Neuren Pharmaceuticals (ASX:NEU) has upgraded its full year 2026 total income guidance from trofinetide to US$91–93 million, following Q3 2026 DAYBUE net sales of US$140 million — up 39% from Q3 2025 — and the receipt of a US$35 million milestone payment triggered by the first commercial sale of DAYBUE in Germany in October 2026.
Key Points
- Neuren's full year 2026 total income guidance from trofinetide upgraded to US$91–93 million, from US$53–56 million previously
- Q3 2026 DAYBUE net sales of US$140 million, up 39% from Q3 2025 and up 12% from Q2 2026
- Neuren earned Q3 2026 royalty income of US$16.4 million, up 51% from Q3 2025
- US$35 million milestone payment earned on DAYBUE launch in Germany in October 2026
- Japan Phase 3 study results described as consistent with the LAVENDER Phase 3 study and supportive of a planned regulatory filing in 2027, with potential launch in 2028 subject to regulatory approval
DAYBUE Sales Performance and Acadia Guidance Upgrade
Partner Acadia Pharmaceuticals reported Q3 2026 DAYBUE net sales of US$140 million, up 39% on Q3 2025 and up 12% on Q2 2026. Acadia increased its full year 2026 global net sales guidance for DAYBUE to US$505–520 million, from a previous range of US$480–510 million. Sales growth in the quarter was driven by strong uptake of DAYBUE STIX by existing patients, as well as new patient starts and patient restarts. More than 50% of US DAYBUE users are already on DAYBUE STIX, up from 40% at the end of Q2 2026. During Q3, a new US patent was allowed covering weight-banded dosing of trofinetide, extending US patent protections for DAYBUE and DAYBUE STIX through March 2041.
Germany Launch and European Licence Entitlements
DAYBUE was launched in Germany in October 2026, with patients already receiving treatment. The first commercial sale triggered a US$35 million milestone payment to Neuren under its licence agreement. Under the European licence — covering all European Union member states as of 13 July 2023, plus the United Kingdom, Iceland, Norway, Switzerland and Liechtenstein — Neuren is entitled to tiered royalty rates ranging from 17% on annual net sales up to US$150 million, to 23% on annual net sales above US$300 million. Additional sales milestone payments of between US$15 million and US$75 million are payable once each at defined net sales thresholds.
Neuren Royalty Income and Japan Regulatory Plans
Neuren earned royalty income of US$16.4 million in Q3 2026, up 51% from Q3 2025. Full year 2026 anticipated royalties increased to US$56–58 million, from the previous range of US$53–56 million. Including the US$35 million European milestone payment, Neuren's total income from trofinetide for 2026 is expected to be US$91–93 million. Acadia has completed its Phase 3 study of trofinetide in Rett syndrome in Japan, with results described as consistent with the LAVENDER Phase 3 study. Acadia continues to pursue a distribution partner in preparation for a regulatory filing in 2027 and a potential launch in 2028, subject to regulatory approval.



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