Novocure Reports First Quarter 2025 Financial Results

Quarterly net revenues of $155 million, up 12% year-over-year, with 4,268 active patients on therapy as of March 31, 2025

Results from Phase 3 PANOVA-3 trial in pancreatic cancer accepted as late-breaking abstract for presentation at 2025 American Society of Clinical Oncology Annual Meeting

CE Mark approval received for Optune Lua for use concurrently with immune checkpoint inhibitor or docetaxel in adult patients with metastatic NSCLC who have progressed on or after a platinum-based regimen

Novocure (NASDAQ: NVCR) today reported financial results for the first quarter ended March 31, 2025. Novocure is a global oncology company working to extend survival in some of the most aggressive forms of cancer by developing and commercializing its innovative therapy, Tumor Treating Fields (TTFields).

“This is a period of meaningful momentum for Novocure,” said Ashley Cordova, CEO Novocure. “After years in a single commercial indication, our footprint is expanding across new indications, new centers, and new physician specialties. Our lung launch is progressing. Our pipeline is advancing. And our commitment to patient-forward innovation is stronger than ever. We look forward to updating you on our progress as the year unfolds.”

Financial updates for the first quarter ended March 31, 2025:

  • Total net revenues for the quarter were $155.0 million, an increase of 12% compared to the same period in 2024. This increase is primarily driven by active patient growth across our major markets and to a lesser extent from reimbursement improvements.
    • The U.S., Germany, France and Japan contributed $93.2 million, $18.7 million, $17.9 million and $8.7 million, respectively, with other active markets contributing $11.9 million.
    • Revenue in Greater China from Novocure’s partnership with Zai Lab totaled $4.6 million.
    • Recognized revenue from Optune Lua® in the quarter was $1.5 million, including $0.8 million from malignant pleural mesothelioma (MPM), and $0.7 million from metastatic non-small cell lung cancer (NSCLC).
  • Gross margin for the quarter was 75% compared to 76% in the prior year period.
    • The reduction of gross margin was primarily driven by the roll out of our HFE arrays and the NSCLC launch, where we are treating on-label patients at risk prior to establishing broad reimbursement.
    • The global tariff environment is changing rapidly. On April 9, 2025 the U.S. temporarily delayed implementation of new tariffs by 90 days, resulting in a 10% tariff for most countries. If the current pause is extended through year-end, Novocure could see an increase in import duties of up to $8 million in 2025. If the tariffs return to pre-April 9 rates after the current 90-day pause, Novocure could see an increase in import duties of up to $11 million in 2025. Novocure is closely monitoring the evolving tariff landscape with the intent to mitigate impacts on our supply chain costs where possible.
  • Research, development and clinical studies expenses for the quarter were $53.8 million, an increase of 4% from the same period in 2024.
  • Sales and marketing expenses for the quarter were $55.8 million, an increase of 1% compared to the same period in 2024. This primarily reflects higher costs associated with the expansion of our NSCLC sales force.
  • General and administrative expenses for the quarter were $44.8 million, an increase of 13% compared to the same period in 2024. This was primarily driven by a $2.3 million one-time expense to retire a production line related to supply chain optimization efforts and higher personnel costs associated with our launch of NSCLC and preparations for additional future indication launches
  • Net loss for the quarter was $34.3 million with loss per share of $0.31.
  • Adjusted EBITDA* for the quarter was $(5.0) million.
  • Cash, cash equivalents and short-term investments were $929.1 million as of March 31, 2025.

Operational updates for the first quarter ended March 31, 2025:

  • As of March 31, 2025, there were 4,268 total active patients on TTFields therapy globally.
  • Optune Gio
    • 1,608 prescriptions for Optune Gio for the treatment of glioblastoma were received in the quarter, a decrease of 1% from the same period in 2024. The U.S., Germany, France and Japan contributed 908; 198; 207 and 118 prescriptions, respectively, with the remaining 177 prescriptions contributed by other active markets.
    • As of March 31, 2025, there were 4,162 active Optune Gio patients on therapy, an increase of 9% from the same period in 2024. The U.S., Germany, France and Japan contributed 2,157; 573; 463 and 445 Optune Gio active patients, respectively, with the remaining 524 active patients contributed by other active markets.
  • Optune Lua
    • 127 total prescriptions for Optune Lua were received in the quarter. 92 Optune Lua prescriptions were received for the treatment of metastatic NSCLC and 35 prescriptions were received for the treatment of malignant pleural mesothelioma (MPM).
    • As of March 31, 2025, there were 106 active Optune Lua patients on therapy, including 62 patients treated for metastatic NSCLC patients and 44 patients treated for MPM.
  • Beginning in Q1 2026, Novocure intends to stop reporting new prescriptions received in period and will provide active patients on TTFields therapy by indication and by material market as the key operating statistics.

