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v3.26.3
Stock-Based Compensation - Schedule of Stock-Based Compensation Expense, Net (Details) - USD ($)
$ in Thousands
3 Months Ended 9 Months Ended
Sep. 30, 2026
Sep. 30, 2025
Sep. 30, 2026
Sep. 30, 2025
Share-based Compensation Arrangement by Share-based Payment Award, Compensation Cost [Line Items]        
Total stock-based compensation $ 13,937 $ 13,153 $ 41,704 $ 40,750
Income Statement Location: us-gaap:ResearchAndDevelopmentExpense        
Share-based Compensation Arrangement by Share-based Payment Award, Compensation Cost [Line Items]        
Total stock-based compensation 2,621 2,583 7,262 7,679
Income Statement Location: us-gaap:SellingGeneralAndAdministrativeExpense        
Share-based Compensation Arrangement by Share-based Payment Award, Compensation Cost [Line Items]        
Total stock-based compensation $ 11,316 $ 10,570 $ 34,442 $ 33,071
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v3.26.3
Product Revenue, Accounts Receivable and Reserves for Product Sales
9 Months Ended
Sep. 30, 2026
Revenue from Contract with Customer [Abstract]  
Product Revenue, Accounts Receivable and Reserves for Product Sales Product Revenue, Accounts Receivable and Reserves for Product Sales
The Company’s product revenue, net of sales discounts and allowances totaled $127.3 million and $97.8 million for the three months ended September 30, 2026 and September 30, 2025, respectively and $362.9 million and $282.0 million for the nine months ended September 30, 2026 and September 30, 2025, respectively. Product revenue by significant geographic region is as follows:
(in thousands)Three Months Ended September 30,Nine Months Ended September 30,
2026202520262025
United States
$95,323 $92,920 $274,445 $277,145 
Europe
23,256 4,880 63,216 4,880 
Japan
8,762 — 25,259 — 
Total product revenue, net
$127,341 $97,800 $362,920 $282,025 
The Company’s accounts receivable, net balance relating to VYJUVEK sales was $133.1 million as of September 30, 2026 and $127.4 million as of December 31, 2025. Accounts receivable, net from the Company’s customers who individually accounted for 10% or more of accounts receivable, net consisted of the following:
Percent of Accounts Receivable, Net
September 30,
2026
December 31,
2025
Customer A
61 %66 %
Customer B
*14 %
*Customer B’s AR balance represents less than 10% of outstanding accounts receivable, net as of September 30, 2026.
All other single customers represent less than 10% of outstanding accounts receivable, net as of September 30, 2026 and December 31, 2025.
The following table summarizes changes in allowances and discounts for the nine months ended September 30, 2026:
(in thousands)RebatesPrompt PayOther AccrualsTotal
Balance as of December 31, 2025
$61,905 $5,834 $378 $68,117 
Provisions73,821 9,117 334 83,272 
Payments/Credits(41,542)(10,802)(547)(52,891)
Balance as of September 30, 2026
$94,184 $4,149 $165 $98,498 
Rebate liabilities are included in accrued rebates and other long-term liabilities on the condensed consolidated balance sheets, as applicable, and were entirely classified as current as of September 30, 2026. Other long-term liabilities was comprised of $3.7 million of long-term accrued rebates as of December 31, 2025. Prompt pay discount is recorded as an allowance against accounts receivable, net on the condensed consolidated balance sheets. Other accruals are included in accrued expenses and other current liabilities on the condensed consolidated balance sheets. Provisions for rebates, prompt pay discounts and other accruals are recorded as reductions to product revenue, net on the condensed consolidated statements of operations and comprehensive income.
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v3.26.3
Summary of Significant Accounting Policies
9 Months Ended
Sep. 30, 2026
Accounting Policies [Abstract]  
Summary of Significant Accounting Policies Summary of Significant Accounting Policies
Basis of Presentation
The accompanying condensed consolidated financial statements have been prepared in conformity with generally accepted accounting principles in the United States of America (“GAAP”). In the opinion of management, all adjustments, which consist of all normal recurring adjustments necessary for a fair presentation of the Company’s financial position and results of operations for the interim periods presented, are reflected in the interim condensed consolidated financial statements. All intercompany balances and transactions have been eliminated in consolidation. Certain prior period amounts have been reclassified to conform to the current period presentation. The reclassified amounts have no impact on the Company’s previously reported financial position or results of operations.
The results of operations for the interim periods are not necessarily indicative of the results of operations to be expected for the full year. These unaudited condensed consolidated financial statements should be read in conjunction with the Company’s audited consolidated financial statements and the notes thereto included in the Company’s Annual Report on Form 10-K for the fiscal year ended December 31, 2025 (the “2025 10-K”), as filed with the U.S. Securities and Exchange Commission (“SEC”) on February 17, 2026.
Use of Estimates
The preparation of condensed consolidated financial statements in conformity with GAAP requires management to make estimates and assumptions that affect the reported amounts in the condensed consolidated financial statements and accompanying notes. Actual results could materially differ from those estimates. Management considers many factors and applies significant judgment in developing the estimates and assumptions that are used in the preparation of these financial statements. If actual results in the future vary from the Company’s estimates, the Company will adjust these estimates in the period these variances become known. Estimates are used in the following areas, among others: variable consideration associated with revenue recognition, stock-based compensation expense, accrued expenses, and income taxes.
Summary of Significant Accounting Policies
See Note 2 to our consolidated financial statements included in the 2025 10-K. There were no material changes to the Company’s significant accounting policies during the nine months ended September 30, 2026.
Recently Issued Accounting Pronouncements, Not Yet Adopted
There were no accounting pronouncements issued or adopted during the nine months ended September 30, 2026 that had or are expected to have a material impact on the Company’s condensed consolidated financial statements.
In November 2024, the Financial Accounting Standards Board (“FASB”) issued ASU 2024-03 Income Statement—Reporting Comprehensive Income—Expense Disaggregation Disclosures (Subtopic 220-40): Disaggregation of Income Statement Expenses. This standard calls for enhanced disclosures about components of expense captions on the face of the income statement. This standard will be effective for fiscal years beginning after December 15, 2026, with the option to apply it retrospectively. Early adoption is allowed. Currently, the Company is assessing the potential impact of this guidance on its financial statement disclosures.
In December 2025, the FASB issued ASU 2025-11 Interim Reporting (Topic 270): Narrow-Scope Improvements. This standard clarifies current interim reporting requirements on Topic 270 and introduces a disclosure principle requiring entities to disclose events since the end of the last annual reporting period that have a material impact on the entity. This standard will be effective for fiscal years beginning after December 15, 2027, with the option to apply it retrospectively. Early adoption is allowed. Currently, the Company is assessing the potential impact of this guidance on its financial statement disclosures.
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v3.26.3
Income Taxes (Details) - USD ($)
$ in Thousands
3 Months Ended 9 Months Ended
Sep. 30, 2026
Sep. 30, 2025
Sep. 30, 2026
Sep. 30, 2025
Income Tax Disclosure [Abstract]        
Income tax (expense) benefit $ 17,077 $ (31,398) $ 33,898 $ (15,091)
Valuation allowance       $ 48,400
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v3.26.3
Leases
9 Months Ended
Sep. 30, 2026
Leases [Abstract]  
Leases Leases
As of September 30, 2026, future minimum commitments under the Company’s operating leases with lease terms in excess of 12 months were as follows:
(in thousands)
Operating Leases
2026 (remaining three months)$472 
20271,919 
20281,954 
20291,990 
20302,016 
Thereafter7,279 
Future minimum operating lease payments15,630 
Less: Interest(7,042)
Present value of lease liability$8,588 
As of September 30, 2026 and December 31, 2025, the Company’s weighted-average remaining lease term for operating leases was 9.8 years and 10.1 years, respectively, and the Company’s weighted-average discount rate for operating leases was 9.7% as of September 30, 2026 and December 31, 2025.
