Sage Therapeutics' Q4 Earnings Miss Mark, Revenues Plunge Y/Y

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Sage Therapeutics, Inc. SAGE reported a loss of $1.56 per share for the fourth quarter of 2024, wider than the Zacks Consensus Estimate of a loss of $1.45. The company had reported a loss of 55 cents per share in the year-ago quarter.

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Revenues in the fourth quarter totaled $12.8 million, significantly down from $78 million reported in the year-ago period. Revenues missed the Zacks Consensus Estimate of $14 million.

The year-over-year revenue decline was due to a $75 million license and milestone revenue recorded in the year-ago quarter

SAGE markets its new depression drug Zurzuvae (zuranolone) in partnership with drug giant Biogen BIIB. Zurzuvae, the first and only oral treatment indicated for adults with postpartum depression (PPD), was approved in August 2023 and was commercially launched in December 2023.

In the past year, shares of Sage Therapeutics have plunged 68.7% compared with the industry’s decline of 9.5%.

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More on SAGE's Q4 Earnings

Total revenues in the reported quarter comprised product and collaboration revenues.

Product revenues came in at $0.4 million, recorded from the company’s first marketed drug, Zulresso (brexanolone), which was approved in 2019, as the first-ever FDA-approved treatment for adults with PPD. Zulresso sales plunged 63.3% year over year due to cannibalization from Zurzuvae.

Collaboration revenues from the sale of Zurzuvae were $11.4 million in the fourth quarter of 2024, up 3.6% on a sequential basis.

Sage Therapeutics and partner Biogen equally shares profits and losses for the commercialization of Zurzuvae in the United States. In ex-U.S. markets, Biogen records product sales (excluding Japan, Taiwan and South Korea, where Shionogi holds the rights) and pays royalties to SAGE.

BIIB recorded around $22.9 million in Zurzuvae product sales in the fourth quarter.

Per Sage Therapeutics, around 2,500 prescriptions were shipped and delivered during the quarter, representing an increase of 21% sequentially.

Research & development (R&D) expenses were $37 million, down 42.5% from the year-ago quarter’s levels. The downside was due to restructuring measures, including reduced headcount and lower spending on early-stage pipeline programs.

Selling, general and administrative expenses (SG&A) declined 2% from the prior-year quarter’s figure to $54 million. The downside was caused by reduced headcount and lower expenditures.

The company had $504 million in cash, cash equivalents and marketable securities as of Dec. 31, 2024 compared with $569 million on Sept. 30, 2024. This cash balance, combined with expected funding from collaboration revenues and potential savings from the recent reorganization, is expected to support SAGE’s ongoing operations into mid-2027.