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Puma Biotechnology (PBYI)
NASDAQ:PBYI
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Puma Biotechnology (PBYI) AI Stock Analysis

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PBYI

Puma Biotechnology

(NASDAQ:PBYI)

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Outperform 79 (OpenAI - 5.2)
Rating:79Outperform
Price Target:
$9.50
▲(19.05% Upside)
Action:Reiterated
Date:08/07/26
PBYI scores well primarily on strengthened financial performance (low leverage, positive profitability, and improved cash generation). The earnings call reinforces this with raised guidance and a debt-free balance sheet, though deductions/royalty risks and higher spending temper the outlook. Technicals are supportive but not strongly overextended, and valuation appears reasonable at ~16x earnings without dividend support.
Positive Factors
Balance sheet strength (debt-free, cash runway)
Elimination of term debt and nearly $94M in cash materially reduces fixed financing obligations and increases strategic optionality. This bolsters the company's ability to fund clinical programs, commercial investments, and absorb operational variability without near-term refinancing risk.
Negative Factors
High gross-to-net deductions (~28%)
A nearly 28% gross-to-net rate meaningfully reduces realized revenue per unit and limits margin expansion. Because payer mix and rebates drive this metric, it can persist and structurally constrain net sales growth even if volumes rise, pressuring long-run revenue durability.
Read all positive and negative factors
Positive Factors
Negative Factors
Balance sheet strength (debt-free, cash runway)
Elimination of term debt and nearly $94M in cash materially reduces fixed financing obligations and increases strategic optionality. This bolsters the company's ability to fund clinical programs, commercial investments, and absorb operational variability without near-term refinancing risk.
Read all positive factors

Puma Biotechnology (PBYI) vs. SPDR S&P 500 ETF (SPY)

Puma Biotechnology Business Overview & Revenue Model

Company Description
Puma Biotechnology, Inc. is a biopharmaceutical company dedicated to the global development and commercialization of treatments aimed at advancing cancer care. Its lead drug candidate, orally administered neratinib (PB272), targets a range of indi...
How the Company Makes Money
Puma Biotechnology generates revenue primarily from net product sales of NERLYNX (neratinib). The company sells NERLYNX into the pharmaceutical supply chain (e.g., specialty distributors and/or specialty pharmacies), and recognizes revenue based o...

Puma Biotechnology Earnings Call Summary

Earnings Call Date:Aug 06, 2026
(Q2-2026)
|
% Change Since: |
Next Earnings Date:Oct 29, 2026
Earnings Call Sentiment Positive
The call highlights strong commercial momentum: meaningful QoQ and YoY increases in NERLYNX demand and bottle sales, a return to GAAP profitability in Q2, raised full-year revenue and net income guidance, and elimination of debt. These positives are tempered by pressure from high gross-to-net deductions (~28%), potential royalty reductions in China when generics gain share, rising R&D spend and increased quarter-over-quarter cash burn, and operational items like elevated DSO and a QoQ decline in new patient starts. On balance, the company appears to be in a strengthening commercial and financial position while managing identifiable near-term risks tied to deductions, international royalties, and increased investment in clinical programs.
Positive Updates
Revenue and Product Sales Growth
Total revenue for Q2 2026 was $56.5M with net product revenue (NERLYNX) of $53.6M, up from $42.0M in Q1 2026 (≈+27.6% QoQ) and up from $49.2M in Q2 2025. Gross NERLYNX revenue was $74.3M in Q2 2026 versus $57.5M in Q1 2026.
Negative Updates
High Gross-to-Net Deductions
Gross-to-net adjustment was ~27.9% in Q2 2026 (up from ~27.0% in Q1 2026). Management attributes the high adjustment primarily to a higher Medicaid share, pressuring net realized revenue.
Read all updates
Q2-2026 Updates
Negative
Revenue and Product Sales Growth
Total revenue for Q2 2026 was $56.5M with net product revenue (NERLYNX) of $53.6M, up from $42.0M in Q1 2026 (≈+27.6% QoQ) and up from $49.2M in Q2 2025. Gross NERLYNX revenue was $74.3M in Q2 2026 versus $57.5M in Q1 2026.
Read all positive updates
Company Guidance
Puma updated 2026 guidance, raising net NERLYNX product revenue to $205–$209 million (up from prior $202–$206M), with a full‑year gross‑to‑net of 26.5%–27.5%, expected royalties of $19–$22 million (versus prior $20–$23M), and projected full‑year net income of $17–$20 million (versus prior $16–$19M); the company does not expect any license revenue in 2026 and will continue to record amortization/milestone expense of about $2.4 million per quarter as cost of sales. For Q3 2026 Puma guided net product revenue of $54–$56 million, royalties of $2–$3 million, a Q3 gross‑to‑net of roughly 26%–27%, and Q3 net income of $2.0–$2.5 million. Management also cautioned that the China sublicense contains a generics‑triggered royalty reduction that could occur in late 2026 or 2027 and noted the company is debt‑free with approximately $93.9 million in cash, cash equivalents and marketable securities at June 30, 2026.