The components of the Company’s lease expense are as follows:

Three Months Ended September 30,Nine Months Ended September 30,
(in thousands)2026202520262025
Operating lease expense$364 $368 $1,141 $1,182 
Variable lease expense123 58 241 177 
Total lease expense$487 $426 $1,382 $1,359 
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Leases (Tables)
9 Months Ended
Sep. 30, 2026
Leases [Abstract]  
Schedule of Future Minimum Operating Lease Payments
As of September 30, 2026, future minimum commitments under the Company’s operating leases with lease terms in excess of 12 months were as follows:
(in thousands)
Operating Leases
2026 (remaining three months)$472 
20271,919 
20281,954 
20291,990 
20302,016 
Thereafter7,279 
Future minimum operating lease payments15,630 
Less: Interest(7,042)
Present value of lease liability$8,588 
Schedule of Lease Expense
The components of the Company’s lease expense are as follows:

Three Months Ended September 30,Nine Months Ended September 30,
(in thousands)2026202520262025
Operating lease expense$364 $368 $1,141 $1,182 
Variable lease expense123 58 241 177 
Total lease expense$487 $426 $1,382 $1,359 
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v3.26.3
Product Revenue, Accounts Receivable and Reserves for Product Sales - Schedule of Product Revenue by Region (Details) - USD ($)
$ in Thousands
3 Months Ended 9 Months Ended
Sep. 30, 2026
Sep. 30, 2025
Sep. 30, 2026
Sep. 30, 2025
Disaggregation of Revenue [Line Items]        
Product revenue, net $ 127,341 $ 97,800 $ 362,920 $ 282,025
United States        
Disaggregation of Revenue [Line Items]        
Product revenue, net 95,323 92,920 274,445 277,145
Europe        
Disaggregation of Revenue [Line Items]        
Product revenue, net 23,256 4,880 63,216 4,880
Japan        
Disaggregation of Revenue [Line Items]        
Product revenue, net $ 8,762 $ 0 $ 25,259 $ 0
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v3.26.3
Leases - Schedule of Lease Expense (Details) - USD ($)
$ in Thousands
3 Months Ended 9 Months Ended
Sep. 30, 2026
Sep. 30, 2025
Sep. 30, 2026
Sep. 30, 2025
Leases [Abstract]        
Operating lease expense $ 364 $ 368 $ 1,141 $ 1,182
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v3.26.3
Fair Value Instruments - Schedule of Cash, Cash Equivalents and Available-for-Sale Securities (Details) - USD ($)
$ in Thousands
Sep. 30, 2026
Dec. 31, 2025
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]    
Cash and cash equivalents $ 462,841 $ 496,304
Gross Unrealized Gains 95 1,190
Gross Unrealized (Losses) (4,538) (8)
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Balance Sheet Location: us-gaap:LongTermInvestments    
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]    
Aggregate fair value, total 282,301 128,066
Level 2:    
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]    
Amortized Cost 735,754 458,371
Gross Unrealized Gains 95 1,190
Gross Unrealized (Losses) (4,538) (8)
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Debt securities, available-for-sale, term (in years) 1 year  
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Level 2: | Balance Sheet Location: us-gaap:LongTermInvestments | Minimum    
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]    
Debt securities, available-for-sale, term (in years) 1 year  
Level 2: | Balance Sheet Location: us-gaap:LongTermInvestments | Maximum    
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]    
Debt securities, available-for-sale, term (in years) 2 years  
Level 2: | Certificates of deposit    
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]    
Amortized Cost $ 11,771 4,875
Gross Unrealized Gains 0 3
Gross Unrealized (Losses) (10) 0
Aggregate Fair Value 11,761 4,878
Level 2: | Certificates of deposit | Balance Sheet Location: us-gaap:AvailableForSaleSecuritiesDebtSecuritiesCurrent    
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]    
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Level 2: | Certificates of deposit | Balance Sheet Location: us-gaap:LongTermInvestments    
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]    
Aggregate Fair Value 0
Level 2: | Commercial paper    
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]    
Amortized Cost 39,582 13,873
Gross Unrealized Gains 2
Gross Unrealized (Losses) (78) (1)
Aggregate Fair Value 39,504 13,874
Level 2: | Commercial paper | Balance Sheet Location: us-gaap:AvailableForSaleSecuritiesDebtSecuritiesCurrent    
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]    
Aggregate Fair Value 39,504 13,874
Level 2: | Commercial paper | Balance Sheet Location: us-gaap:LongTermInvestments    
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]    
Aggregate Fair Value 0 0
Level 2: | Corporate bonds    
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]    
Amortized Cost 299,894 202,960
Gross Unrealized Gains 91 525
Gross Unrealized (Losses) (1,912) (6)
Aggregate Fair Value 298,073 203,479
Level 2: | Corporate bonds | Balance Sheet Location: us-gaap:AvailableForSaleSecuritiesDebtSecuritiesCurrent    
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]    
Aggregate Fair Value 192,215 134,483
Level 2: | Corporate bonds | Balance Sheet Location: us-gaap:LongTermInvestments    
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]    
Aggregate Fair Value 105,858 68,996
Level 2: | U.S. government agency securities    
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]    
Amortized Cost 384,507 236,663
Gross Unrealized Gains 4 660
Gross Unrealized (Losses) (2,538) (1)
Aggregate Fair Value 381,973 237,322
Level 2: | U.S. government agency securities | Balance Sheet Location: us-gaap:AvailableForSaleSecuritiesDebtSecuritiesCurrent    
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]    
Aggregate Fair Value 205,530 178,252
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Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]    
Aggregate Fair Value 176,443 59,070
Cash and cash equivalents | Level 1:    
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]    
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Aggregate Fair Value $ 462,841 $ 496,304
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$ in Millions
3 Months Ended 9 Months Ended
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Sep. 30, 2025
Sep. 30, 2026
Sep. 30, 2025
Sep. 18, 2025
Loss Contingencies [Line Items]          
Insurance proceeds $ 3.0   $ 3.0    
Settled Litigation          
Loss Contingencies [Line Items]          
Loss contingency, corporate governance reform, period (in years)         5 years
Clinical Supply Agreements          
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Project management service fee $ 1.8 $ 2.3 $ 6.7 $ 6.6  
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Balance Sheet Components - Schedule of Property and Equipment, Net (Detail) - USD ($)
$ in Thousands
Sep. 30, 2026
Dec. 31, 2025
Property, Plant, and Equipment [Line Items]    
Total property and equipment $ 191,362 $ 182,057
Accumulated depreciation (39,072) (31,281)
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Building and building improvements    
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Total property and equipment 109,749 109,242
Leasehold improvements    
Property, Plant, and Equipment [Line Items]    
Total property and equipment 31,665 27,227
Manufacturing equipment    
Property, Plant, and Equipment [Line Items]    
Total property and equipment 31,123 29,279
Construction in progress    
Property, Plant, and Equipment [Line Items]    
Total property and equipment 9,950 8,108
Laboratory equipment    
Property, Plant, and Equipment [Line Items]    
Total property and equipment 4,026 3,490
Computer equipment and software    
Property, Plant, and Equipment [Line Items]    
Total property and equipment 2,632 2,559
Furniture and fixtures    
Property, Plant, and Equipment [Line Items]    
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Balance Sheet Components - Schedule of Inventory (Details) - USD ($)
$ in Thousands
Sep. 30, 2026
Dec. 31, 2025
Balance Sheet Related Disclosures [Abstract]    
Raw materials $ 17,785 $ 15,938
Work-in-process 22,053 15,224
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Inventory $ 50,787 $ 40,475
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v3.26.3
Net Income Per Share Attributable to Common Stockholders
9 Months Ended
Sep. 30, 2026
Earnings Per Share [Abstract]  
Net Income Per Share Attributable to Common Stockholders Net Income Per Share Attributable to Common Stockholders
Basic net income per share attributable to common stockholders is calculated by dividing net income attributable to common stockholders by the weighted-average shares outstanding during the period, without consideration for common stock equivalents. Diluted net income per share attributable to common stockholders is computed by dividing the net income by the weighted-average number of shares of common stock and common stock equivalents outstanding for the period. Common stock equivalents consist of common stock issuable upon (1) exercise of stock options and (2) vesting of restricted stock awards, restricted stock units and performance-based restricted stock units (collectively, “restricted stock”).
For the three months ended September 30, 2026 and 2025, respectively, there were 329 thousand and 664 thousand common stock equivalents outstanding in the form of stock options and zero and 125 thousand in unvested restricted stock, that have each been excluded from the calculation of diluted net income per common share as their effect would be anti-dilutive.
For the nine months ended September 30, 2026 and 2025, respectively, there were 256 thousand and 568 thousand common stock equivalents outstanding in the form of stock options and zero and 98 thousand in unvested restricted stock, that have each been excluded from the calculation of diluted net income per common share as their effect would be anti-dilutive.
Three Months Ended September 30,Nine Months Ended September 30,
(in thousands, except per share data)
2026202520262025
Numerator:
Net income
$63,068 $79,365 $173,768 $153,431 
Denominator:
Weighted-average basic common shares
29,610 28,953 29,477 28,893 
Dilutive effect of stock options and unvested restricted stock1,228 880 1,203 936 
Weighted-average diluted common shares30,838 29,833 30,680 29,829 
Net income per common share—basic
$2.13 $2.74 $5.90 $5.31 
Net income per common share—diluted$2.05 $2.66 $5.66 $5.14 
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v3.26.3
Product Revenue, Accounts Receivable and Reserves for Product Sales - Schedule of Changes in Allowances and Discounts (Details)
$ in Thousands
9 Months Ended
Sep. 30, 2026
USD ($)
Accounts Receivable, Allowance For Credit Loss [Roll Forward]  
Beginning balance $ 68,117
Provisions 83,272
Payments/Credits (52,891)
Ending balance 98,498
Rebates  
Accounts Receivable, Allowance For Credit Loss [Roll Forward]  
Beginning balance 61,905
Provisions 73,821
Payments/Credits (41,542)
Ending balance 94,184
Prompt Pay  
Accounts Receivable, Allowance For Credit Loss [Roll Forward]  
Beginning balance 5,834
Provisions 9,117
Payments/Credits (10,802)
Ending balance 4,149
Other Accruals  
Accounts Receivable, Allowance For Credit Loss [Roll Forward]  
Beginning balance 378
Provisions 334
Payments/Credits (547)
Ending balance $ 165
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v3.26.3
Leases - Schedule of Future Minimum Operating Lease Payments (Details)
$ in Thousands
Sep. 30, 2026
USD ($)
Leases [Abstract]  
2026 (remaining three months) $ 472
2027 1,919
2028 1,954
2029 1,990
2030 2,016
Thereafter 7,279
Future minimum operating lease payments 15,630
Less: Interest (7,042)
Present value of lease liability $ 8,588
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v3.26.3
Stock-Based Compensation - Schedule of Restricted Stock Units and PSU Activity (Details) - $ / shares
9 Months Ended
Sep. 30, 2026
Sep. 30, 2025
Restricted Stock Units (RSUs)    
Number of Shares    
Beginning balance (in shares) 331,574 308,096
Granted (in shares) 102,298 136,756
Vested (in shares) (107,417) (84,254)
