and look forward to updating you again after the fourth quarter of 2026. Operator, you may now disconnect the call. Thank you.
Thank you for your participation in today's conference. This does conclude the program. You may now disconnect your lines.