Geron Eyes High End of 2026 RYTELO Revenue Guidance

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Geron Corporation said it now expects 2026 RYTELO net revenue toward the midpoint to high end of its previously issued $220 million to $240 million guidance, or approximately $230 million to $240 million. Speaking at the H.C. Wainwright 28th Annual Global Investment Conference, Chief Executive Officer Harout Semerjian said the company reported record quarterly net revenue of $57.5 million, its highest since the July 2024 launch of RYTELO, also known as imetelstat, the first telomerase inhibitor approved for lower-risk myelodysplastic syndromes, with three consecutive quarters of growth. Geron is shifting commercial efforts toward community oncology practices, which account for about 80% of the lower-risk MDS market, and is adding 100 to 200 new RYTELO accounts per quarter, while 34% of its business, measured on a 12-month lookback, already comes from first- and second-line patients. Chief Medical Officer Joseph Eid said National Comprehensive Cancer Network guidelines have been updated twice since launch to position the therapy as a second-line option, and that luspatercept's move to first-line treatment has supported RYTELO uptake. Geron plans to outline its ex-U.S. strategy, particularly for Europe, before year-end without a traditional large-scale country-by-country buildout, and continues the 327-patient IMpactMF Phase 3 trial in relapsed or refractory myelofibrosis, which completed enrollment last September with overall survival as the primary endpoint. The company ended the period with more than $300 million in cash and reiterated 2026 operating-expense guidance of $230 million to $240 million.

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Geron guided 2026 RYTELO revenue toward the midpoint-to-high end of $220-240M and reported record quarterly net revenue of $57.5M with three consecutive quarters of growth.

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