Cuộc họp công bố kết quả kinh doanh Q2 2026 của Alvotech (ALVO): Tái khẳng định dự báo

Điểm tin chính

• Doanh thu nửa đầu năm 2026 giảm 31% so với cùng kỳ năm trước xuống còn 212 triệu USD do các hoạt động nâng cấp tại nhà máy của Alvotech ở Reykjavik làm giảm sản lượng sản xuất và hạn chế nguồn cung sản phẩm.
• EBITDA điều chỉnh trong nửa đầu năm đạt 47 triệu USD, so với 54 triệu USD cùng kỳ năm ngoái. Biên EBITDA điều chỉnh cải thiện lên 22% từ mức 18%.
• Ban lãnh đạo tái khẳng định hướng dẫn kế hoạch năm 2026 với doanh thu đạt từ 650 triệu USD đến 700 triệu USD và EBITDA điều chỉnh đạt từ 180 triệu USD đến 220 triệu USD. Công ty kỳ vọng quý 4 sẽ là quý tăng trưởng mạnh nhất trong năm.
• Hoạt động sản xuất đã trở lại mức vận hành theo kế hoạch vào cuối quý 2. Alvotech đang khôi phục lượng tồn kho an toàn cho khách hàng, mặc dù ban lãnh đạo cho biết quý 3 vẫn sẽ phản ánh quá trình gia tăng sản lượng.
• FDA đã chấp nhận các hồ sơ nộp lại vào tháng 6 của Alvotech là các phản hồi đầy đủ cho 4 đơn xin cấp phép sản phẩm sinh học (BLA) tại Mỹ và ấn định ngày mục tiêu xem xét phù hợp với quy trình 6 tháng tiêu chuẩn.
• Alvotech kết thúc tháng 6 với 143 triệu USD tiền mặt sau khi huy động được khoảng 165 triệu USD tổng số tiền thu được từ vốn cổ phần. Sau đó, công ty đã giải ngân thêm một khoản vay có thời hạn lên tới 75 triệu USD trong quý 3.

Dữ liệu tài chính trọng yếu

Dòng tiền ra trong quý bao gồm 37 triệu USD thanh toán lãi thuần, 28 triệu USD chi phí vốn (CapEx) và 17 triệu USD đầu tư vào tài sản vô hình. Chi phí vốn chủ yếu phản ánh các nâng cấp nhà máy đã hoàn tất vào cuối quý.

Kết quả kinh doanh và hoạt động

Alvotech hiện có 5 sản phẩm sinh học tương tự đóng góp vào doanh thu sản phẩm. AVT05, AVT06 và dòng sản phẩm sinh học tương tự Prolia/Xgeva đã bắt đầu gia tăng doanh số bên cạnh các sản phẩm sinh học tương tự Humira và STELARA hiện có của công ty.

Nhu cầu cơ bản vẫn mạnh mẽ bất chấp những hạn chế về nguồn cung. Tại Mỹ, các sản phẩm sinh học tương tự chiếm hơn 60% thị trường adalimumab, và Simlandi tiếp tục giữ vị trí sản phẩm sinh học tương tự số 2. Tỷ lệ thâm nhập của sản phẩm sinh học tương tự ustekinumab tại Mỹ cũng đạt khoảng 60%, trong đó Selarsdi tham gia vào phân khúc đang mở rộng này.

AVT05 và AVT06 đã được ra mắt tại hơn 10 thị trường Châu Âu, bao gồm Đức, Pháp, Anh, Tây Ban Nha và Ý. Ban lãnh đạo nhấn mạnh đà tăng trưởng sớm của AVT05 tại Đức và Tây Ban Nha. AVT05 được ra mắt tại Nhật Bản vào tháng 7 và hiện là sản phẩm sinh học tương tự golimumab duy nhất được cấp phép tại quốc gia này. AVT06 cũng đã ra mắt tại Nhật Bản và ghi nhận mức độ tiếp nhận ban đầu mạnh mẽ, theo công ty.

Alvotech cho biết thị phần đối tác AVT05 tại Châu Âu của hãng đã vượt mức 15% một chút và tiếp tục tăng. Công ty tin rằng họ có đủ nguồn cung để theo đuổi các cơ hội tiếp theo trong phần còn lại của năm 2026 và sang năm 2027.

Nhà máy Reykjavik đã trở lại mức vận hành theo kế hoạch vào cuối quý 2. Ưu tiên hàng đầu của ban lãnh đạo hiện nay là khôi phục hàng tồn kho và đáp ứng các yêu cầu của đối tác. Sản phẩm được sản xuất trong giai đoạn gia tăng công suất dự kiến sẽ hỗ trợ doanh thu thương mại quý 4 mạnh mẽ hơn.

Cập nhật về pháp lý và quy trình phát triển sản phẩm

Alvotech đã nộp lại 4 đơn BLA tại Mỹ vào tháng 6 cho các sản phẩm sinh học tương tự đề xuất của Simponi, Simponi ARIA, EYLEA và dòng sản phẩm kép Prolia/Xgeva. FDA xác nhận mỗi hồ sơ là một phản hồi đầy đủ và đưa ra các ngày mục tiêu phù hợp với thời hạn xem xét 6 tháng.