Quarterly updates and achievements:

  • In 2024, Novocure announced the Phase 3 PANOVA-3 clinical trial met its primary endpoint, demonstrating a statistically significant extension in overall survival. The results of the Phase 3 PANOVA-3 clinical trial will be presented as a late-breaking abstract at the upcoming American Society of Clinical Oncology (ASCO) scientific congress. Novocure plans to host an investor event with live webcast featuring the trial principal investigator and Novocure leadership following the presentation at the 2025 ASCO Annual Meeting.
  • In April, Novocure received CE Mark for the use of Optune Lua concurrently with immune checkpoint inhibitors or docetaxel in adult patients with metastatic NSCLC who have progressed on or after a platinum-based regimen.

Anticipated clinical milestones:

  • Data from Phase 2 PANOVA-4 clinical trial in metastatic pancreatic cancer (H1 2026)
  • Data from Phase 3 TRIDENT clinical trial in newly diagnosed glioblastoma (H1 2026)

Conference call details

Novocure will host a conference call and webcast to discuss first quarter 2025 financial results at 8:00 a.m. EDT today, Wednesday, April 24, 2025. To access the conference call by phone, use the following conference call registration link and dial-in details will be provided. To access the webcast, use the following webcast registration link.

The webcast, earnings slides presented during the webcast and the corporate presentation can be accessed live from the Investor Relations page of Novocure’s website, www.novocure.com/investor-relations, and will be available for at least 14 days following the call. Novocure has used, and intends to continue to use, its investor relations website, as a means of disclosing material non-public information and for complying with its disclosure obligations under Regulation FD.

About Novocure

Novocure is a global oncology company working to extend survival in some of the most aggressive forms of cancer through the development and commercialization of its innovative therapy, Tumor Treating Fields. Novocure’s commercialized products are approved in certain countries for the treatment of adult patients with glioblastoma, non-small cell lung cancer, malignant pleural mesothelioma and pleural mesothelioma. Novocure has several additional ongoing or completed clinical trials exploring the use of Tumor Treating Fields therapy in the treatment of glioblastoma, non-small cell lung cancer and pancreatic cancer.

Novocure’s global headquarters is located in Baar, Switzerland, with U.S. headquarters located in Portsmouth, New Hampshire and research and development facilities located in Haifa, Israel. For additional information about the company, please visit Novocure.com and follow @Novocure on LinkedIn and X (Twitter).

*Non-GAAP Financial Measurements

We measure our performance based upon a non-U.S. GAAP measurement of earnings before interest, taxes, depreciation, amortization and shared-based compensation ("Adjusted EBITDA"). We believe Adjusted EBITDA is useful to investors in evaluating our operating performance because it helps investors compare the results of our operations from period to period by removing the impact of earnings attributable to our capital structure, tax rate and material non-cash items, specifically share-based compensation.

Forward-Looking Statements

In addition to historical facts or statements of current condition, this press release may contain forward-looking statements. Forward-looking statements provide Novocure’s current expectations or forecasts of future events. These may include statements regarding anticipated scientific progress on its research programs, clinical trial progress, development of potential products, interpretation of clinical results, prospects for regulatory approval, manufacturing development and capabilities, market prospects for its products, coverage, collections from third-party payers and other statements regarding matters that are not historical facts. You may identify some of these forward-looking statements by the use of words in the statements such as “anticipate,” “estimate,” “expect,” “project,” “intend,” “plan,” “believe” or other words and terms of similar meaning. Novocure’s performance and financial results could differ materially from those reflected in these forward-looking statements due to general financial, economic, environmental, regulatory and political conditions and other more specific risks and uncertainties facing Novocure such as those set forth in its Annual Report on Form 10-K filed on February 27, 2025, and subsequent filings with the U.S. Securities and Exchange Commission. Given these risks and uncertainties, any or all of these forward-looking statements may prove to be incorrect. Therefore, you should not rely on any such factors or forward-looking statements. Furthermore, Novocure does not intend to update publicly any forward-looking statement, except as required by law. Any forward-looking statements herein speak only as of the date hereof. The Private Securities Litigation Reform Act of 1995 permits this discussion.

