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X4 Pharmaceuticals (XFOR) Q1 2026 earnings results (first quarter 2026)

10-Q filed May 6, 2026

X4 Pharmaceuticals (XFOR) reported revenue of $2.5M for the first quarter 2026 (Q1 2026), +178% from a year earlier and -92% from the quarter before. Operating margin was -812.2%, net loss $20.2M (809.6% of revenue).

Revenue$2.5M
Year over year+178%
Quarter over quarter-92%
Operating margin-812.2%
Net earnings−$20.2M

X4 Pharmaceuticals, Q1 2026: revenue $2.5M (+178% year over year), operating margin -812.2%, net loss $20.2M, operating cash flow −$19.6M. The chart follows the revenue to costs, profit and cash.

Q1 2026AmountQ/QY/Y
Revenue$2.5M-92%+178%
Operating profit−$20.3M——
Net earnings−$20.2M—-7278%
Operating cash flow−$19.6M——

What changed

Revenue was $2.5M in Q1 2026, up 178% year over year and down 92% from the previous quarter. Product revenue, net was the largest line at 99% of revenue. Product revenue, net added $1.5M year over year (up 162%), 95% of the total change. License and other revenue declined 99%.

Operating costs exceeded revenue by $20.3M, an operating margin of -812.2%. Total costs grew 120% against revenue growth of 178%. The quarter ended with a net loss of $20.2M, narrower than the previous quarter's $23.9M loss.

Operating cash flow was −$19.6M. Non-cash charges added back $223K of depreciation and amortization and $2.4M of share-based compensation. Working capital and other items used $2.0M.

Questions

What was X4 Pharmaceuticals' revenue in the first quarter 2026?

X4 Pharmaceuticals (XFOR) reported revenue of $2.5M for the first quarter 2026 (Q1 2026), +178% from a year earlier and -92% from the quarter before.

Was X4 Pharmaceuticals profitable in the first quarter 2026?

Operating loss was $20.3M (-812.2% of revenue) and net loss $20.2M.

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Source: X4 Pharmaceuticals 10-Q on SEC EDGAR.