Bên cạnh đó, FDA đã khép lại đợt thanh tra giám sát GMP định kỳ tháng 5/2026 đối với nhà máy Reykjavik vào tháng 7 với phân loại Hành động Tự nguyện (VAI). Cơ sở này tiếp tục được FDA phê duyệt và duy trì sản xuất các sản phẩm cho thị trường Mỹ và các thị trường khác.

Ban lãnh đạo kỳ vọng các quyết định của FDA đối với AVT05 và AVT06 sẽ có trong quý 4/2026. Đối với AVT05, công ty cũng kỳ vọng sẽ có quyết định trong vụ kiện tụng bằng sáng chế đang diễn ra vào quý 4 và khẳng định vẫn tự tin vào vị thế sở hữu trí tuệ của mình.

Alvotech có hơn 30 ứng viên sản phẩm sinh học tương tự đang trong quá trình phát triển. Các mốc quan trọng trong quy trình phát triển bao gồm:

• FDA đã chấp nhận BLA cho AVT16, ứng viên sản phẩm sinh học tương tự ENTYVIO đường tiêm tĩnh mạch. Ban lãnh đạo kỳ vọng quyết định phê duyệt sẽ có vào đầu năm 2027.
• Các hồ sơ đăng ký tại Châu Âu cho AVT16 và ứng viên tiêm dưới da nồng độ cao AVT80 đã được thẩm định và đang trong quá trình xem xét. Công ty dự kiến sẽ sớm cập nhật thông tin về hồ sơ nộp AVT80 tại Mỹ.
• AVT29, ứng viên sản phẩm sinh học tương tự EYLEA liều cao, vẫn đang đi đúng tiến độ để nộp hồ sơ pháp lý tại Châu Âu vào năm 2026. Việc nộp hồ sơ tại Mỹ dự kiến diễn ra vào năm 2028 sau khi hoàn thành nghiên cứu lâm sàng theo yêu cầu.
• Một nghiên cứu ngẫu nhiên, mù đôi so sánh dược tính đã được bắt đầu cho ứng viên sản phẩm sinh học tương tự KEYTRUDA của Alvotech, hiện đang được hợp tác phát triển cùng Dr. Reddy’s.
• Hợp tác với Fujifilm vẫn đi đúng tiến độ, với các sản phẩm từ sự hợp tác này dự kiến ra mắt vào nửa cuối năm 2027, tập trung nhiều hơn vào giai đoạn cuối của thời kỳ này.

Hướng dẫn kế hoạch của ban lãnh đạo

Alvotech tái khẳng định các mục tiêu cho cả năm 2026:

Ban lãnh đạo kỳ vọng doanh thu sản phẩm trong quý 3 sẽ lấy lại đà tăng trưởng, tiếp theo là mức tăng mạnh hơn trong quý 4. Triển vọng này giả định sản lượng sản xuất cao hơn, nguồn cung được bổ sung và sự đóng góp từ cả bán hàng sản phẩm lẫn các mốc doanh thu bản quyền.

Công ty cảnh báo rằng doanh thu theo mốc hợp đồng về bản chất là không đồng đều vì việc ghi nhận phụ thuộc vào tiến độ R&D, các hồ sơ pháp lý, việc đạt được thỏa thuận hợp đồng và các hợp đồng bản quyền mới. Ban lãnh đạo từ trước đến nay từng đưa ra con số định hướng chung khoảng 250 triệu USD hàng năm cho doanh thu theo mốc hợp đồng, đồng thời nhấn mạnh thời điểm ghi nhận thực tế có thể biến động đáng kể.

Tổng chi phí R&D năm 2026 dự kiến khoảng 200 triệu USD, với khoảng 50% được vốn hóa. Ban lãnh đạo kỳ vọng chi phí R&D sẽ được phân bổ tương đối đều giữa quý 3 và quý 4.

Rủi ro và các điểm cần theo dõi

• Sự sụt giảm sản xuất trong nửa đầu năm đã hạn chế nguồn cung, và kết quả quý 3 vẫn sẽ phản ánh quá trình tăng công suất sản xuất và khôi phục hàng tồn kho.
• Việc hoàn thành hướng dẫn kế hoạch cả năm phụ thuộc rất lớn vào kết quả mạnh mẽ trong quý 4 ở cả doanh thu sản phẩm và các mốc doanh thu bản quyền.
• Doanh thu theo mốc hợp đồng có thể biến động đáng kể giữa các kỳ do thời điểm pháp lý, hợp đồng và giao dịch.
• Các đợt ra mắt dự kiến tại Mỹ vẫn phụ thuộc vào sự phê duyệt của FDA và đối với AVT05 là kết quả của vụ kiện tụng bằng sáng chế.
• Alvotech đã chuyển từ trả lãi bằng hiện vật sang trả lãi bằng tiền mặt vào giữa năm 2025, dẫn đến các khoản thanh toán lãi thuần hàng quý khoảng 37 triệu USD trong quý 2.
• Công ty đã ghi nhận một khoản dự phòng thương mại trong quý. Ban lãnh đạo mô tả khoản này có liên quan đến các vấn đề thương mại và hợp đồng nhưng không cung cấp thêm thông tin chi tiết do yêu cầu bảo mật.