Forfeited/surrendered for taxes (in shares) (21,994) (30,506)
Ending balance (in shares) 304,461 330,092
Weighted-Average Grant Date Fair Value    
Beginning balance (in usd per share) $ 152.97 $ 135.22
Granted (in usd per share) 279.16 177.91
Vested (in usd per share) 143.62 129.66
Forfeited/ surrendered for taxes (in usd per share) 170.92 153.81
Ending balance (in usd per share) $ 197.37 $ 152.61
Performance Shares    
Number of Shares    
Beginning balance (in shares) 56,250 137,500
Granted (in shares) 43,536 0
Vested (in shares) (56,250) (81,250)
Forfeited/surrendered for taxes (in shares) 0 0
Ending balance (in shares) 43,536 56,250
Weighted-Average Grant Date Fair Value    
Beginning balance (in usd per share) $ 159.47 $ 145.37
Granted (in usd per share) 275.64 0
Vested (in usd per share) 159.47 135.61
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v3.26.3
Product Revenue, Accounts Receivable and Reserves for Product Sales - Narrative (Details) - USD ($)
$ in Thousands
3 Months Ended 9 Months Ended
Sep. 30, 2026
Sep. 30, 2025
Sep. 30, 2026
Sep. 30, 2025
Dec. 31, 2025
Revenue from Contract with Customer [Abstract]          
Product revenue, net $ 127,341 $ 97,800 $ 362,920 $ 282,025  
Accounts receivable, net 133,115   133,115   $ 127,425
Long-term accrued rebates $ 3,700   $ 3,700   $ (3,700)
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9 Months Ended
Sep. 30, 2026
Balance Sheet Related Disclosures [Abstract]  
Schedule of Inventory
Inventory consisted of the following:
(in thousands)
September 30,
2026
December 31,
2025
Raw materials$17,785 $15,938 
Work-in-process22,053 15,224 
Finished goods10,949 9,313 
Inventory$50,787 $40,475 
Schedule of Property and Equipment, Net
Property and equipment, net consisted of the following:
(in thousands)
September 30,
2026
December 31,
2025
Building and building improvements$109,749 $109,242 
Leasehold improvements31,665 27,227 
Manufacturing equipment31,123 29,279 
Construction in progress
9,950 8,108 
Laboratory equipment4,026 3,490 
Computer equipment and software2,632 2,559 
Furniture and fixtures2,217 2,152 
Total property and equipment191,362 182,057 
Accumulated depreciation(39,072)(31,281)
Property and equipment, net$152,290 $150,776 
Schedule of Accrued Expenses and Other Current Liabilities
Accrued expenses and other current liabilities consisted of the following as of September 30, 2026 and December 31, 2025:
(in thousands)
September 30,
2026
December 31,
2025
Accrued taxes16,869 10,919 
Accrued payroll and benefits8,400 11,457 
Other current liabilities4,326 3,579 
Accrued preclinical and clinical expenses4,093 4,667 
Accrued professional fees3,334 5,936 
Accrued inventory1,751 1,005 
Accrued construction in progress640 2,189 
Accrued expenses and other current liabilities
$39,413 $39,752 
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$ in Thousands
Sep. 30, 2026
Dec. 31, 2025
Balance Sheet Related Disclosures [Abstract]    
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Segment Information - Schedule of Segment Reporting Information, by Segment (Details) - USD ($)
$ in Thousands
3 Months Ended 9 Months Ended
Sep. 30, 2026
Jun. 30, 2026
Mar. 31, 2026
Sep. 30, 2025
Jun. 30, 2025
Mar. 31, 2025
Sep. 30, 2026
Sep. 30, 2025
Segment Reporting [Line Items]                
Product revenue, net $ 127,341     $ 97,800     $ 362,920 $ 282,025
Cost of goods sold 7,556     4,263     20,316 16,457
Research and development 14,891     14,585     44,739 43,251
Selling, general and administrative 33,749     37,578     114,612 105,292
Income from operations 71,145     41,374     183,253 117,025
Interest and other income, net 9,000     6,593     24,413 21,315
Income before income taxes 80,145     47,967     207,666 138,340
Income tax (expense) benefit (17,077)     31,398     (33,898) 15,091
Net income $ 63,068 $ 54,768 $ 55,932 $ 79,365 $ 38,333 $ 35,733 $ 173,768 $ 153,431
Reportable Segment                
Segment Reporting [Line Items]                
Gross margin 94.00%     96.00%     94.00% 94.00%
Research and development $ 14,891     $ 14,585     $ 44,739 $ 43,251
Selling, general and administrative 33,749     37,578     114,612 105,292
Income from operations 71,145     41,374     183,253 117,025
Interest and other income, net 9,000     6,593     24,413 21,315
Income before income taxes 80,145     47,967     207,666 138,340
Income tax (expense) benefit (17,077)     31,398     (33,898) 15,091
Net income 63,068     79,365     173,768 153,431
B-VEC | Reportable Segment                
Segment Reporting [Line Items]                
Research and development 738     1,810     2,839 6,144
KB111 | Reportable Segment                
Segment Reporting [Line Items]                
Research and development 380     568     1,721 1,309
KB113 | Reportable Segment                
Segment Reporting [Line Items]                
Research and development 319     0     328 0
KB304 | Reportable Segment                
Segment Reporting [Line Items]                
Research and development 23     244     52 906
KB407 | Reportable Segment                
Segment Reporting [Line Items]                
Research and development 542     608     1,821 1,272
KB408 | Reportable Segment                
Segment Reporting [Line Items]                
Research and development 236     248     530 763
KB707 | Reportable Segment                
Segment Reporting [Line Items]                
Research and development 1,847     3,181     7,288 8,342
KB801 | Reportable Segment                
Segment Reporting [Line Items]                
Research and development 1,355     359     3,357 1,233
KB803 | Reportable Segment                
Segment Reporting [Line Items]                
Research and development 222     401     1,845 1,291
Other product candidates | Reportable Segment                
Segment Reporting [Line Items]                
Research and development 1,497     722     2,957 2,041
Other research and development costs | Reportable Segment                
Segment Reporting [Line Items]                
Research and development $ 7,732     $ 6,444     $ 22,001 $ 19,950
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v3.26.3
Segment Information
9 Months Ended
Sep. 30, 2026
Segment Reporting [Abstract]  
Segment Information Segment Information
The Company operates as one operating segment, which is focused on the discovery, development, manufacturing and commercialization of genetic medicines to treat diseases with high unmet medical needs. The Company’s chief operating decision maker (“CODM”), our chief executive officer, utilizes financial information presented on a consolidated basis to manage and allocate resources. The CODM uses consolidated gross margin, operating margin, net income and total research and development expenses by product candidate or program to assess performance, forecast future financial results and to allocate resources.
The following table presents selected financial information with respect to the Company’s single operating segment for the three and nine months ended September 30, 2026, and 2025:

Three Months Ended September 30,Nine Months Ended September 30,
(in thousands)2026202520262025
Product revenue, net
$127,341 $97,800 $362,920 $282,025 
Cost of goods sold7,556 4,263 20,316 16,457 
Gross margin
94 %96 %94 %94 %
B-VEC738 1,810 2,839 6,144 
KB111
380 568 1,721 1,309 
KB113319 — 328 — 
KB30423 244 52 906 
KB407542 608 1,821 1,272 
KB408236 248 530 763 
KB7071,847 3,181 7,288 8,342 
KB801
1,355 359 3,357 1,233 
KB803222 401 1,845 1,291 
Other product candidates1,497 722 2,957 2,041 
Other research and development costs (1)
7,732 6,444 22,001 19,950 
Total research and development
14,891 14,585 44,739 43,251 
Selling, general and administrative
33,749 37,578 114,612 105,292 
Income from operations
$71,145 $41,374 $183,253 $117,025 
Other income
Interest and other income, net9,000 6,593 24,413 21,315 
Income before income taxes
80,145 47,967 207,666 138,340 
Income tax (expense) benefit(17,077)31,398 (33,898)15,091 
Net income
$63,068 $79,365 $173,768 $153,431 
(1)Includes stock-based compensation and other unallocated expenses which consist of shared pre-commercial manufacturing costs, primarily relating to certain raw materials, process development, quality control and quality assurance activities, as well as other manufacturing and facility related costs including rent, storage and depreciation which support the development of multiple product candidates.
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v3.26.3
Stock-Based Compensation - Narrative (Details)
$ / shares in Units, shares in Thousands, $ in Millions
3 Months Ended 9 Months Ended
Sep. 30, 2026
USD ($)
$ / shares
shares
Sep. 30, 2025
USD ($)
$ / shares
Sep. 30, 2026
USD ($)
$ / shares
shares
Sep. 30, 2025
USD ($)
$ / shares
Dec. 31, 2017
shares
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]          
Period increase in shares authorized (in percent)     0.04    
Exercised $ 8.5 $ 4.8 $ 71.0 $ 8.1  
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Share-based Compensation Arrangement by Share-based Payment Award [Line Items]          
Amount capitalized $ 0.9 $ 1.1 $ 2.9 $ 3.0  
2017 IPO Stock Plan          
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]          
Shares reserved (in shares) | shares         900
Stock Incentive Plan          
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]          
Shares remaining available for grant (in shares) | shares 1,500   1,500    
Stock Options          
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]          
Weighted-average grant-date fair value per share of options granted (in usd per share) | $ / shares $ 210.16 $ 108.46 $ 183.75 $ 109.74  
Stock Options | Director          
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]          
Unrecognized stock-based compensation expense $ 95.0   $ 95.0    
Estimated weighted average period (in years)     3 years    
Stock Options | 2017 IPO Stock Plan          
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]          
Shares reserved (in shares) | shares         900
Restricted Stock Units (RSUs)          
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]          
Unrecognized stock-based compensation expense 47.7   $ 47.7    
Estimated weighted average period (in years)     2 years 8 months 12 days    
Performance Shares          
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]          
Unrecognized stock-based compensation expense $ 9.6   $ 9.6    
Estimated weighted average period (in years)     2 years 4 months 24 days    
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v3.26.3
Income Taxes
9 Months Ended
Sep. 30, 2026
Income Tax Disclosure [Abstract]  
Income Taxes Income Taxes
The Company recorded an income tax expense of $17.1 million and $33.9 million for the three and nine months ended September 30, 2026, respectively. The tax expense for interim periods is calculated using an estimate of the annual effective tax rate, adjusted for discrete items. If there are any changes to the estimated annual effective tax rate, the Company will make a cumulative adjustment to the income tax provision in the period the change becomes known. The Company recorded an income tax benefit of $31.4 million and $15.1 million for the three and nine months ended September 30, 2025, respectively.
We monitor the realizability of our deferred tax assets taking into consideration all relevant factors at each reporting period. As of September 30, 2026, except for certain state net operating loss carryforward and tax credit carryforward, we do not have valuation allowance against deferred tax assets. As of September 30, 2025, we released $48.4 million of our valuation allowance associated with the U.S. federal and state deferred tax assets, except for those related to certain state net operating loss carryforwards and tax credit carryforwards. We continue to maintain a full valuation allowance against certain state attributes as of September 30, 2026, because we concluded they are not more likely than not to be realized as we expect certain state attribute generation in future years to exceed our ability to use these deferred tax assets.