NOVOCURE LIMITED AND SUBSIDIARIES

CONSOLIDATED STATEMENTS OF OPERATIONS

U.S. dollars in thousands (except share and per share data)

 

 

Three months ended March 31,

 

Year ended

December 31,

 

 

 

2025

 

 

 

2024

 

 

 

2024

 

 

 

Unaudited

 

Audited

Net revenues

 

$

154,994

 

 

$

138,503

 

 

$

605,220

 

Cost of revenues

 

 

38,521

 

 

 

33,689

 

 

 

137,181

 

Gross profit

 

 

116,473

 

 

 

104,814

 

 

 

468,039

 

 

 

 

 

 

 

 

Operating costs and expenses:

 

 

 

 

 

 

Research, development and clinical studies

 

 

53,777

 

 

 

51,598

 

 

 

209,645

 

Sales and marketing

 

 

55,792

 

 

 

55,206

 

 

 

239,063

 

General and administrative

 

 

44,769

 

 

 

39,530

 

 

 

189,827

 

Total operating costs and expenses

 

 

154,338

 

 

 

146,334

 

 

 

638,535

 

 

 

 

 

 

 

 

Operating income (loss)

 

 

(37,865

)

 

 

(41,520

)

 

 

(170,496

)

Financial income (expenses), net

 

 

7,570

 

 

 

9,878

 

 

 

39,334

 

 

 

 

 

 

 

 

Income (loss) before income tax

 

 

(30,295

)

 

 

(31,642

)

 

 

(131,162

)

Income tax

 

 

4,024

 

 

 

7,118

 

 

 

37,465

 

Net income (loss)

 

$

(34,319

)

 

$

(38,760

)

 

$

(168,627

)

 

 

 

 

 

 

 

Basic and diluted net income (loss) per ordinary share

 

$

(0.31

)

 

$

(0.36

)

 

$

(1.56

)

Weighted average number of ordinary shares used in computing basic and diluted net income (loss) per share

 

 

110,281,832

 

 

 

107,266,198

 

 

 

107,834,368

 

Consolidated Balance Sheets

USD in thousands (except share data) 

 

NOVOCURE LIMITED AND SUBSIDIARIES

CONSOLIDATED BALANCE SHEETS

U.S. dollars in thousands (except share data)

 

March 31,

2025

 

December 31,

2024

 

Unaudited

 

Audited

ASSETS

 

 

 

CURRENT ASSETS:

 

 

 

Cash and cash equivalents

$

127,279

 

$

163,767

Short-term investments

 

801,852

 

 

796,106

Restricted cash

 

2,152

 

 

2,327

Trade receivables, net

 

84,507

 

 

74,226

Receivables and prepaid expenses

 

34,043

 

 

35,063

Inventories

 

39,468

 

 

35,086

Total current assets

 

1,089,301

 

 

1,106,575

LONG-TERM ASSETS:

 

 

 

Property and equipment, net

 

79,599

 

 

77,660

Field equipment, net

 

16,914

 

 

14,811

Right-of-use assets

 

48,511

 

 

27,120

Other long-term assets

 

14,484

 

 

14,618

Total long-term assets

 

159,508

 

 

134,209

TOTAL ASSETS

$

1,248,809

 

$

1,240,784

Consolidated Balance Sheets

USD in thousands (except share data)

 

 

March 31,

2025

 

December 31,

2024

 

Unaudited

 

Audited

LIABILITIES AND SHAREHOLDERS' EQUITY

 

 

 

CURRENT LIABILITIES:

 

 

 

Convertible note

$

558,970

 

 

$

558,160

 

Trade payables

 

95,086

 

 

 

105,086

 

Other payables, lease liabilities and accrued expenses

 

89,249

 

 

 

93,130

 

Total current liabilities

 

743,305

 

 

 

756,376

 

LONG-TERM LIABILITIES:

 

 

 

Senior secured credit facility, net

 

97,450

 

 

 

97,300

 