Tóm tắt phần Hỏi & Đáp với chuyên gia phân tích

Ban lãnh đạo cho biết Alvotech và đối tác Châu Âu đang có vị thế thuận lợi để tận dụng lợi thế là sản phẩm đầu tiên ra mắt thị trường của AVT05 nhờ nguồn cung sẵn có và thị phần đang mở rộng. Tại Mỹ, công ty kỳ vọng sẽ là đơn vị đầu tiên hoặc nằm trong làn sóng đầu tiên ra mắt các sản phẩm sinh học tương tự Simponi, tùy thuộc vào sự phê duyệt và việc giải quyết các vấn đề sở hữu trí tuệ.

Về việc thương mại hóa tại Mỹ, Alvotech cho biết một số tài sản trong quy trình phát triển vẫn đang trong quá trình đàm phán bản quyền tích cực. Ban lãnh đạo kỳ vọng có thể cập nhật thông tin trong quý 3 và quý 4, đồng thời tiếp tục đánh giá các cơ hội thương mại hóa trực tiếp một số sản phẩm đường ống tại Mỹ.

Về thời điểm phục hồi doanh thu, ban lãnh đạo nhấn mạnh rằng các đợt phê duyệt pháp lý vào cuối năm 2026 dự kiến không đóng góp đáng kể vào kết quả năm 2026. Thay vào đó, triển vọng được tái khẳng định dựa trên hoạt động sản xuất được chuẩn hóa, nguồn cung sản phẩm trong quý 4 mạnh mẽ hơn và sự kết hợp giữa các mốc doanh thu bản quyền đã đạt được cùng các mốc mới tiềm năng.

Toàn văn biên bản cuộc họp công bố kết quả kinh doanh

Toàn văn cuộc gọi công bố kết quả kinh doanh

Phần trình bày của ban lãnh đạo

Operator

Good day, and thank you for standing by. Welcome to the Alvotech Q2 2026 Earnings Conference Call. [Operator Instructions] Please be advised that today's conference is being recorded. I would now like to hand the conference over to your speaker today, Benedikt Stefansson, VP of Investor Relations and Global Communications. Please go ahead.

Benedikt Stefansson

Thank you, and welcome to our listeners. Yesterday evening, the company issued a press release announcing our financial results for the first half of 2026.

Material accompanying today's earnings call, including a supplemental earnings report, providing additional operational details and a business update and the presentation we will be referring to on today's call were also published on our website, alvotech.com, under Financials in the Q2 section.

Our press release, earnings report, presentation and statements that we make on the call today may include forward-looking statements. These statements do not ensure future performance and are subject to risks and uncertainties that are outlined in company filings with the Securities and Exchange Commission.

Any risks and uncertainties could cause actual results to differ materially from forward-looking statements that are made. Presenting on today's call are Róbert Wessman, Founder and Executive Chairman; Lisa Graver, Chief Executive Officer; Joseph McClellan, Chief Operating Officer; and Linda Jonsdottir, Chief Financial Officer.

Róbert will begin today's presentation with a summary of our regulatory, funding and commercial highlights. Lisa will then present a commercial and operations update. Joseph will provide a pipeline and regulatory update, and Linda will conclude with a discussion of the financial results.

Following the presentation, our team will be happy to take your questions. And with that, I would like to turn the call over to Róbert Wessman.

Robert Wessman

Hello, everyone, and thank you for joining us here today. The first half has been an important period for Alvotech as we made the significant investments in our manufacturing facility and quality systems.

These investments allowed us to resubmit our US BLAs in June. And in July, the FDA formally closed the May surveillance inspection of our [ Alvotech ] facility with a VAI classification.

Our second quarter performance reflects the associated production slowdown and the preparation for our BLA resubmissions. Manufacturing returned to planned operating levels at the end of the second quarter. Our order book is strong, which will support a strong fourth quarter as we seek to gradually rebuild sufficient safety stock for our customers.

During the period, we also continued to expand our commercial portfolio, make significant progress in our R&D programs and strengthen our financial position to support the next phase of growth. We are optimistic about our first-mover position with our ENTYVIO biosimilar program.

We were the first to submit a BLA in the U.S., and we have also submitted a marketing application in Europe, addressing a global market of $7 billion. We believe these moves position us to be among the first wave of biosimilars to this important product. Alvotech now has 5 biosimilars contributing to product revenue with our biosimilars to Simponi, EYLEA and Prolia/Xgeva beginning to add to our Humira and STELARA biosimilar sales.

We have built one of the largest biosimilar pipeline in the industry, and we are now entering an important execution phase. Our focus is on preparing for multiple anticipated launches, advancing the next wave of biosimilar candidates and continuing to build the capabilities we need to develop, manufacture and supply those products globally.

Building a company at this scale requires a long-term thinking and sustained investment. Capital is the fuel that enables us to execute. The equity financing completed in June generated approximately $165 million in gross proceeds. We were very pleased with the strong demand for the offering and more importantly, the composition of the demand.

Alongside continued support from our existing shareholders, we welcomed 20 new specialists in health care from across the U.S., Europe and the Nordics. The diversification of the shareholder base is important because it brings investors with a deep understanding of the sector and our opportunity.

Linda will take you through the financing in a little bit more details. We continue also to evolve our commercial model. Our primary route to enter global market is through our network of commercial partners in a business-to-business model.

At the same time, as we look ahead, we see opportunities for Alvotech to participate more directly in the U.S. market, including by commercializing selected pipeline products ourselves. I have always believed that strategy itself is only part of building a successful company.

Ultimately, it comes down to execution. You need the right people, the right capabilities, the right partners and the financial resources to deliver. I believe we have continued to strengthen each of those elements during the first half. And with that, I will hand it over to Lisa.