We are subject to income taxes in the U.S. and in many foreign jurisdictions. Significant judgment is required in determining our provision for income taxes, our deferred tax assets and liabilities and any valuation allowance recorded against our net deferred tax assets that are not more likely than not to be realized. The determination of the realizability of deferred tax assets requires significant judgment in assessing the likelihood of future tax consequences. The Company previously maintained a full valuation allowance against its U.S. federal and state deferred tax assets due to historical cumulative losses and uncertainty regarding the realization of such assets. The Company will continue to evaluate all available evidence each reporting period and may adjust the valuation allowance in future periods if estimates of future taxable income or other relevant factors change.
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Cover - shares
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Sep. 30, 2026
Oct. 28, 2026
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Document Type 10-Q  
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Entity Registrant Name Krystal Biotech, Inc.  
Entity Incorporation, State or Country Code DE  
Entity Tax Identification Number 82-1080209  
Entity Address, Address Line One 2100 Wharton Street,  
Entity Address, Address Line Two Suite 701  
Entity Address, City or Town Pittsburgh,  
Entity Address, State or Province PA  
Entity Address, Postal Zip Code 15203  
City Area Code 412  
Local Phone Number 586-5830  
Title of 12(b) Security Common Stock  
Trading Symbol KRYS  
Security Exchange Name NASDAQ  
Entity Current Reporting Status Yes  
Entity Interactive Data Current Yes  
Entity Filer Category Large Accelerated Filer  
Entity Small Business false  
Entity Emerging Growth Company false  
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Entity Common Stock, Shares Outstanding   29,633,472
Entity Central Index Key 0001711279  
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v3.26.3
Segment Information - Narrative (Details)
9 Months Ended
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segment
Segment Reporting [Abstract]  
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v3.26.3
Insider Trading Arrangements
3 Months Ended
Sep. 30, 2026
shares
Trading Arrangements, by Individual  
Non-Rule 10b5-1 Arrangement Adopted false
Rule 10b5-1 Arrangement Terminated false
Non-Rule 10b5-1 Arrangement Terminated false
Kathryn Romano [Member]  
Trading Arrangements, by Individual  
Material Terms of Trading Arrangement
On August 31, 2026, Kathryn Romano, our Executive Vice President & Chief Accounting Officer, adopted a Rule 10b5-1 trading arrangement that is intended to satisfy the affirmative defense conditions of Rule 10b5-1(c) under the Exchange Act for the sale of up to 11,527 shares of our common stock (including up to 10,927 shares to be acquired upon the exercise of vested stock options), the exercise of vested stock options for up to 1,573 shares of our common stock to be held by Ms. Romano, and a charitable gift of up to 1,163 shares of our common stock, in each case subject to certain conditions. The trading arrangement will terminate on December 31, 2027, subject to early termination in accordance with its terms, including upon the completion of all transactions contemplated by the trading arrangement.
Name Kathryn Romano
Title Executive Vice President & Chief Accounting Officer
Rule 10b5-1 Arrangement Adopted true
Adoption Date August 31, 2026
Expiration Date December 31, 2027
Arrangement Duration 487 days
Aggregate Available 11,527
Laurent Goux [Member]  
Trading Arrangements, by Individual  
Material Terms of Trading Arrangement
On September 10, 2026, Laurent Goux, our Executive Vice President, Head of International, adopted a Rule 10b5-1 trading arrangement that is intended to satisfy the affirmative defense conditions of Rule 10b5-1(c) under the Exchange Act for the sale of up to 3,045 shares of our common stock to be acquired upon the exercise of vested stock options, subject to certain conditions. The trading arrangement will terminate on September 10, 2027, subject to early termination in accordance with its terms, including upon the completion of the sale of all of the shares of our common stock subject to the trading arrangement.
Name Laurent Goux
Title Executive Vice President, Head of International
Rule 10b5-1 Arrangement Adopted true
Adoption Date September 10, 2026
Expiration Date September 10, 2027
Arrangement Duration 365 days
Aggregate Available 3,045
Kathryn Romano Trading Arrangement, Common Stock To Be Acquired [Member] | Kathryn Romano [Member]  
Trading Arrangements, by Individual  
Aggregate Available 10,927
Kathryn Romano Trading Arrangement, Common Stock To Be Held [Member] | Kathryn Romano [Member]  
Trading Arrangements, by Individual  
Aggregate Available 1,573
Kathryn Romano Trading Arrangement, Chartitable Gift [Member] | Kathryn Romano [Member]  
Trading Arrangements, by Individual  
Aggregate Available 1,163
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v3.26.3
Subsequent Events (Details)
$ in Millions
Oct. 31, 2026
USD ($)
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v3.26.3
Fair Value Instruments (Tables)
9 Months Ended
Sep. 30, 2026
Fair Value Disclosures [Abstract]  
Schedule of Cash, Cash Equivalents and Available-for-Sale Securities
The following tables show the Company’s cash and cash equivalents and available-for-sale securities by significant investment category as of September 30, 2026 and December 31, 2025:
September 30, 2026
(in thousands)
Amortized Cost
Gross Unrealized Gains
Gross Unrealized (Losses)
Aggregate Fair Value
Cash and Cash Equivalents
Short-term Marketable Securities(1)
Long-term Marketable Securities(2)
Level 1:
Cash and cash equivalents$462,841 $— $— $462,841 $462,841 $— $— 
Subtotal462,841 — — 462,841 462,841 — — 
Level 2:
Certificates of deposit$11,771 $— $(10)$11,761 $— $11,761 $— 
Commercial paper39,582 (78)39,504 — 39,504 — 
Corporate bonds299,894 91 (1,912)298,073 — 192,215 105,858 
U.S. government agency securities384,507 4 (2,538)381,973 — 205,530 176,443 
Subtotal735,754 95 (4,538)731,311 — 449,010 282,301 
Total$1,198,595 $95 $(4,538)$1,194,152 $462,841 $449,010 $282,301 
December 31, 2025
(in thousands)
Amortized Cost
Gross Unrealized Gains
Gross Unrealized (Losses)
Aggregate Fair Value
Cash and Cash Equivalents
Short-term Marketable Securities(1)
Long-term Marketable Securities(2)
Level 1:
Cash and cash equivalents$496,304 $— $— $496,304 $496,304 $— $— 
Subtotal496,304 — — 496,304 496,304 — — 
Level 2:
Certificates of deposit4,875 3 — 4,878 4,878 
Commercial paper13,873 2 (1)13,874 — 13,874 — 
Corporate bonds202,960 525 (6)203,479 — 134,483 68,996 
U.S. government agency securities236,663 660 (1)237,322 — 178,252 59,070 
Subtotal458,371 1,190 (8)459,553 — 331,487 128,066 
Total$954,675 $1,190 $(8)$955,857 $496,304 $331,487 $128,066 
(1)The Company’s short-term marketable securities mature in one year or less.
(2)The Company’s long-term marketable securities mature between one and two years.
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v3.26.3
Leases - Narrative (Details)
Sep. 30, 2026
Dec. 31, 2025
Leases [Abstract]    
Weighted average remaining lease term (in years) 9 years 9 months 18 days 10 years 1 month 6 days
Weighted average discount rate (in percent) 9.70% 9.70%
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v3.26.3
Stock-Based Compensation - Schedule of Stock Option Activity (Details) - USD ($)
$ / shares in Units, $ in Thousands
9 Months Ended 12 Months Ended
Sep. 30, 2026
Sep. 30, 2025
Dec. 31, 2025
Dec. 31, 2024
Stock Options Outstanding        
Beginning balance (in shares) 2,030,417 2,049,063 2,049,063  
Granted (in shares) 390,042 385,403    
Exercised (in shares) (337,039) (102,468)    
Cancelled or forfeited (in shares) (84,713) (95,851)    
Ending balance (in shares) 1,998,707 2,236,147 2,030,417 2,049,063
Exercisable end of period (in shares) 1,219,147 1,307,004    
Weighted-Average Exercise Price        
Beginning balance (in usd per share) $ 99.45 $ 82.69 $ 82.69  
Granted (in usd per share) 290.49 166.80    
Exercised (in usd per share) 74.43 68.04    
Cancelled or forfeited (in usd per share) 163.54 107.43    
Ending balance (in usd per share) 138.23 96.80 $ 99.45 $ 82.69
Exercisable end of period (in usd per share) $ 84.04 $ 72.71    
Weighted-Average Remaining Contractual Life (in years)        
Weighted-average remaining contractual life (Years) 6 years 9 months 18 days 7 years 6 years 9 months 18 days 7 years 3 months 18 days
Weighted-average remaining contractual life (Years), exercisable 5 years 7 months 6 days 6 years 1 month 6 days    
Aggregate Intrinsic Value        
Aggregate intrinsic value, beginning balance, outstanding $ 298,662 $ 156,404 $ 156,404  
Aggregate intrinsic value, ending balance, outstanding 389,434 180,418 $ 298,662 $ 156,404
Exercisable, ending balance $ 302,977 $ 136,219    
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v3.26.3
Summary of Significant Accounting Policies (Policies)
9 Months Ended
Sep. 30, 2026
Accounting Policies [Abstract]  
Basis of Presentation
Basis of Presentation
The accompanying condensed consolidated financial statements have been prepared in conformity with generally accepted accounting principles in the United States of America (“GAAP”). In the opinion of management, all adjustments, which consist of all normal recurring adjustments necessary for a fair presentation of the Company’s financial position and results of operations for the interim periods presented, are reflected in the interim condensed consolidated financial statements. All intercompany balances and transactions have been eliminated in consolidation. Certain prior period amounts have been reclassified to conform to the current period presentation. The reclassified amounts have no impact on the Company’s previously reported financial position or results of operations.
The results of operations for the interim periods are not necessarily indicative of the results of operations to be expected for the full year. These unaudited condensed consolidated financial statements should be read in conjunction with the Company’s audited consolidated financial statements and the notes thereto included in the Company’s Annual Report on Form 10-K for the fiscal year ended December 31, 2025 (the “2025 10-K”), as filed with the U.S. Securities and Exchange Commission (“SEC”) on February 17, 2026.
Use of Estimates
Use of Estimates
The preparation of condensed consolidated financial statements in conformity with GAAP requires management to make estimates and assumptions that affect the reported amounts in the condensed consolidated financial statements and accompanying notes. Actual results could materially differ from those estimates. Management considers many factors and applies significant judgment in developing the estimates and assumptions that are used in the preparation of these financial statements. If actual results in the future vary from the Company’s estimates, the Company will adjust these estimates in the period these variances become known. Estimates are used in the following areas, among others: variable consideration associated with revenue recognition, stock-based compensation expense, accrued expenses, and income taxes.
