Gilead Reports 2025 Revenue Growth to $29.4 Billion on HIV Strength; Veklury Plunges 49%

Gilead Reports 2025 Revenue Growth to $29.4 Billion on HIV Strength; Veklury Plunges 49%

Gilead Sciences, Inc. (NASDAQ: GILD) announced fourth quarter and full-year 2025 financial results, with total revenues rising 2% to USD 29.4 billion driven by HIV and Liver Disease portfolio strength, offset by a sharp 49% decline in Veklury (remdesivir) sales as COVID-19 hospitalizations normalized. The biotechnology leader issued 2026 guidance of USD 29.6–30.0 billion in product sales, signaling stable growth trajectory excluding pandemic-related volatility.

Financial Performance Summary

Metric2025 ResultYoY ChangeKey Driver
Total RevenuesUSD 29.4 billion+2%HIV and Liver Disease growth offsetting Veklury decline
Q4 RevenuesUSD 7.9 billion+5%Quarterly momentum in core franchises
HIV Product SalesUSD 20.8 billion+6%Biktarvy and Descovy market share gains
Liver DiseaseUSD 3.2 billion+6%Hepatitis B and C portfolio stability
Cell TherapyUSD 1.8 billion-7%Yescarta growth offset by broader portfolio pressures
Trodelvy (ADC)USD 1.4 billion+6%Solid tumor expansion
VekluryUSD 911 million-49%Post-pandemic demand normalization

Franchise Deep Dive

HIV: Core Growth Engine

Product2025 SalesYoY ChangeStrategic Position
BiktarvyUSD 14.3 billion+7%#1 prescribed HIV regimen globally; single-tablet regimen dominance
DescovyUSD 2.8 billion+31%PrEP and HIV treatment backbone; tenofovir alafenamide safety profile
  • HIV Market Leadership: Gilead maintains >50% global HIV market share; Biktarvy’s high barrier to resistance and tolerability drive prescriber loyalty and payer preference

Cell Therapy: Mixed Signals

Product2025 SalesYoY ChangeClinical Context
YescartaUSD 1.5 billion+5%CD19 CAR-T in LBCL; label expansion to PCNSL (Feb 2026)
TecartusUSD 344 million+15%BCMA CAR-T in mantle cell lymphoma; growth trajectory
  • Portfolio Pressure: Overall Cell Therapy decline reflects competition from bispecific antibodies (epcoritamab, glofitamab) and manufacturing capacity constraints

Trodelvy: ADC Validation

  • Sacituzumab govitecan maintains 6% growth in triple-negative breast cancer and urothelial carcinoma; faces datopotamab deruxtecan competition in HR+/HER2- breast cancer

2026 Guidance & Strategic Outlook

Metric2026 GuidanceStrategic Implication
Total Product SalesUSD 29.6–30.0 billionStable core business; low-single-digit growth
Ex-Veklury Product SalesUSD 29.0–29.4 billionNormalized COVID-19 impact; sustainable HIV/oncology trajectory
Key CatalystsYescarta label expansions; Trodelvy TNBC data; HIV long-acting injectable launchInnovation pipeline execution

Forward‑Looking Statements
This brief contains forward‑looking statements regarding Gilead Sciences’ 2026 revenue performance, HIV franchise sustainability, and cell therapy competitive positioning. Actual results may differ due to generic competition in HIV, pricing pressure from national reimbursement programs, and biosimilar entry in oncology.-Fineline Info & Tech