Lisa Graver

Thank you, Róbert. I want to start by putting our first half performance in context. As we have previously discussed, during the first half, we made significant improvements to our manufacturing facility and quality systems in Reykjavik. These activities form the foundation of our response to FDA's inspectional observations following the July 2025 pre-license inspection and enabled us to resubmit our applications for AVT05 and AVT06.

The resubmissions are a clear inflection point for the company as they pave the way for FDA approvals in the fourth quarter of 2026. In particular, it positions us to be the first or amongst the first biosimilars to be approved for Simponi and Simponi ARIA in the U.S. Joe will provide further updates on the improvement program at our Reykjavik site and the favorable outcome of the recent GMP surveillance inspection by FDA.

While the improvement program was critical to ensuring a robust response to FDA, those activities affected manufacturing output and therefore, product availability during the period. Manufacturing returned to planned operating levels at the end of second quarter, and our focus is now on building supply in accordance with commercial requirements as we move through the second half.

At the same time, the underlying commercial demand for our portfolio has remained strong. That distinction between market demand and our reported product revenue is particularly important this quarter. As a B2B company, we manufacture and supply product to our commercial partners. Our reported product revenue, therefore, reflects not only underlying demand, but the timing of partner orders, inventory movements and our own product availability.

As we have explained previously, that can create variability between reporting periods, and it was particularly evident during the first half of 2026 and the second half of last year due to the slowdown in manufacturing necessitated by the facility improvement activities.

Turning to our financial highlights. Total revenue for the first half was $212 million compared with $306 million in the first half of 2025. Adjusted EBITDA was $46 million compared with $54 million last year, and gross margin was 54%, broadly consistent with 55% in the prior year period.

Both revenues and EBITDA are in line with our expectations. We ended June with $143 million of cash following the successful equity financing completed during the quarter. Based on our current expectations for product supply as well as anticipated contributions from milestone revenue in the second quarter, we are reaffirming our 2026 guidance of $650 million to $700 million in total revenue and $180 million to $220 million in adjusted EBITDA.

Linda will take you through the financial performance and the key drivers in more detail later in the presentation. As Róbert outlined, the first half saw significant operational progress across the business.

Rather than repeat those milestones, I want to focus on what they mean for the next phase of execution, particularly the performance of our commercial portfolio and our preparations for the next wave of launches. Let me start with the commercial portfolio and AVT02. The U.S. adalimumab market continues to demonstrate strong biosimilar conversion.

Biosimilars now account for more than 60% of the market compared with approximately 55% when we last reported. Simlandi continues to hold the #2 biosimilar position in the U.S. That is important because while our first half supply constraints affected the volume we could deliver to our partner, the underlying demand picture remains strong.

Europe also provides an interesting indication of the longevity of these franchises. Hukyndra was first launched 4 years ago, yet we continue to see sustained demand across key European markets.

Recent partner performance reinforces our view that successful biosimilars for chronic conditions do not necessarily reach a short-term peak and then decline. They can remain valuable commercial assets for many years. That is one of the reasons we think it is important to look beyond individual quarterly supply and focus on the development of these franchises over time.

We are seeing a similar market transition with AVT04. Biosimilar penetration of the U.S. ustekinumab market has developed considerably faster than we saw with adalimumab and is now around 60%. Selarsdi continues to participate in an expanding market.

Our strategy here remains disciplined. We are focused on building sustainable business and attractive economics rather than merely pursuing volume. In Europe, biosimilars have also taken share rapidly from the [indiscernible] and Uzpruvo remains well positioned in an increasingly established biosimilar market.

Again, the important point is that the underlying market is developing as we anticipated. The next part of the commercial story is the expansion beyond AVT02 and AVT04. AVT05 and AVT06 are now launched across more than 10 European markets, including the major markets of Germany, France, the U.K., Spain and Italy.

For AVT05, we have seen encouraging early momentum, particularly in Germany and Spain. The product was also launched in Japan in July, where it is currently the only approved golimumab biosimilar.

In the U.S., we are expecting regulatory approval in the fourth quarter of this year, and we anticipate being one of only two biosimilars on the market in the near term. AVT06 has similarly established a broad European footprint. It was launched in Japan earlier this year and has seen strong early uptake.

We also have a clear pathway to U.S. market entry under the settlement and licensing agreement announced in January, subject, of course, to regulatory approval. That agreement provides for U.S. market entry from the fourth quarter of 2026. Taken together, these products broaden our commercial base. We entered 2026 with product revenue principally driven by AVT02 and AVT04. We now have 5 biosimilars contributing to product revenue with 3 of those franchises still at an early stage of their commercial development.

That gives us a much more diversified platform for future growth. So we now enter the second half with manufacturing back at planned operating levels, supply levels improving and a broader commercial portfolio. I will now hand over to Joe to discuss our regulatory progress and pipeline.

Joseph McClellan

Thank you, Lisa. I will briefly cover the following topics today: the status of our ongoing facility and quality improvements, U.S. regulatory updates, including on our complete response resubmissions and updates on our biosimilar development pipeline.

As we have discussed on previous calls, following the U.S. FDA's observations in mid-2025, we initiated a comprehensive improvement program across our Reykjavik facility.

By the end of 2025, we had implemented the majority of our committed and necessary corrective actions. Since then, our focus has been on demonstrating that those improvements are effective and sustainable, implementing continuous improvement opportunities and embedding them in our routine manufacturing and quality operations.