Recently Issued Accounting Pronouncements, Not Yet Adopted
Recently Issued Accounting Pronouncements, Not Yet Adopted
There were no accounting pronouncements issued or adopted during the nine months ended September 30, 2026 that had or are expected to have a material impact on the Company’s condensed consolidated financial statements.
In November 2024, the Financial Accounting Standards Board (“FASB”) issued ASU 2024-03 Income Statement—Reporting Comprehensive Income—Expense Disaggregation Disclosures (Subtopic 220-40): Disaggregation of Income Statement Expenses. This standard calls for enhanced disclosures about components of expense captions on the face of the income statement. This standard will be effective for fiscal years beginning after December 15, 2026, with the option to apply it retrospectively. Early adoption is allowed. Currently, the Company is assessing the potential impact of this guidance on its financial statement disclosures.
In December 2025, the FASB issued ASU 2025-11 Interim Reporting (Topic 270): Narrow-Scope Improvements. This standard clarifies current interim reporting requirements on Topic 270 and introduces a disclosure principle requiring entities to disclose events since the end of the last annual reporting period that have a material impact on the entity. This standard will be effective for fiscal years beginning after December 15, 2027, with the option to apply it retrospectively. Early adoption is allowed. Currently, the Company is assessing the potential impact of this guidance on its financial statement disclosures.
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v3.26.3
Product Revenue, Accounts Receivable and Reserves for Product Sales - Schedules of Concentration of Risk, by Risk Factor (Details) - Accounts Receivable Net Benchmark - Customer Concentration Risk
9 Months Ended 12 Months Ended
Sep. 30, 2026
Dec. 31, 2025
Customer A    
Concentration Risk [Line Items]    
Percent of Accounts Receivable, Net (in percent) 61.00% 66.00%
Customer B    
Concentration Risk [Line Items]    
Percent of Accounts Receivable, Net (in percent)   14.00%
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Balance Sheet Components
9 Months Ended
Sep. 30, 2026
Balance Sheet Related Disclosures [Abstract]  
Balance Sheet Components Balance Sheet Components
Inventory
Inventory consisted of the following:
(in thousands)
September 30,
2026
December 31,
2025
Raw materials$17,785 $15,938 
Work-in-process22,053 15,224 
Finished goods10,949 9,313 
Inventory$50,787 $40,475 
Property and Equipment, Net
Property and equipment, net consisted of the following:
(in thousands)
September 30,
2026
December 31,
2025
Building and building improvements$109,749 $109,242 
Leasehold improvements31,665 27,227 
Manufacturing equipment31,123 29,279 
Construction in progress
9,950 8,108 
Laboratory equipment4,026 3,490 
Computer equipment and software2,632 2,559 
Furniture and fixtures2,217 2,152 
Total property and equipment191,362 182,057 
Accumulated depreciation(39,072)(31,281)
Property and equipment, net$152,290 $150,776 
Depreciation expense was $1.5 million and $1.4 million for the three months ended September 30, 2026 and 2025, respectively, and $4.3 million and $4.2 million for the nine months ended September 30, 2026 and 2025, respectively. Depreciation expense capitalized into inventory was $1.2 million and $1.1 million for the three months ended September 30, 2026 and 2025, respectively, and $3.4 million and $3.1 million for the nine months ended September 30, 2026 and 2025, respectively.
Accrued Expenses and Other Current Liabilities
Accrued expenses and other current liabilities consisted of the following as of September 30, 2026 and December 31, 2025:
(in thousands)
September 30,
2026
December 31,
2025
Accrued taxes16,869 10,919 
Accrued payroll and benefits8,400 11,457 
Other current liabilities4,326 3,579 
Accrued preclinical and clinical expenses4,093 4,667 
Accrued professional fees3,334 5,936 
Accrued inventory1,751 1,005 
Accrued construction in progress640 2,189 
Accrued expenses and other current liabilities
$39,413 $39,752 
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Condensed Consolidated Balance Sheets - USD ($)
$ in Thousands
Sep. 30, 2026
Dec. 31, 2025
Current assets    
Cash and cash equivalents $ 462,841 $ 496,304
Short-term investments 449,010 331,487
Accounts receivable, net 133,115 127,425
Inventory 50,787 40,475
Prepaid taxes 8,537 14,006
Prepaid expenses and other current assets 17,472 14,905
Total current assets 1,121,762 1,024,602
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Long-term investments 282,301 128,066
Right-of-use assets 6,610 7,239
Deferred tax asset, net of valuation allowance 22,824 22,824
Other non-current assets 269 287
Total assets 1,586,056 1,333,794
Current liabilities    
Accounts payable 6,731 3,238
Current portion of lease liability 1,816 1,771
Accrued rebates 94,184 58,181
Accrued expenses and other current liabilities 39,413 39,752
Total current liabilities 142,144 102,942
Lease liability 6,772 7,568
Other long-term liabilities 1,556 3,724
Total liabilities 150,472 114,234
Commitments and contingencies (see note 7)
Stockholders’ equity    
Common stock; $0.00001 par value; 80,000 shares authorized as of September 30, 2026 and December 31, 2025; 29,631 and 29,192 shares issued and outstanding as of September 30, 2026 and December 31, 2025, respectively. 0 0
Additional paid-in capital 1,246,891 1,194,261
Accumulated other comprehensive (loss) gain (9,238) 1,136
Retained earnings 197,931 24,163
Total stockholders’ equity 1,435,584 1,219,560
Total liabilities and stockholders’ equity $ 1,586,056 $ 1,333,794
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v3.26.3
Condensed Consolidated Statements of Operations and Comprehensive Income - USD ($)
shares in Thousands, $ in Thousands
3 Months Ended 9 Months Ended
Sep. 30, 2026
Sep. 30, 2025
Sep. 30, 2026
Sep. 30, 2025
Statement of Comprehensive Income [Abstract]        
Product revenue, net $ 127,341 $ 97,800 $ 362,920 $ 282,025
Operating expenses        
Cost of goods sold 7,556 4,263 20,316 16,457
Research and development 14,891 14,585 44,739 43,251
Selling, general and administrative 33,749 37,578 114,612 105,292
Total operating expenses 56,196 56,426 179,667 165,000
Income from operations 71,145 41,374 183,253 117,025
Other income        
Interest and other income, net 9,000 6,593 24,413 21,315
Income before income taxes 80,145 47,967 207,666 138,340
Income tax (expense) benefit (17,077) 31,398 (33,898) 15,091
Net income 63,068 79,365 173,768 153,431
Unrealized (loss) gain on available-for-sale securities (2,835) 657 (5,625) 843
Foreign currency translation (2,068) (714) (4,749) 447
Comprehensive income $ 58,165 $ 79,308 $ 163,394 $ 154,721
Net income per common share:        
Basic (in usd per share) $ 2.13 $ 2.74 $ 5.90 $ 5.31
Diluted (in usd per share) $ 2.05 $ 2.66 $ 5.66 $ 5.14
Weighted-average common shares outstanding:        
Basic (in shares) 29,610 28,953 29,477 28,893
Diluted (in shares) 30,838 29,833 30,680 29,829
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v3.26.3
Stock-Based Compensation
9 Months Ended
Sep. 30, 2026
Share-Based Payment Arrangement [Abstract]  
Stock-Based Compensation Stock-Based Compensation
In 2017, the Company adopted the 2017 IPO Stock Incentive Plan (“Plan”), which governs the issuance of equity awards to employees, certain non-employee consultants, and directors. Initially, the Company reserved 900 thousand shares for issuance under the Plan with an initial sublimit for incentive stock options of 900 thousand shares. On an annual basis, the amount of shares available for issuance under the Plan increases by an amount equal to four percent of the total outstanding shares as of the last day of the preceding calendar year. The sublimit of incentive stock options is not subject to the increase. The Company has historically granted stock options, restricted stock awards (“RSAs”), restricted stock units (“RSUs”) and performance-based restricted stock units (“PSUs”) to certain employees.
Shares of common stock remaining available for grant under the Plan were approximately 1.5 million as of September 30, 2026.
Stock Options
The following table summarizes the Company’s stock option activity for the nine months ended September 30, 2026:
Stock Options Outstanding
Weighted-Average Exercise Price
Weighted-Average Remaining Contractual Life
(in years)
Aggregate Intrinsic Value(1)
(in thousands)
Outstanding as of December 31, 2025
2,030,417 $99.45 6.8$298,662 
Granted390,042 $290.49 
Exercised(337,039)$74.43 
Cancelled or forfeited(84,713)$163.54 
Outstanding as of September 30, 2026
1,998,707 $138.23 6.8$389,434 
Exercisable as of September 30, 2026
1,219,147 $84.04 5.6$302,977 
(1)Aggregate intrinsic value represents the difference between the closing stock price of our common stock on December 31, 2025 and September 30, 2026 and the exercise price of outstanding in-the-money options on the respective date.
The following table summarizes the Company’s stock option activity for the nine months ended September 30, 2025:
Stock Options Outstanding
Weighted-Average Exercise Price
Weighted-Average Remaining Contractual Life
(in years)
Aggregate Intrinsic Value(1)
(in thousands)
Outstanding as of December 31, 2024
2,049,063 $82.69 7.3$156,404 
Granted385,403 $166.80 
Exercised(102,468)$68.04 
Cancelled or forfeited(95,851)$107.43 
Outstanding as of September 30, 2025
2,236,147 $96.80 7.0$180,418 
Exercisable as of September 30, 2025
1,307,004 $72.71 6.1$136,219 
(1)Aggregate intrinsic value represents the difference between the closing stock price of our Common Stock on December 31, 2024 and September 30, 2025 and the exercise price of outstanding in-the-money options on the respective date.
The total intrinsic value (the amount by which the fair market value exceeds the exercise price) of stock options exercised was $8.5 million and $4.8 million during the three months ended September 30, 2026 and 2025, respectively, and $71.0 million and $8.1 million for the nine months ended September 30, 2026 and 2025, respectively.