Puma Biotechnology Financial Statement Overview

Summary
Financials show a clear improvement: profitability is positive (TTM net margin ~11.6%) with strong gross margin (~75%), the balance sheet is much stronger with very low leverage (TTM debt-to-equity ~0.03) and healthy ROE (~21%), and operating/free cash flow are currently strong and aligned with earnings. The main risk is durability given historically volatile revenue/margins and prior periods of weaker/negative cash flow.
Income Statement
78
Positive
Balance Sheet
86
Very Positive
Cash Flow
83
Very Positive
BreakdownTTMDec 2025Dec 2024Dec 2023Dec 2022Dec 2021
Income Statement
Total Revenue231.24M228.37M230.47M235.64M228.03M253.16M
Gross Profit173.04M170.21M166.06M172.96M172.94M189.45M
EBITDA47.67M53.34M48.08M47.52M21.89M-4.69M
Net Income26.72M31.11M30.28M21.59M2.00K-29.13M
Balance Sheet
Total Assets192.74M216.30M213.33M230.53M222.06M226.59M
Cash, Cash Equivalents and Short-Term Investments93.90M97.53M100.97M95.94M81.07M82.11M
Total Debt4.82M28.55M74.08M111.49M114.28M116.64M
Total Liabilities54.19M85.96M121.21M177.09M200.45M229.03M
Stockholders Equity138.54M130.34M92.13M53.44M21.61M-2.45M
Cash Flow
Free Cash Flow41.16M41.73M38.86M14.37M-22.83M20.65M
Operating Cash Flow41.15M41.80M38.92M27.01M-15.83M20.65M
Investing Cash Flow-16.02M-36.19M-20.44M-19.13M7.10M-10.88M
Financing Cash Flow-45.31M-45.20M-33.85M0.0012.22M-31.93M

Puma Biotechnology Technical Analysis

Technical Analysis Sentiment
Positive
Last Price7.98
Price Trends
50DMA
8.12
Positive
100DMA
7.66
Positive
200DMA
6.83
Positive
Market Momentum
MACD
0.32
Negative
RSI
61.58
Neutral
STOCH
83.13
Negative
Evaluating momentum and price trends is crucial in stock analysis to make informed investment decisions. For PBYI, the sentiment is Positive. The current price of 7.98 is below the 20-day moving average (MA) of 8.43, below the 50-day MA of 8.12, and above the 200-day MA of 6.83, indicating a bullish trend. The MACD of 0.32 indicates Negative momentum. The RSI at 61.58 is Neutral, neither overbought nor oversold. The STOCH value of 83.13 is Negative, not indicating any strong overbought or oversold conditions. Overall, these indicators collectively point to a Positive sentiment for PBYI.

Puma Biotechnology Risk Analysis

Puma Biotechnology disclosed 57 risk factors in its most recent earnings report. Puma Biotechnology reported the most risks in the "Legal & Regulatory" category.
Finance & Corporate - Financial and accounting risks. Risks related to the execution of corporate activity and strategy
Latest Risks Added 0 New Risks

Puma Biotechnology Peers Comparison

Overall Rating
UnderperformOutperform
Sector (51)
Financial Indicators
Name
Overall Rating
Market Cap
P/E Ratio
ROE
Dividend Yield
Revenue Growth
EPS Growth
79
Outperform
$489.87M16.9920.85%-2.86%-46.26%
52
Neutral
$419.26M-7.0872.64%51.98%17.68%
52
Neutral
$1.40B-0.07-91.63%69.48%
51
Neutral
$7.86B-0.30-43.30%2.27%22.53%-2.21%
48
Neutral
$210.12M-1.83-57.92%-19.07%2.07%
46
Neutral
$159.85M-1.30-108.05%45.08%
41
Neutral
$59.78M-1.65-300.90%0.99%-3014.75%
* Healthcare Sector Average
Performance Comparison
Ticker
Company Name
Price
Change
% Change
PBYI
Puma Biotechnology
9.11
3.89
74.52%
HRTX
Heron Therapeutics
0.31
-1.01
-76.59%
VYGR
Voyager Therapeutics
3.32
-0.04
-1.19%
FHTX
Foghorn Therapeutics
7.01
1.97
39.09%
VOR
Vor Biopharma
23.07
-20.33
-46.85%
TNYA
Tenaya Therapeutics
0.69
-0.47
-40.52%

Puma Biotechnology Corporate Events

Executive/Board ChangesShareholder Meetings
Puma Biotechnology Shareholders Back Governance, Reject Warrant Extension
Neutral
Jun 16, 2026
Puma Biotechnology, Inc. held its 2026 Annual Meeting of Stockholders on June 11, 2026, at its Los Angeles headquarters, where shareholders elected eight directors to one-year terms and ratified KPMG LLP as the independent registered accounting fi...
Glossary
BuyA stock rated as a "Buy" is expected to perform better than the overall market or a specific benchmark over the near-to-medium term. This rating suggests the stock is likely to deliver higher returns compared to other stocks in the same sector or market index. Note: This is not investment advice; please consult a financial advisor before making investment decisions.
HoldA stock rated as a "Hold" is expected to perform in line with the overall market or a specific benchmark. This rating indicates that the stock is neither particularly compelling nor unfavorable for investment. Note: This is not investment advice; please consult a financial advisor before making investment decisions.
SellA stock rated as a "Sell" is expected to perform worse than the overall market or a specific benchmark over the near-to-medium term. This rating suggests the stock may deliver lower returns compared to other stocks in the same sector or market index. Note: This is not investment advice; please consult a financial advisor before making investment decisions.

Disclaimer

This AI Analyst Stock Report is automatically generated by our AI systems using advanced algorithms and publicly available financial, technical, and market data. While the information provided aims to be accurate and insightful, it is intended for informational purposes only and should not be considered financial advice. Any content created by an AI (Artificial Intelligence) system may contain inaccuracies and/or contain errors. Investing in stocks carries inherent risks, and past performance is not indicative of future results. This report does not account for your personal financial circumstances, objectives, or risk tolerance. Always conduct your own research or consult with a qualified financial advisor before making investment decisions. The analysis and recommendations provided are based on historical and current data and may not fully reflect future market conditions or unexpected developments. Neither the creators of this report nor its affiliated entities guarantee the accuracy, completeness, or reliability of the information presented. Use this report at your own discretion and risk.Date of analysis: Aug 07, 2026