These extensive efforts form the basis of our response to the FDA's post-action application letters and enabled the resubmission to our 4 biologics license applications for the proposed biosimilars to Simponi, Simponi ARIA, EYLEA and the dual products, Prolia/Xgeva in June of this year.

In their acknowledgment letters for each of the resubmissions as complete responses to the previous action letters, the FDA confirmed review completion goal dates in alignment with the standard 6-month process. Separately, the FDA completed a routine GMP surveillance inspection of our Reykjavik facility in May 2026.

In July, the agency formally closed that inspection with a voluntary action indicated classification. Our Reykjavik facility remains an FDA-approved manufacturing site, and we continue to manufacture our on-market products both for the U.S. and rest of world markets.

We are confident that the actions we have taken to address observations from our recent FDA inspections have effectively addressed all observations. With the resubmissions now completed, we continue to work with the FDA as those applications progress through review to enable our important medicines to be available in the U.S.

Turning to the development pipeline. Alvotech continues to build one of the largest internally developed biosimilar pipelines in the industry with more than 30 candidates currently in development. When selecting new programs, we prioritize biologics with significant market opportunity, durable mechanism of action, high scientific barriers where Alvotech can succeed and opportunities for differentiation for our integrated development and manufacturing platform.

These attractive molecules make up our early phase and preclinical pipeline, supported by ongoing process product and analytical development, manufacturing, clinical, regulatory and intellectual property work streams to enable future approvals and commercialization.

This portfolio breadth is important because biosimilar development is inherently a portfolio business. Individual programs have different technical, regulatory, competitive and IP profile. Our broader pipeline gives us multiple opportunities to create value over time.

Beyond the ongoing launches, as previously discussed, our next wave of products is expected to receive approvals over the 2027 to 2029 time horizon.

These include our proposed biosimilar for KEYTRUDA, which is codeveloped with Dr. Reddy's and where we have commenced a randomized, double-blind pharmacokinetic similarity study to compare it with the reference product in participants with melanoma.

Also in this near-term horizon of approvals are our proposed biosimilars to ENTYVIO and EYLEA high dose. Our development of a proposed biosimilar to ENTYVIO, including both the intravenous presentation, which we denote as AVT16 and the high concentration subcutaneous presentation, which we denote as AVT80, is a good example of the capabilities we have built.

ENTYVIO is an important therapy for inflammatory bowel disease and represents a multibillion-dollar opportunity in the immunology market. We are pleased the European marketing authorization application for both AVT16 and AVT80 has been validated and progressing through review.

The FDA has accepted a biologics license application for AVT16 as we have previously announced. We are looking forward to communicating positive news on a U.S. biologics license application for AVT80 soon.

We expect decisions on these applications in 2027. The significance of the development of our proposed biosimilar to ENTYVIO goes beyond one molecule. It demonstrates Alvotech's ability to develop multiple presentations around a major biological franchise and to advance them across different regulatory pathways with speed.

Now turning to AVT29. As we have discussed previously, the high-dose version of EYLEA supports extended dosing intervals compared with the original presentation, and we are seeing it become the leading EYLEA presentation and an increasingly important part of the global ophthalmology market.

We anticipated this shift when we selected AVT29 for development. Together with AVT06, our biosimilar to EYLEA low dose, we have the opportunity to participate across both the established and high-dose segments of what remains one of the largest markets in ophthalmology.

We remain on track for our first regulatory submission this year. Further, our ALVOEYE-HD clinical study, which is a randomized clinical study to evaluate the efficacy and safety of AVT29 compared with EYLEA HD in participants with diabetic macular edema was the first to be initiated globally and is progressing in alignment with expectations to enable a U.S. regulatory submission in 2028.

Based on these time lines, we believe AVT29 has the potential to be among the first wave of EYLEA HD biosimilars in major markets. With that, I hand over to Linda for the financial review.

Linda Jonsdottir

I will now take you briefly through some highlights of our financials for the second quarter and the first half of 2026.

Unless otherwise stated, the figures I will go through are adjusted numbers. Reconciliations to the corresponding IFRS measures are included in our earnings material, which have been published under financials in the Investors section of our website, alvotech.com.

During the first half of the year, facility improvements led to manufacturing slowdown and temporarily constrained supply. But as mentioned before, those slowdowns also enabled a successful close of the FDA GMP inspection during this period and the resubmission of BLAs to the FDA.

These improvements provide a good foundation for growing performance heading into the second half of the year. And as we have noted earlier, we expect the fourth quarter in particular, to be the strongest quarter of the year. I'll begin with the second quarter highlights before covering the first 6 months as a whole.

The second quarter was in line with expectations, and we finalized a successful equity issue delivering strong cash position at the end of June. Total revenues were down 39% compared to the same period last year, but that level with the first quarter of the year at $106 million.

Gross margin in Q2 was 51%, reflecting lower product and milestone revenues compared to previous periods. Our product margin in Q2 was down 17 basis points compared to the same quarter last year at 6%, impacted by the product mix and facility improvements, which were concluded at the end of the quarter.

Adjusted EBITDA was $23 million in the quarter, down 32% year-on-year due to lower product and milestone revenues compared to the same quarter last year, which saw the launch of our biosimilar to STELARA in the U.S. Turning to the financial highlights for the first half of 2026. Total revenues were $212 million, representing a 31% decline compared to the same period last year. Gross margin was 54%, broadly in line with the same period last year, with licensing revenues contributing half of total revenues in the current period.