The weighted-average grant-date fair value per share of options granted to employees and directors was $210.16 and $108.46 during the three months ended September 30, 2026 and 2025, respectively, and $183.75 and $109.74 for the nine months ended September 30, 2026 and 2025, respectively.
There was $95.0 million of unrecognized stock-based compensation expense related to employees’ and directors’ options that is expected to be recognized over a weighted-average period of 3.0 years as of September 30, 2026.

Restricted Stock Units
The following table summarizes the Company’s RSU activity:
Nine Months Ended September 30,
20262025
Number of Shares
Weighted-Average Grant Date Fair Value
Number of Shares
Weighted-Average Grant Date Fair Value
Non-vested RSUs, beginning of period
331,574 $152.97 308,096 $135.22 
Granted102,298 $279.16 136,756 $177.91 
Vested(107,417)$143.62 (84,254)$129.66 
Forfeited
(21,994)$170.92 (30,506)$153.81 
Non-vested RSUs, end of period
304,461 $197.37 330,092 $152.61 
There was $47.7 million of unrecognized stock-based compensation expense related to employees’ RSU awards that is expected to be recognized over a weighted-average period of 2.7 years as of September 30, 2026.
Performance-Based Restricted Stock Units
The following table summarizes the Company’s PSU activity:
Nine Months Ended September 30,
20262025
Number of Shares
Weighted-Average Grant Date Fair Value
Number of Shares
Weighted-Average Grant Date Fair Value
Non-vested PSUs, beginning of period
56,250 $159.47 137,500 $145.37 
Granted43,536 $275.64 — $— 
Vested(56,250)$159.47 (81,250)$135.61 
Forfeited
— $— — $— 
Non-vested PSUs, end of period
43,536 $275.64 56,250 $159.47 
PSUs granted during the period are subject to regulatory performance-based vesting conditions, as determined by the Compensation Committee of the Company’s Board of Directors, and vest on a three year cliff basis upon satisfaction of such conditions.
There was $9.6 million of unrecognized stock-based compensation expense related to employees’ PSU awards that is expected to be recognized over a weighted-average period of 2.4 years as of September 30, 2026.
Stock-Based Compensation Expense, Net
The Company recorded stock-based compensation expense, net related to its stock options and restricted stock in the condensed consolidated statements of operations and comprehensive income for the three and nine months ended September 30, 2026 and 2025 as follows:
Three Months Ended September 30,Nine Months Ended September 30,
(in thousands)2026202520262025
Research and development2,621 2,583 7,262 7,679 
Selling, general and administrative11,316 10,570 34,442 33,071 
Total stock-based compensation$13,937 $13,153 $41,704 $40,750 
The Company capitalized into inventory stock-based compensation associated with the allocation of labor costs related to work performed to manufacture VYJUVEK of $0.9 million and $1.1 million for the three months ended September 30, 2026 and 2025, respectively, and $2.9 million and $3.0 million for the nine months ended September 30, 2026 and 2025, respectively.
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v3.26.3
Commitments and Contingencies
9 Months Ended
Sep. 30, 2026
Commitments and Contingencies Disclosure [Abstract]  
Commitments and Contingencies Commitments and Contingencies
Agreements with Contract Manufacturing Organizations and Contract Research Organizations
The Company enters into various agreements in the normal course of business with Contract Manufacturing Organizations (“CMOs”), Contract Research Organizations and other third parties for preclinical research studies, clinical trials and testing and manufacturing services. The agreements with CMOs primarily relate to the manufacturing of our sterile gel that is mixed with in-house produced vectors as part of the final drug product for VYJUVEK. Agreements with third parties may also include research and development consulting activities, clinical-trial agreements, testing of our clinical-stage, pre-commercial and commercial stage products and/or storage, packaging and labeling. The Company is obligated to make milestone payments under certain of these contracts. The Company incurred research and development expenses related to commitments under these agreements of $1.8 million and $2.3 million for the three months ended September 30, 2026 and September 30, 2025, respectively, and $6.7 million and $6.6 million for the nine months ended September 30, 2026 and September 30, 2025, respectively.
Legal Proceedings
In the ordinary course of business, the Company is subject from time to time to various proceedings, lawsuits, disputes, or claims. In accordance with FASB ASC Topic 450, Contingencies (“ASC 450”), the Company accrues a liability for legal contingencies when it is probable that a liability has been incurred, and the amount of the loss can be reasonably estimated. If there is at least a reasonable possibility that a loss may be incurred, ASC 450 requires disclosure of a loss contingency.
In the first quarter of 2025, the Company and certain of its employees received subpoenas from the U.S. Department of Justice requesting that the Company produce certain documents regarding its sponsored genetic testing program relating to VYJUVEK and commercial practices relating thereto. The Company is cooperating and providing information in response to the subpoenas. It is not possible to estimate the amount of any loss or range of possible loss that might result from this inquiry, and because the final outcome cannot be predicted with certainty, unfavorable or unexpected developments or outcomes could result in a material impact to the Company’s results of operations.
The Company has received $3.0 million of insurance proceeds during the three and nine months ended September 30, 2026, related to reimbursement of litigation legal costs. The proceeds have been recorded as an offset to legal fees included in general and administrative expenses on the condensed consolidated statements of operations and comprehensive income and within operating activities on the condensed consolidated statements of cash flows.
On September 18, 2025, a stockholder filed a derivative complaint in the Court of Chancery of the State of Delaware, naming the Company’s directors as defendants and the Company as a nominal defendant. The complaint alleged claims for breach of fiduciary duty, unjust enrichment, and waste of corporate assets based on allegedly excessive non-employee director compensation in each of 2021 through 2024. In June 2026, the parties entered into a settlement agreement. On September 15, 2026, the Court approved the settlement, which includes a release of the claims asserted in the action, and dismissed the action with prejudice. The settlement does not constitute an admission of fault, liability, or wrongdoing by any party. Under the settlement, (i) the Company adopted and implemented, and will maintain for a period of five (5) years, certain corporate governance reforms relating to non-employee director compensation, and (ii) in September 2026, the Company paid the plaintiff’s attorneys’ fees and expenses, which were the only monetary component of the settlement and were not material to the condensed consolidated financial statements.
On May 29, 2026, Jonathan Forman filed a lawsuit against the Company in the United States District Court for the District of Delaware (Docket No. 1:26-cv-00628) asserting claims for correction of inventorship, under 35 U.S.C. § 256, of U.S. Patent No. 10,829,529 and U.S. Patent No. 12,522,636 (together, the “Patents”), which relate to compositions and methods for delivering CFTR polypeptides and which the plaintiff alleges are embodied in the Company’s KB407 product candidate for the treatment of cystic fibrosis. The plaintiff alleges that he conceived of, and contributed to, the inventions claimed in the Patents and that he was erroneously omitted as a named inventor on the Patents. In addition to the correction of inventorship, the plaintiff is seeking his attorneys’ fees and his costs and expenses. The Company believes the plaintiff’s claims are without merit and intends to defend the matter vigorously. The Company is unable to estimate the possible loss or range of losses, if any, that may result from the matter.
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Net Income Per Share Attributable to Common Stockholders (Tables)
9 Months Ended
Sep. 30, 2026
Earnings Per Share [Abstract]  
Schedule of Net Income Per Share Attributable to Common Stockholders
Three Months Ended September 30,Nine Months Ended September 30,
(in thousands, except per share data)
2026202520262025
Numerator:
Net income
$63,068 $79,365 $173,768 $153,431 
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Weighted-average basic common shares
29,610 28,953 29,477 28,893 
Dilutive effect of stock options and unvested restricted stock1,228 880 1,203 936 
Weighted-average diluted common shares30,838 29,833 30,680 29,829 
Net income per common share—basic
$2.13 $2.74 $5.90 $5.31 
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3 Months Ended 9 Months Ended
Sep. 30, 2026
Sep. 30, 2025
Sep. 30, 2026
Sep. 30, 2025
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Net Income Per Share Attributable to Common Stockholders - Schedule of Net Income (Loss) Per Share Attributable to Common Stockholders (Details) - USD ($)
$ / shares in Units, shares in Thousands, $ in Thousands
3 Months Ended 9 Months Ended
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Jun. 30, 2026
Mar. 31, 2026
Sep. 30, 2025
Jun. 30, 2025
Mar. 31, 2025
Sep. 30, 2026
Sep. 30, 2025
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v3.26.3
Fair Value Instruments
9 Months Ended
Sep. 30, 2026
Fair Value Disclosures [Abstract]  
Fair Value Instruments Fair Value Instruments
The following tables show the Company’s cash and cash equivalents and available-for-sale securities by significant investment category as of September 30, 2026 and December 31, 2025:
September 30, 2026
(in thousands)
Amortized Cost
Gross Unrealized Gains
Gross Unrealized (Losses)
Aggregate Fair Value
Cash and Cash Equivalents
Short-term Marketable Securities(1)
Long-term Marketable Securities(2)
Level 1:
Cash and cash equivalents$462,841 $— $— $462,841 $462,841 $— $— 
Subtotal462,841 — — 462,841 462,841 — — 
Level 2:
Certificates of deposit$11,771 $— $(10)$11,761 $— $11,761 $— 
Commercial paper39,582 (78)39,504 — 39,504 — 
Corporate bonds299,894 91 (1,912)298,073 — 192,215 105,858 
U.S. government agency securities384,507 4 (2,538)381,973 — 205,530 176,443 
Subtotal735,754 95 (4,538)731,311 — 449,010 282,301 
Total$1,198,595 $95 $(4,538)$1,194,152 $462,841 $449,010 $282,301 
December 31, 2025
(in thousands)
Amortized Cost
Gross Unrealized Gains
Gross Unrealized (Losses)
Aggregate Fair Value
Cash and Cash Equivalents
Short-term Marketable Securities(1)
Long-term Marketable Securities(2)
Level 1:
Cash and cash equivalents$496,304 $— $— $496,304 $496,304 $— $— 
Subtotal496,304 — — 496,304 496,304 — — 
Level 2:
Certificates of deposit4,875 3 — 4,878 4,878 
Commercial paper13,873 2 (1)13,874 — 13,874 — 
Corporate bonds202,960 525 (6)203,479 — 134,483 68,996 
U.S. government agency securities236,663 660 (1)237,322 — 178,252 59,070 
Subtotal458,371 1,190 (8)459,553 — 331,487 128,066 
Total$954,675 $1,190 $(8)$955,857 $496,304 $331,487 $128,066 
(1)The Company’s short-term marketable securities mature in one year or less.
