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GILD Q2 Earnings Call Raises Outlook on HIV and PrEP Strength

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Key Takeaways

  • GILD now expects 2026 product sales excluding Veklury of $29.8B-$30.1B after stronger HIV growth.
  • Gilead said quarterly PrEP sales topped $1B for the first time, while Biktarvy sales rose 7% to $3.8B.
  • Trodelvy sales rose 26%, while GILD said two additional commercial launches could arrive in the second half.

Gilead Sciences, Inc. (GILD - Free Report) used its second-quarter 2026 call to emphasize stronger base-business growth, led by HIV, PrEP, Trodelvy and Livdelzi, while outlining a busy second-half launch calendar.

Non-GAAP loss per share was $6.75, better than the Zacks Consensus Estimate for a loss of $7.07. Revenues of $7.8 billion also topped the $7.37 billion consensus and increased 10% year over year.

Gilead Sciences, Inc. Price, Consensus and EPS Surprise

Gilead Sciences, Inc. Price, Consensus and EPS Surprise

Gilead Sciences, Inc. price-consensus-eps-surprise-chart | Gilead Sciences, Inc. Quote

GILD Raises Base Business Outlook

Executive vice president and chief financial officer Andrew Dickinson said GILD now expects 2026 product sales excluding Veklury of $29.8 billion to $30.1 billion, up $350 million at the midpoint from May guidance.

Dickinson said full-year HIV sales are now expected to rise 9% to 10% compared with the prior 8% outlook, reflecting strength in Biktarvy, Yeztugo and Descovy.

Moreover, Dickinson raised the lower end of total product sales guidance to $30.1 billion, leaving the high end at $30.4 billion. Veklury expectations fell to approximately $300 million from about $600 million.

Gilead Leans on HIV and PrEP Momentum

Chairman and chief executive officer Daniel O'Day said HIV sales increased 12% and quarterly PrEP sales exceeded $1 billion for the first time, putting the prevention business at a $4 billion annual run rate.

Chief commercial and corporate affairs officer Johanna Mercier said Biktarvy sales rose 7% to $3.8 billion, while Yeztugo generated $232 million. Gilead maintained its approximately $1 billion full-year Yeztugo sales target.

Mercier also said more than 70% of Yeztugo users returned for reinjection at six months. She expects HIV treatment market growth to return to its typical 2% to 3% annual rate after softer second-quarter trends.

GILD Pushes Oncology and Cell Therapy Launches

O'Day said Trodelvy sales rose 26% year over year, supported by breast cancer demand and new first-line metastatic triple-negative breast cancer approvals.

Mercier said cell therapy sales declined 14% amid ongoing competitive pressure, while launch preparations are underway for anito-cel ahead of its Dec. 23 regulatory decision.

Chief medical officer Dietmar Berger highlighted GS-8824 data in platinum-resistant ovarian cancer, including a 61% confirmed objective response rate and 11-month median progression-free survival across select doses. Registrational development could begin as early as 2027.

Gilead Defends PrEP Breadth and Diversification

A BMO Capital Markets analyst asked whether development of once-weekly oral PrEP reflected weaker enthusiasm for twice-yearly injections. Mercier said the strategy instead addresses patients who prefer oral therapy.

Mercier noted that roughly 80% to 85% of the market remains on daily oral options. She described weekly oral lenacapavir as complementary to Yeztugo rather than a substitute.

A Citigroup analyst asked whether reducing HIV concentration remains a long-term objective. O'Day replied that diversification remains a goal both within virology and through expansion in oncology and immunology.

GILD Shifts From Deals to Integration

Dickinson said Gilead does not currently anticipate additional sizable M&A in 2026 after completing the Arcellx, Tubulis and Ouro Medicines acquisitions.

Dickinson also said near-term priorities center on integrating the acquired programs and platforms. Acquired IPR&D expenses totaled $11.2 billion in the second quarter, primarily reflecting the three transactions.

Dickinson added that GILD returned nearly $1.4 billion to shareholders during the quarter, including $355 million of share repurchases, while operating cash flow totaled $3.6 billion.

Gilead Enters Back Half With Launch Focus

O'Day said the second half could bring two additional commercial launches, BIC/LEN in HIV treatment and anito-cel in multiple myeloma, alongside continued clinical execution.

Management's focus coming out of the call centers on sustaining base-business growth, integrating recent acquisitions and advancing a broader pipeline across HIV, oncology and inflammation.

GILD Zacks Signals Show Mixed Near-Term Profile

GILD carries a Zacks Rank #3 (Hold), with a Value Score of C, Growth Score of C, Momentum Score of A and VGM Score of B. The Style Score framework places A and B grades above C, making momentum the strongest individual style signal.

You can see the complete list of today’s Zacks #1 Rank (Strong Buy) stocks here.

The Zacks framework treats the Rank as the primary short-term indicator, while Style Scores complement it over a similar one-to-three-month horizon. The Zacks Rank can change as analysts revise earnings estimates following the just-reported results.

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