Long-term leases

 

40,310

 

 

 

19,971

 

Employee benefit liabilities

 

5,768

 

 

 

6,940

 

Other long-term liabilities

 

18

 

 

 

18

 

Total long-term liabilities

 

143,546

 

 

 

124,229

 

TOTAL LIABILITIES

 

886,851

 

 

 

880,605

 

COMMITMENTS AND CONTINGENCIES

 

 

 

 

 

 

 

SHAREHOLDERS' EQUITY:

 

 

 

Share capital -

 

 

 

Ordinary shares no par value, unlimited shares authorized; issued and outstanding: 111,482,600 shares and 108,516,819 shares at March 31, 2025 (unaudited) and December 31, 2024, respectively

 

 

 

 

 

Additional paid-in capital

 

1,554,608

 

 

 

1,519,809

 

Accumulated other comprehensive income (loss)

 

(4,201

)

 

 

(5,500

)

Retained earnings (accumulated deficit)

 

(1,188,449

)

 

 

(1,154,130

)

TOTAL SHAREHOLDERS' EQUITY

 

361,958

 

 

 

360,179

 

TOTAL LIABILITIES AND SHAREHOLDERS' EQUITY

$

1,248,809

 

 

$

1,240,784

 

Non-U.S. GAAP financial measures reconciliation

USD in thousands

 

 

Three months ended March 31,

 

 

2025

 

 

 

2024

 

 

% Change

Net income (loss)

$

(34,319

)

 

$

(38,760

)

 

(11

)%

Add: Income tax

 

4,024

 

 

 

7,118

 

 

(43

)%

Add: Financial expenses (income), net

 

(7,570

)

 

 

(9,878

)

 

(23

)%

Add: Depreciation and amortization

 

3,325

 

 

 

2,815

 

 

18

%

EBITDA

$

(34,540

)

 

$

(38,705

)

 

(11

)%

Add: Share-based compensation

 

29,552

 

 

 

34,084

 

 

(13

)%

Adjusted EBITDA

$

(4,988

)

 

$

(4,621

)

 

8

%

Active Patients on Therapy

 

 

March 31,

 

2025

 

2024

 

CNS

 

Lung

 

Total

 

CNS

 

Lung

 

Total

Active patients at period end (1)

 

 

 

 

 

 

 

 

 

 

 

United States

2,157

 

74

 

2,231

 

2,122

 

15

 

2,137

International markets:

 

 

 

 

 

 

 

 

 

 

 

Germany

573

 

21

 

594

 

531

9

 

540

France

463

 

 

463

 

318

 

 

318

Japan

445

 

 

445

 

379

 

 

379

Other international

524

 

11

 

535

 

469

 

2

 

471

International markets - Total

2,005

 

32

 

2,037

 

1,697

 

11

 

1,708

 

 

 

 

 

 

 

 

 

 

 

 

 

4,162

 

106

 

4,268

 

3,819

 

26

 

3,845

 

(1) Lung includes both active patients in NSCLC and MPM. Worldwide, there were 44 and 26 active MPM patients on therapy as of as of March 31, 2025 and 2024 and 62 active NSCLC patients on therapy as of as of March 31, 2025.

Important Safety Information

What is Optune Gio ® approved to treat?

Optune Gio is a wearable, portable, FDA-approved device indicated to treat a type of brain cancer called glioblastoma multiforme (GBM) in adult patients 22 years of age or older.

Newly diagnosed GBM

If you have newly diagnosed GBM, Optune Gio is used together with a chemotherapy called temozolomide (TMZ) if:

  • Your cancer is confirmed by your healthcare professional AND
  • You have had surgery to remove as much of the tumor as possible

Recurrent GBM

If your tumor has come back, Optune Gio can be used alone as an alternative to standard medical therapy if:

  • You have tried surgery and radiation and they did not work or are no longer working AND
  • You have tried chemotherapy and your GBM has been confirmed by your healthcare professional

Who should not use Optune Gio?