Product margin was 8%. Margins continue to be impacted until end of Q2 by reduced manufacturing throughput associated with facility improvements at the Reykjavik site. We expect that Alvotech will be positioned to enter 2027 with a stronger margin profile.

Adjusted EBITDA was $47 million, representing a margin of 22%. Adjusted EBITDA in the same period last year was higher at $54 million with a 4 basis point lower margin of 18%. As noted in our last earnings call, we are expecting Q4 to be the strongest quarter of the year. We will start to see Q3 regaining momentum on the product revenue side with a strong step-up expected in Q4, both for product revenues and milestones.

Further on the revenues in the first half of the year. Half of the revenues come from product revenues, which were at $106 million. We now have 5 in-market products contributing to product revenues. In the first half of the year, launches of these 3 new products expanded across Europe, the U.K. and Japan. As we have noted previously, as a B2B company, our reported product revenue reflects not only underlying market demand, but also the timing of partner orders, inventory movements and our own product availability.

During the first half, manufacturing output was affected by the improvement activities at the Reykjavik site, which constrained our product supply. Manufacturing returned to planned operating levels at the end of the second quarter. Our focus is now on refilling sufficient supply for our clients and meeting commercial requirements as we move through the year.

Importantly, underlying market demand for our products remains strong. As supply normalizes, we expect the demand to be reflected in product revenue in subsequent periods. Licensing revenues in the first half were $106 million. As we have also noted earlier, milestone revenue recognition will be inherently lumpy as it is driven by progress in R&D, timing of marketing authorization applications and other contractual milestones achieved.

Turning to cash flow. Cash on hand at the end of the period was $143 million, reflecting in part our equity raise completed in June. Cash from operations was $17 million during the quarter, reflecting operations and changes in working capital. But as you can see from the cash flow bridge, all the key drivers impacting cash flow in the quarter were net interest payments of $37 million per quarter following the transition from PIK to cash interest in mid-'25. CapEx of $28 million in the quarter, primarily consisting of the cost of facility improvements, which have now been concluded, investments in intangibles of $17 million, reflecting continued investments in the advancement of our biosimilar pipeline.

Turning to the financing completed during the quarter. The equity offering completed in June generated approximately $165 million in gross proceeds. The transaction was initially launched at $125 million, increased to $152 million at pricing and the full exercise of the overallotment option increased the total to approximately $165 million.

In addition, we secured an additional term loan facility of up to $75 million with our existing lenders, which we've drawn on in Q3 and is therefore not included in our Q2 cash position. Together, this represents approximately $240 million of new equity and debt financing, enhancing our financial flexibility. This capital supports continued investments in our pipeline, preparation for additional product launches, global commercialization and manufacturing and supply requirements.

These investments are focused on supporting the execution of our strategic priorities and the next phase of Alvotech's growth. Looking at the balance sheet, I will start with briefly summarizing key items on the asset side.

From end '25, noncurrent assets were up by $129 million, mainly driven by an increase in intangible assets and higher contract assets due to the timing of revenue recognition. Total current assets decreased by $29 million, reflecting collections of trade receivables, partly offset by increase in inventories and other current assets.

Next, a few notes on key movements across equity and liabilities. Total equity improved by $93 million and was strengthened by the June '26 equity financing. Noncurrent liabilities decreased by $20 million, mainly driven by a $15 million reduction in derivative financial liabilities due to fair value changes and current liabilities increased by $27 million, including the recognition of a commercial provision, while contract liabilities declined as previously deferred revenue was recognized.

Turning to the financial outlook for the year. We target revenues in the range of $650 million to $700 million, representing continued double-digit annual growth from last year. Adjusted EBITDA is targeted to be in the range of $180 million to $220 million. As we look ahead to the second half of the year and into 2027, we expect to see the benefit of increased manufacturing output after the completion of facility improvements and major enhancements that have been implemented since the middle of last year.

We, therefore, expect to be able to deliver strong year-on-year growth in '26 with an expanded product portfolio and development milestones from our expanding pipeline. As we have noted earlier, we expect to deliver healthy deleveraging of our balance sheet in '27, presenting further opportunities to optimize our capital structure. With that, I will hand the call back to Lisa.

Lisa Graver

Thank you, Linda. In summary, we believe the first half of 2026 demonstrates the progress Alvotech is making across each of the areas that are critical for the next phase of growth. Our commercial portfolio is expanding with 5 products now contributing to revenue and a growing presence across markets. We have important regulatory catalysts ahead and are preparing for the next wave of product launches.

We continue to strengthen and scale our manufacturing platform while investing selectively in a pipeline we believe can create significant future value. With that, we'll open the call for questions.

Operator

[Operator Instructions] Your first question comes from the line of Christopher Uhde from SEB.

Phần hỏi đáp

Christopher Uhde

Christopher Uhde from SEB here. My first question is on the Bio-Thera news. You guys haven't mentioned it, I have no doubt you saw it. What can you say about how you're viewing the impact on Simponi -- your Simponi biosimilar? And how you expect it to evolve going forward?