(2)The Company’s long-term marketable securities mature between one and two years.
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v3.26.3
Organization
9 Months Ended
Sep. 30, 2026
Accounting Policies [Abstract]  
Organization Organization
Krystal Biotech, Inc. (together with its wholly-owned subsidiaries, the “Company,” or “we” or other similar pronouns), a Delaware C-corporation, is a fully integrated, global, commercial-stage biotechnology company. We are focused on the discovery, development, manufacturing, and commercialization of genetic medicines to treat diseases with high unmet medical needs. Using our patented gene therapy technology platform that is based on engineered herpes simplex virus-1 (“HSV-1”), we create vectors that efficiently deliver therapeutic transgenes to cells of interest in multiple organ systems. The cell’s own machinery then transcribes and translates the transgene to treat the disease. Our vectors are amenable to formulation for non-invasive or minimally invasive routes of administration at a healthcare professional’s office or in the patient’s home. Our innovative technology platform is supported by two in-house, commercial scale Current Good Manufacturing Practice (“CGMP”) manufacturing facilities.
Liquidity
As of September 30, 2026, the Company had a retained earnings balance of $197.9 million. Our operating profitability is dependent upon the continued successful commercialization of VYJUVEK®, our redosable gene therapy approved in the United States, European Union (“EU”), United Kingdom (“UK”), and Japan, as well as successful development, approval and commercialization of our product candidates. Management intends to fund future operations through its on hand cash and cash equivalents and revenue generated from the sale of VYJUVEK, and may also seek additional capital through arrangements with strategic partners, the sale of equity, debt financings or other sources.
The Company is subject to risks common to companies in the biotechnology industry, including, but not limited to, the failure of product candidates in clinical and preclinical studies, the development of competing product candidates or other technological innovations by competitors, dependence on key personnel, protection of proprietary technology, compliance with government regulations and the ability to commercialize product candidates. The Company expects to incur significant costs in connection with, among other things, advancing its product pipeline, expanding its commercialization capabilities, and complying with EU and Japan post-authorization regulatory requirements and EU member state-specific pricing, reimbursement, and market access activities. The Company believes that its cash and cash equivalents and short-term investments of approximately $911.9 million as of September 30, 2026 will be sufficient to allow the Company to fund its planned operations for at least the next 12 months from the date of this Quarterly Report on Form 10-Q.
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v3.26.3
Condensed Consolidated Statements of Cash Flows - USD ($)
$ in Thousands
9 Months Ended
Sep. 30, 2026
Sep. 30, 2025
Operating Activities    
Net income $ 173,768 $ 153,431
Adjustments to reconcile net income to net cash provided by operating activities    
Deferred income taxes 0 (24,680)
Depreciation 4,349 4,162
(Accretion) amortization on marketable securities (2,096) 139
Amortization of operating lease right-of-use assets 630 627
Stock-based compensation expense, net 41,704 40,750
Realized gain on investments (1,752) (5,549)
Other, net (180) 395
Changes in operating assets and liabilities    
Accounts receivable, net (6,487) (24,616)
Inventory (3,204) (5,228)
Prepaid taxes 5,469 (10,103)
Prepaid expenses and other current assets (5,676) (4,311)
Lease liability (752) (413)
Other long-term liabilities 3,258 1,718
Accounts payable 4,294 1,009
Accrued rebates 30,567 18,958
Accrued expenses and other current liabilities 2,528 8,318
Accrued legal settlement 0 (31,250)
Net cash provided by operating activities 246,420 123,357
Investing Activities    
Proceeds from disposal of assets 0 435
Purchases of property and equipment (11,709) (9,812)
Purchases of investments (612,093) (350,078)
Maturities of investments 340,651 289,875
Net cash (used in) investing activities (283,151) (69,580)
Financing Activities    
Proceeds from exercise of stock options 25,086 6,972
Net cash provided by (used in) financing activities 8,007 (6,961)
Effect of exchange rate changes on cash and cash equivalents (4,739) 923
Net (decrease) increase in cash and cash equivalents (33,463) 47,739
Cash and cash equivalents at beginning of period 496,304 344,865
Cash and cash equivalents at end of period 462,841 392,604
Supplemental Disclosures of Non-Cash Activities    
Unpaid purchases of property and equipment 663 623
Initial recognition of right-of-use assets 0 1,794
Supplemental Cash Flow Information    
Income taxes paid 22,719 13,876
Restricted Stock Units (RSUs)    
Financing Activities    
Taxes paid for employee tax withholding related to restricted stock units and Taxes paid related to settlement of restricted stock awards (17,079) (12,121)
Restricted Stock    
Financing Activities    
Taxes paid for employee tax withholding related to restricted stock units and Taxes paid related to settlement of restricted stock awards $ 0 $ (1,812)
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Condensed Consolidated Balance Sheets (Parenthetical) - $ / shares
Sep. 30, 2026
Dec. 31, 2025
Statement of Financial Position [Abstract]    
Common stock, par value (in usd per share) $ 0.00001 $ 0.00001
Common stock, shares authorized (in shares) 80,000,000 80,000,000
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v3.26.3
Organization (Details) - USD ($)
$ in Thousands
Sep. 30, 2026
Dec. 31, 2025
Accounting Policies [Abstract]    
Retained earnings $ 197,931 $ 24,163
Cash, cash equivalents and short-term investments $ 911,900  
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v3.26.3
Stock-Based Compensation (Tables)
9 Months Ended
Sep. 30, 2026
Share-Based Payment Arrangement [Abstract]  
Schedule of Stock Option Activity
The following table summarizes the Company’s stock option activity for the nine months ended September 30, 2026:
Stock Options Outstanding
Weighted-Average Exercise Price
Weighted-Average Remaining Contractual Life
(in years)
Aggregate Intrinsic Value(1)
(in thousands)
Outstanding as of December 31, 2025
2,030,417 $99.45 6.8$298,662 
Granted390,042 $290.49 
Exercised(337,039)$74.43 
Cancelled or forfeited(84,713)$163.54 
Outstanding as of September 30, 2026
1,998,707 $138.23 6.8$389,434 
Exercisable as of September 30, 2026
1,219,147 $84.04 5.6$302,977 
(1)Aggregate intrinsic value represents the difference between the closing stock price of our common stock on December 31, 2025 and September 30, 2026 and the exercise price of outstanding in-the-money options on the respective date.
The following table summarizes the Company’s stock option activity for the nine months ended September 30, 2025:
Stock Options Outstanding
Weighted-Average Exercise Price
Weighted-Average Remaining Contractual Life
(in years)
Aggregate Intrinsic Value(1)
(in thousands)
Outstanding as of December 31, 2024
2,049,063 $82.69 7.3$156,404 
Granted385,403 $166.80 
Exercised(102,468)$68.04 
Cancelled or forfeited(95,851)$107.43 
Outstanding as of September 30, 2025
2,236,147 $96.80 7.0$180,418 
Exercisable as of September 30, 2025
1,307,004 $72.71 6.1$136,219 
(1)Aggregate intrinsic value represents the difference between the closing stock price of our Common Stock on December 31, 2024 and September 30, 2025 and the exercise price of outstanding in-the-money options on the respective date.
Schedule of Restricted Stock Awards and Restricted Stock Units
The following table summarizes the Company’s RSU activity:
Nine Months Ended September 30,
20262025
Number of Shares
Weighted-Average Grant Date Fair Value
Number of Shares
Weighted-Average Grant Date Fair Value
Non-vested RSUs, beginning of period
331,574 $152.97 308,096 $135.22 
Granted102,298 $279.16 136,756 $177.91 
Vested(107,417)$143.62 (84,254)$129.66 
Forfeited
(21,994)$170.92 (30,506)$153.81 
Non-vested RSUs, end of period
304,461 $197.37 330,092 $152.61 
Schedule of PSU Activity
The following table summarizes the Company’s PSU activity:
Nine Months Ended September 30,
20262025
Number of Shares
Weighted-Average Grant Date Fair Value
Number of Shares
Weighted-Average Grant Date Fair Value
Non-vested PSUs, beginning of period
56,250 $159.47 137,500 $145.37 
Granted43,536 $275.64 — $— 
Vested(56,250)$159.47 (81,250)$135.61 
Forfeited
— $— — $— 
Non-vested PSUs, end of period
43,536 $275.64 56,250 $159.47 
Schedule of Stock-Based Compensation Expense, Net
The Company recorded stock-based compensation expense, net related to its stock options and restricted stock in the condensed consolidated statements of operations and comprehensive income for the three and nine months ended September 30, 2026 and 2025 as follows:
Three Months Ended September 30,Nine Months Ended September 30,
(in thousands)2026202520262025
Research and development2,621 2,583 7,262 7,679 
Selling, general and administrative11,316 10,570 34,442 33,071 
Total stock-based compensation$13,937 $13,153 $41,704 $40,750 
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v3.26.3
Subsequent Events
9 Months Ended
Sep. 30, 2026
Subsequent Events [Abstract]  
Subsequent Events Subsequent Event
In October 2026, the Company’s Board of Directors authorized the repurchase of up to $400 million of its common stock. The Company may repurchase shares of common stock from time to time through open market purchases, in privately negotiated transactions, or by other means. permitted under applicable securities laws, including through purchases compliant with Rule 10b-18 under the Exchange Act and trading plans adopted under Rule 10b5-1 under the Exchange Act. The program has no expiration date, does not obligate the Company to acquire any particular amount of common stock, and may be modified, suspended, or discontinued at any time at the Company’s discretion. The timing and amount of any repurchases will depend on a number of factors, including the market price of its common stock, general business and market conditions, liquidity and capital requirements, clinical development and commercialization plans, alternative uses of capital, and legal and regulatory requirements.