Optune Gio is not for everyone. Talk to your doctor if you have:

  • An implanted medical device (programmable shunt), skull defect (missing bone with no replacement), or bullet fragment. Optune Gio has not been tested in people with implanted electronic devices, which may cause the devices not to work properly, and Optune Gio has not been tested in people with skull defects or bullet fragments, which may cause Optune Gio not to work properly
  • A known sensitivity to conductive hydrogels (the gel on the arrays placed on the scalp like the ones used on EKGs). When Optune Gio comes into contact with the skin, it may cause more redness and itching or may rarely cause a life-threatening allergic reaction

Do not use Optune Gio if you are pregnant or are planning to become pregnant. It is not known if Optune Gio is safe or effective during pregnancy.

What should I know before using Optune Gio?

Optune Gio should only be used after receiving training from qualified personnel, such as your doctor, a nurse, or other medical staff who have completed a training course given by Novocure®, the maker of Optune Gio.

  • Do not use any parts that did not come with the Optune Gio Treatment Kit sent to you by Novocure or given to you by your doctor
  • Do not get the device or transducer arrays wet
  • If you have an underlying serious skin condition on the scalp, discuss with your doctor whether this may prevent or temporarily interfere with Optune Gio treatment

What are the possible side effects of Optune Gio?

Most common side effects of Optune Gio when used together with chemotherapy (temozolomide, or TMZ) were low blood platelet count, nausea, constipation, vomiting, tiredness, scalp irritation from the device, headache, seizure, and depression. The most common side effects when using Optune Gio alone were scalp irritation (redness and itchiness) and headache. Other side effects were malaise, muscle twitching, fall and skin ulcers. Talk to your doctor if you have any of these side effects or questions.

Please visit OptuneGio.com for Instructions For Use (IFU) for complete information regarding the device’s indications, contraindications, warnings, and precautions.

Important Safety Information

What is Optune Lua ® approved to treat?

Optune Lua is a wearable, portable, FDA-approved device used together with PD-1/PD-L1 inhibitors (immunotherapy) or docetaxel. It is indicated for adult patients with metastatic non-small cell lung cancer (mNSCLC) who have progressed on or after a platinum-based regimen.

Who should not use Optune Lua?

Optune Lua for mNSCLC is not for everyone. Talk to your doctor if you have:

  • An electrical implant. Use of Optune Lua together with electrical implants has not been tested and may cause the implanted device not to work properly
  • A known sensitivity to gels like the gel used on electrocardiogram (ECG) stickers or transcutaneous electrical nerve stimulation (TENS) electrodes. In this case, skin contact with the gel used with Optune Lua may commonly cause increased redness and itching, and rarely may even lead to severe allergies such as a fall in blood pressure and difficulty breathing
  • Do not use Optune Lua if you are pregnant or are planning to become pregnant. It is not known if Optune Lua is safe or effective during pregnancy.

What should I know before using Optune Lua?

Optune Lua should only be used after receiving training from qualified personnel, such as your doctor, a nurse, or other medical staff who have completed a training course given by Novocure®, the maker of Optune Lua.

  • Do not use any parts that did not come with Optune Lua Treatment Kit sent to you by Novocure or given to you by your doctor
  • Do not get the device or transducer arrays wet
  • Please be aware that Optune Lua has a cord that plugs into an electrical socket. Be careful of tripping when it’s connected
  • If you have an underlying serious skin condition where the transducer arrays are placed, discuss with your doctor whether this may prevent or temporarily interfere with Optune Lua treatment.

What are the possible side effects of Optune Lua?

The most common side effects of Optune Lua when used together with certain immunotherapy and chemotherapy drugs were dermatitis, pain in the muscles, bones, or joints, fatigue, anemia, alopecia (hair loss), dyspnea, nausea, cough, diarrhea, anorexia, pruritus (itching), leukopenia, pneumonia, respiratory tract infection, localized edema (swelling), rash, pain, constipation, skin ulcers, hypokalemia (low potassium levels), hypoalbuminemia (low albumin levels), hyponatremia (low sodium levels), and dysphagia (difficulty swallowing).

Other potential adverse effects associated with the use of Optune Lua include treatment related skin irritation, allergic reaction to the adhesive or to the gel, overheating of the array leading to pain and/or local skin burns, infections at site where the arrays make contact with the skin, local warmth and tingling sensation beneath the arrays, medical device site reaction, muscle twitching, and skin breakdown/skin ulcer. Talk to your doctor if you have any of these side effects or questions.

Please visit OptuneLua.com for Instructions For Use (IFU) for complete information regarding the device’s indications, contraindications, warnings, and precautions.

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