And are there any tenders perhaps that might have been won that reopen or need to be revaluated that could be a positive for you in the short term and obviously, then the more medium and long-term picture? That's the first one. And then the second one was, obviously, it's exciting to hear about your U.S. commercialization plans. Which disclosed assets are you not yet partnered for the U.S.? And should we update our models for those yet? Or should we wait and see?

Lisa Graver

Christopher, thanks for the question. So on Bio-Thera, certainly, we are looking and our partner in Europe, Advance is doing everything it can to take advantage of the fact that we are truly first in the market.

From a supply perspective, we have been building in anticipation, clearly for the launch that happened late last year. We are well positioned with supply through the rest of this year and certainly are looking to be so as we look to '27 and even beyond. I think our partner has done well, certainly expanding market share, I think sitting slightly north of 15% at this point and growing.

So what I would say is we are fully capable on both our end as well as our partners end to take advantage and make sure that we access the market in the fullest possible way.

I think from a future-looking perspective, certainly, we don't know sitting here today the long-range opportunity, but we're preparing for it. So I think we're optimistic that this will continue to drive our European growth story in addition to the other molecules we have in the space today.

But we're quite excited about what we're seeing with AVT05 and golimumab. On your second question, there are a few assets that remain, especially as we look at our pipeline, which is quite robust, as you know. Several are in various phases of early and mid-stage development that we are still in active licensing discussions around.

What I would say, Christopher, is as we look and secure those future arrangements, we will certainly update the market. I think we'll have some news as we go throughout Q3 and Q4 on that front. But the good news for us is given the breadth of our pipeline, we do expect to continue to see contribution from milestone revenues, both for the remainder of '26 and as we look into '27.

Christopher Uhde

Okay. That's very helpful. If I could possibly ask a quick follow-up on the Bio-Thera. What's your expectation or what could potential knock-on effects be beyond the EU?

Lisa Graver

Yes. So I think from a U.S. perspective, certainly, we can't comment on third parties. But what I would say is this. We certainly have been positioning ourselves to -- once we receive the approval, which we're optimistic to see in the fourth quarter. We're actively pursuing clearing any IP litigation as we speak, and we do feel very comfortable that we will be, if not the first, within that first wave in the very near term.

So we'll be positioned well, Christopher, as I said, both from an EU and U.S. perspective, from a supply and preparedness point of view to take advantage as we look to the remainder of this year and certainly into 2027.

Operator

We will take our next question -- your next question comes from Ash Verma from UBS.

Ashwani Verma

Congratulations on all the progress. I wanted to ask about, first, just on this [ DEA ] that you received from the FDA for the U.S. submissions.

Just wanted to get the latest if there have been any additional communications from the FDA recently? And is there a formal acceptance of the resubmitted application or any other additional information requests that you received from the FDA that are outstanding at this point? And then secondly, on Simponi, can you talk about your confidence on the launch time line for 4Q of this year? I see this J&J lawsuit around the infringement on 14 patents related to the method of manufacturing.

Just help us understand, do you need to resolve that to be able to launch? Or is there a process by which you will be able to launch without finalizing the litigation?

Joseph McClellan

This is Joe McClellan. I will answer the first aspect regarding the resubmission, and I'll hand it over to answer the second part.

So regarding the resubmissions, as we communicated in early June, they were -- all of our BLAs were submitted in the complete response. We did get an acknowledgment letter for all of the submitted BLAs from the FDA that the application was submitted.

It was viewed as a complete response to the action letters we received in the fourth quarter of '25. And we were informed of goal dates in alignment with the 6-month clock upon resubmission.

Lisa Graver

And on your second question related to timing of launch. So as we've stated in the past, we commercialize through partners, and we do not comment ahead of our partners in terms of precise launch timing.

But what I will say is we do expect to see a decision in the ongoing litigation in the fourth quarter with respect to ourselves. We have also stated that we feel very strongly in our position that we will be able to be successful in that litigation.

And certainly, that does pave the way to launch. So approval, again, as we noted, expected in the fourth quarter, we also expect to see a decision as part of the litigation that we're in, in that fourth quarter. And again, we do feel very strongly in our IP position and that we will be successful ultimately in that litigation.

Operator

We will take our next question, and the question comes from Arvid Necander from DNB Carnegie.

Arvid Necander

So the first one on AVT05. Sorry, AVT16. So with the BLA accepted, how do you think about the U.S. launch window here? Teva appears to view this as a 2028 or beyond opportunity and market expectation seems to be quite limited biosimilar impact until the early 2030s.

So where do you realistically see the launch window today? And then my second one would be on expense versus capitalized development. So first off, do you still stand by roughly $250 million in total R&D spend for 2026? And secondly, consensus assumes a quite steep step-up in expense R&D from Q3. Does that make sense to you? Was there any sort of bolus or catch-up effect from the new capitalization policy that made the first half expense run rate unusually low. It would be great to get your comments on that.

Lisa Graver

So maybe I'll start with AVT16. So again, wanted being careful in terms of precise launch timing.

I do think with the submission, we are expecting an approval decision in early 2027. We do feel quite comfortable in our IP position on AVT16. We certainly will be working with our partner to take advantage of every opportunity to bring this into a near-term launch.

We think there is opportunity here just given our positioning and how quickly we were able to file this in advance of the rest of the field. So we will pursue this, and I think we will pursue this to the point where we can get a positive, of course, approval, but also a positive outcome in any patent litigation, which at this point, we are not involved in.