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v3.26.3
Segment Information (Tables)
9 Months Ended
Sep. 30, 2026
Segment Reporting [Abstract]  
Schedule of Segment Reporting Information, by Segment
The following table presents selected financial information with respect to the Company’s single operating segment for the three and nine months ended September 30, 2026, and 2025:

Three Months Ended September 30,Nine Months Ended September 30,
(in thousands)2026202520262025
Product revenue, net
$127,341 $97,800 $362,920 $282,025 
Cost of goods sold7,556 4,263 20,316 16,457 
Gross margin
94 %96 %94 %94 %
B-VEC738 1,810 2,839 6,144 
KB111
380 568 1,721 1,309 
KB113319 — 328 — 
KB30423 244 52 906 
KB407542 608 1,821 1,272 
KB408236 248 530 763 
KB7071,847 3,181 7,288 8,342 
KB801
1,355 359 3,357 1,233 
KB803222 401 1,845 1,291 
Other product candidates1,497 722 2,957 2,041 
Other research and development costs (1)
7,732 6,444 22,001 19,950 
Total research and development
14,891 14,585 44,739 43,251 
Selling, general and administrative
33,749 37,578 114,612 105,292 
Income from operations
$71,145 $41,374 $183,253 $117,025 
Other income
Interest and other income, net9,000 6,593 24,413 21,315 
Income before income taxes
80,145 47,967 207,666 138,340 
Income tax (expense) benefit(17,077)31,398 (33,898)15,091 
Net income
$63,068 $79,365 $173,768 $153,431 
(1)Includes stock-based compensation and other unallocated expenses which consist of shared pre-commercial manufacturing costs, primarily relating to certain raw materials, process development, quality control and quality assurance activities, as well as other manufacturing and facility related costs including rent, storage and depreciation which support the development of multiple product candidates.
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v3.26.3
Condensed Consolidated Statements of Stockholders' Equity - USD ($)
$ in Thousands
Total
Common Stock
Additional Paid-in Capital
Accumulated Other Comprehensive Income (Loss)
Retained Earnings (Accumulated Deficit)
Beginning balance (in shares) at Dec. 31, 2024   28,794,000      
Beginning balance at Dec. 31, 2024 $ 946,380 $ 0 $ 1,127,238 $ (190) $ (180,668)
Increase (Decrease) in Stockholders' Equity [Roll Forward]          
Issuance of common stock upon exercise of stock options (in shares)   17,000      
Issuance of common stock upon exercise of stock options 1,462   1,462    
Vesting of restricted stock units, net of shares withheld for taxes (in shares)   98,000      
Vesting of restricted stock units, net of shares withheld for taxes (12,116)   (12,116)    
Shares of restricted stock awards surrendered for taxes (in shares)   (10,000)      
Shares of restricted stock awards surrendered for taxes (1,812)   (1,812)    
Stock-based compensation 14,447   14,447    
Unrealized (loss) gain on investments 344     344  
Foreign currency translation 236     236  
Net income 35,733       35,733
Ending balance (in shares) at Mar. 31, 2025   28,899,000      
Ending balance at Mar. 31, 2025 984,674 $ 0 1,129,219 390 (144,935)
Beginning balance (in shares) at Dec. 31, 2024   28,794,000      
Beginning balance at Dec. 31, 2024 $ 946,380 $ 0 1,127,238 (190) (180,668)
Increase (Decrease) in Stockholders' Equity [Roll Forward]          
Issuance of common stock upon exercise of stock options (in shares) 102,468        
Unrealized (loss) gain on investments $ 843        
Foreign currency translation 447        
Net income 153,431        
Ending balance (in shares) at Sep. 30, 2025   28,984,000      
Ending balance at Sep. 30, 2025 1,137,876 $ 0 1,164,013 1,100 (27,237)
Beginning balance (in shares) at Mar. 31, 2025   28,899,000      
Beginning balance at Mar. 31, 2025 984,674 $ 0 1,129,219 390 (144,935)
Increase (Decrease) in Stockholders' Equity [Roll Forward]          
Issuance of common stock upon exercise of stock options (in shares)   28,000      
Issuance of common stock upon exercise of stock options 1,796   1,796    
Stock-based compensation 15,077   15,077    
Unrealized (loss) gain on investments (158)     (158)  
Foreign currency translation 925     925  
Net income 38,333       38,333
Ending balance (in shares) at Jun. 30, 2025   28,927,000      
Ending balance at Jun. 30, 2025 1,040,647 $ 0 1,146,092 1,157 (106,602)
Increase (Decrease) in Stockholders' Equity [Roll Forward]          
Issuance of common stock upon exercise of stock options (in shares)   57,000      
Issuance of common stock upon exercise of stock options 3,713   3,713    
Stock-based compensation 14,208   14,208    
Unrealized (loss) gain on investments 657     657  
Foreign currency translation (714)     (714)  
Net income 79,365       79,365
Ending balance (in shares) at Sep. 30, 2025   28,984,000      
Ending balance at Sep. 30, 2025 1,137,876 $ 0 1,164,013 1,100 (27,237)
Beginning balance (in shares) at Dec. 31, 2025   29,192,000      
Beginning balance at Dec. 31, 2025 1,219,560 $ 0 1,194,261 1,136 24,163
Increase (Decrease) in Stockholders' Equity [Roll Forward]          
Issuance of common stock upon exercise of stock options (in shares)   145,000      
Issuance of common stock upon exercise of stock options 6,501   6,501    
Vesting of restricted stock units, net of shares withheld for taxes (in shares)   100,000      
Vesting of restricted stock units, net of shares withheld for taxes (16,960)   (16,960)    
Stock-based compensation 14,455   14,455    
Unrealized (loss) gain on investments (1,577)     (1,577)  
Foreign currency translation (1,182)     (1,182)  
Net income 55,932       55,932
Ending balance (in shares) at Mar. 31, 2026   29,437,000      
Ending balance at Mar. 31, 2026 1,276,729 $ 0 1,198,257 (1,623) 80,095
Beginning balance (in shares) at Dec. 31, 2025   29,192,000      
Beginning balance at Dec. 31, 2025 $ 1,219,560 $ 0 1,194,261 1,136 24,163
Increase (Decrease) in Stockholders' Equity [Roll Forward]          
Issuance of common stock upon exercise of stock options (in shares) 337,039        
Unrealized (loss) gain on investments $ (5,625)        
Foreign currency translation (4,749)        
Net income 173,768        
Ending balance (in shares) at Sep. 30, 2026   29,631,000      
Ending balance at Sep. 30, 2026 1,435,584 $ 0 1,246,891 (9,238) 197,931
Beginning balance (in shares) at Mar. 31, 2026   29,437,000      
Beginning balance at Mar. 31, 2026 1,276,729 $ 0 1,198,257 (1,623) 80,095
Increase (Decrease) in Stockholders' Equity [Roll Forward]          
Issuance of common stock upon exercise of stock options (in shares)   158,000      
Issuance of common stock upon exercise of stock options 15,161   15,161    
Vesting of restricted stock units, net of shares withheld for taxes (in shares)   1,000      
Vesting of restricted stock units, net of shares withheld for taxes (108)   (108)    
Stock-based compensation 15,288   15,288    
Unrealized (loss) gain on investments (1,213)     (1,213)  
Foreign currency translation (1,499)     (1,499)  
Net income 54,768       54,768
Ending balance (in shares) at Jun. 30, 2026   29,596,000      
Ending balance at Jun. 30, 2026 1,359,126 $ 0 1,228,598 (4,335) 134,863
Increase (Decrease) in Stockholders' Equity [Roll Forward]          
Issuance of common stock upon exercise of stock options (in shares)   34,000      
Issuance of common stock upon exercise of stock options 3,424   3,424    
Vesting of restricted stock units, net of shares withheld for taxes (in shares)   1,000      
Vesting of restricted stock units, net of shares withheld for taxes (11)   (11)    
Stock-based compensation 14,880   14,880    
Unrealized (loss) gain on investments (2,835)     (2,835)  
Foreign currency translation (2,068)     (2,068)  
Net income 63,068       63,068
Ending balance (in shares) at Sep. 30, 2026   29,631,000      
Ending balance at Sep. 30, 2026 $ 1,435,584 $ 0 $ 1,246,891 $ (9,238) $ 197,931
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v3.26.3
Net Income Per Share Attributable to Common Stockholders - Narrative (Details) - shares
shares in Thousands
3 Months Ended 9 Months Ended
Sep. 30, 2026
Sep. 30, 2025
Sep. 30, 2026
Sep. 30, 2025
Stock Options        
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items]        
Common share equivalents outstanding, excluded from the calculation of diluted net loss per common share (in shares) 329 664 256 568
Restricted Stock        
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items]        
Common share equivalents outstanding, excluded from the calculation of diluted net loss per common share (in shares) 0 125 0 98
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v3.26.3
Product Revenue, Accounts Receivable and Reserves for Product Sales (Tables)
9 Months Ended
Sep. 30, 2026
Revenue from Contract with Customer [Abstract]  
Schedule of Product Revenue by Region Product revenue by significant geographic region is as follows:
(in thousands)Three Months Ended September 30,Nine Months Ended September 30,
2026202520262025
United States
$95,323 $92,920 $274,445 $277,145 
Europe
23,256 4,880 63,216 4,880 
Japan
8,762 — 25,259 — 
Total product revenue, net
$127,341 $97,800 $362,920 $282,025 
Schedules of Concentration of Risk, by Risk Factor Accounts receivable, net from the Company’s customers who individually accounted for 10% or more of accounts receivable, net consisted of the following:
Percent of Accounts Receivable, Net
September 30,
2026
December 31,
2025
Customer A
61 %66 %
Customer B
*14 %
*Customer B’s AR balance represents less than 10% of outstanding accounts receivable, net as of September 30, 2026.
All other single customers represent less than 10% of outstanding accounts receivable, net as of September 30, 2026 and December 31, 2025.
Schedule of Changes in Allowances and Discounts
The following table summarizes changes in allowances and discounts for the nine months ended September 30, 2026:
(in thousands)RebatesPrompt PayOther AccrualsTotal
Balance as of December 31, 2025
$61,905 $5,834 $378 $68,117 
Provisions73,821 9,117 334 83,272 
Payments/Credits(41,542)(10,802)(547)(52,891)
Balance as of September 30, 2026
$94,184 $4,149 $165 $98,498 
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