But to the extent that we do become, we do feel comfortable that we will be successful as well and hope for a near-term contribution from AVT16.

Linda Jonsdottir

On the R&D part, like looking at like where we are today with just over like $100 million in total R&D spend and roughly 50% of that capitalized. I'm expecting that trend to continue. So looking at the total year around 200 to 50% capitalized.

In terms of like Q3, Q4 R&D expense, I would say like assuming pretty even split between the 2 quarters.

Operator

[Operator Instructions] We will take our next question, and the question comes from Glen Santangelo from Barclays.

Glen Santangelo

I just wanted to ask a quick question about the guidance, and then I have a couple of follow-ups. With respect to the guidance, I was hopeful that you could maybe unpack what the expectation is in terms of development milestones in the back half of the year, just sort of given all the resubmissions and regulatory actions we're expecting. I'm kind of trying to parse that out because I fully appreciate the constraints that you've had on the manufacturing side and you're expecting product revenues to reaccelerate, but I'm just trying to separate those 2.

And then maybe for Joe, I appreciate some of the comments you made, but I just wanted to verify what you said with respect to the timing of a couple of submissions. I think, Joe, you said EYLEA is a '28 submission, if I heard that correctly, '29. And then the AVT80, I'm curious if you can sort of give us a time line on that as well.

Robert Wessman

Guidance.

Lisa Graver

I mean, just like thinking about the year holistically and the timing of the upcoming approvals, we -- that will lay the foundation for a strong full year in '27. And given the late timing of the potential approvals this year, like we do not expect any great contribution to the '26 numbers from that.

So I would rather think about the year like we are targeting strong Q4. We are coming out of a period which has been impacted by slowdown, which is concluding at the end of Q2. So we basically just started to operate close to full scale now at the end of Q2. So therefore, we can say like on the product level, we are confident in having a strong Q4 because like what we produced in Q2 will be commercial product in Q4.

So therefore, we are like guiding the year with a strong Q4 on that basis, also taking into account like license we have on the licensing side and the timing there, which can always be lumpy.

So I would say reaching the guidance like with a strong Q4, but like Q3 will still be impacted from the ramp-up that's happening now.

Glen Santangelo

Yes. I mean I kind of get all that right, but I'm just trying to really understand how much licensing revenue is incorporated in the second half of the year guidance to sort of, so I can segregate how much strength we're going to see on the product side.

Lisa Graver

Yes. I mean maybe Glen, to just add to that. So I think it's going to be a contribution clearly from both. I mean we don't break down quarterly license versus product. But what I would say in addition to what Linda already telegraphed there are certain earn milestones that we're projecting, but there's also milestones likely coming from, as I mentioned, actively engaged in new deal licensing efforts as we speak, and we do expect contribution from those activities through Q3, but most likely heavily weighted into Q4.

So it is a mix. It's a healthy mix, Glen, between both product revenue contribution and milestone with products increasingly contributing as we see Q4 come out.

Linda Jonsdottir

Yes. And like, I mean, the only flavor we have given historically on the milestone side, like in terms of numbers is around -- we've been saying it's somewhere around the $250 million a year.

However, like it can easily fluctuate up and down based on the exact timing of it. So it can be lumpy, but that's the only like a number flavor we've given to it holistically.

Glen Santangelo

Okay. That's helpful. And then my follow-up was the timing on AVT80 and AVT29, the time line for submissions.

Robert Wessman

Yes, absolutely. So I'll take EYLEA high dose first. So for EYLEA high dose in Europe, we have committed and stated that we -- it is a 2026 event.

So we will be doing that in Europe this year. Regarding a U.S. submission for AVT29, proposed biosimilar to EYLEA HD, that does require a clinical study for submission in the U.S. That study has been initiated.

We were the first to start a study on this, and that is anticipated to be a 2028 event. Regarding AVT80, we are -- as we've communicated, we have submitted both AVT16 and AVT80 to Europe.

We have communicated our 16 submission already in the U.S., and we anticipate communicating very soon that we have submission of AVT80 in the U.S.

Operator

Your question comes from the line of Christopher Uhde from SEB.

Christopher Uhde

Sorry about that. I was on mute. So my first question was on -- if there's anything you can give us about the status of the Fujifilm collaboration? And then secondly, what can you share about the provision that you took in the quarter? Was it related to the CRLs?

Lisa Graver

Christopher, on Fuji, so we are progressing well. Activities are well underway. I think we have said previously, we expect to start to see product coming out of Fuji in the second half of '27, more towards the back half of '27.

We are on track for that. I would say the collaboration is going well, and we're continuing to look at other ways we can work with Fuji. So on track, I think, is the message at this point.

Linda Jonsdottir

And on the provisioning here, so like -- I mean, it is about like commercial and contractual matters. And like, of course, given the nature of the size of our business and like the multiple partners we are working with, I think it's usual that provisions may be required from time to time like when issues arise.

So -- so like we are -- we need to evaluate this topic carefully. However, the underlying details of it remains confidential because it is like commercially very sensitive. So unfortunately, I can't really elaborate further on that now in this call.

Operator

This concludes today's question-and-answer session. I will now hand back for closing remarks.

Benedikt Stefansson

Yes. Thank you. And on behalf of all of us here at Alvotech, I want to thank everybody who participated in today's call and wish you a very good rest of the day. Goodbye.

Operator

Thank you. This concludes today's conference call. Thank you for participating. You may now disconnect.