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olivLaw · European equity research

Pharming Group N.V. PHARM.AS

Netherlands · Euronext Amsterdam · ISIN NL0010391025 · Vertical: Listed companies from Netherlands

1.11EUR−0.05% · 1 dayClose 05 Nov 2026

Pharming Group N.V. is a biotechnology company that develops and markets therapies for rare and ultra-rare diseases, focusing on hereditary angioedema and primary immunodeficiencies. Total revenues rose 27% to US$376.1 million in 2025, and the company now shows operating profit, which matters for funding its pipeline.

At the close of 05 Nov 2026, Pharming Group N.V. (PHARM.AS) stock was 1.11 EUR (−0.05% on the day), with beta 0.49, 52-week range 0.83–1.78 EUR.

Data as of · AI analysis dated · Source: ESEF annual reports and closing prices, computed by olivLaw.

Market cap
unavailable
shares as of 31 Dec 2024
P/E (TTM)
unavailable
Diluted EPS TTM 0.00 · TTM to 31 Dec 2025
E/P (TTM)
unavailable
TTM to 31 Dec 2025
Dividend yield
unavailable
Beta (2y)
0.49
Volatility (1y) 56%
52-week range
0.831.78

Price history

Loading chart…

Technical reading

RSI (14)
71.2
overbought (≥ 70)
Bollinger (20, 2)
0.74 – 1.21
in the upper half of the band · %B 0.78 · band width 47.9%
SMA 50 / 200
0.95 / 1.17
mixed trend
MACD (12, 26, 9)
0.06 / 0.04
MACD above signal

Indicators describe past prices; on their own they do not predict direction. On our history the RSI ≤ 40 filter added no return (see the signals methodology).

Performance

CompanyEURO STOXX 50vs EURO STOXX 50Vertical median
1 month+27.8%−0.6%+28.4 pp—
3 months+17.1%−4.2%+21.3 pp—
6 months+6.9%+4.3%+2.6 pp—
Year to date−22.3%+7.5%−29.8 pp—
1 year+0.6%+9.9%−9.3 pp−0.2%
3 years−3.5%+49.8%−53.3 pp+2.2%
5 years+38.7%+42.8%−4.2 pp—
Max drawdown (1y)
−53.5%
27 Jan 2026 → 19 Oct 2026
Max drawdown (5y)
−53.5%
27 Jan 2026 → 19 Oct 2026
Compound annual growth (5y)
+6.8%
EURO STOXX 50 +7.4%

Price returns, dividends excluded.

Quarterly results

ESEF annual reports carry no quarters: the results are annual (below).

E/P over time

the price (USD) and the reports are in different currencies

E/P = trailing-12-month diluted EPS / price at quarter end. E/P is the inverse of P/E and stays defined when earnings are negative.

Fiscal years

Fiscal year202320242025
Revenue245.3 m297.2 m376.1 m
Revenue YoYunavailable+21.1%+26.6%
Net income-10.5 m-11.8 m2.9 m
Net income YoYunavailableunavailableunavailable
Diluted EPS-0.02-0.020.00
Diluted EPS YoYunavailableunavailableunavailable
net %-4.3%-4.0%0.8%
Free cash flow-18.7 m-2.6 m54.0 m

Balance sheet & financial health

Fiscal year 2025 · 31 Dec 2025

Cash
145.3 m USD
Financial debt
unavailable USD
Net debt
unavailable USD
Equity
277.1 m USD
Total assets
500.0 m USD
Debt / equity
unavailable
Current ratio
2.59x
ROE
1.1%
ROA
0.6%
FCF margin
14.3%

Financial statements (source on every figure)

Revenue and net income (USD)

Margins

Income statement · USD

Revenue
2023
245.3 m
2024
297.2 m
2025
376.1 m

esef· 07 Apr 2026verified

Cost of revenue
2023
25.2 m
2024
35.4 m
2025
45.5 m

esef· 07 Apr 2026verified

Gross profit
2023
220.1 m
2024
261.8 m
2025
330.6 m

esef· 07 Apr 2026verified

Research & development
2023
68.9 m
2024
83.1 m
2025
100.4 m

esef· 07 Apr 2026verified

Operating income
2023
-5.4 m
2024
-8.6 m
2025
25.8 m

esef· 07 Apr 2026verified

Interest expense
2023
9.1 m
2024
9.9 m
2025
18.1 m

esef· 07 Apr 2026verified

Pre-tax income
2023
-12.0 m
2024
-8.5 m
2025
12.8 m

esef· 07 Apr 2026verified

Income tax
2023
-1.5 m
2024
3.3 m
2025
10.3 m

esef· 07 Apr 2026verified

Net income
2023
-10.5 m
2024
-11.8 m
2025
2.9 m

esef· 07 Apr 2026verified

Diluted EPS
2023
-0.02
2024
-0.02
2025
0.00

esef· 07 Apr 2026verified

Balance sheet · USD

Cash
2023
61.7 m
2024
54.9 m
2025
145.3 m

esef· 07 Apr 2026verified

Receivables
2023
46.2 m
2024
54.8 m
2025
54.7 m

esef· 07 Apr 2026verified

Inventories
2023
56.8 m
2024
55.7 m
2025
64.9 m

esef· 07 Apr 2026verified

Current assets
2023
316.3 m
2024
278.4 m
2025
299.5 m

esef· 07 Apr 2026verified

Property, plant & equipment, net
2023
9.7 m
2024
7.8 m
2025
7.2 m

esef· 07 Apr 2026verified

Intangibles (excl. goodwill)
2023
71.3 m
2024
61.0 m
2025
135.5 m

esef· 07 Apr 2026verified

Total assets
2023
462.9 m
2024
400.0 m
2025
500.0 m

esef· 07 Apr 2026verified

Accounts payable
2023
72.5 m
2024
66.6 m
2025
105.9 m

esef· 07 Apr 2026verified

Current liabilities
2023
78.0 m
2024
73.8 m
2025
115.8 m

esef· 07 Apr 2026verified

Equity
2023
218.8 m
2024
221.1 m
2025
277.1 m

esef· 07 Apr 2026verified

Shares outstanding at year end
2023
659.3 m
2024
657.8 m
2025
—

esef· 07 Apr 2026derived

Cash flow · USD

Operating cash flow
2023
-17.3 m
2024
-1.8 m
2025
54.7 m

esef· 07 Apr 2026verified

Capex
2023
1.4 m
2024
790.0 k
2025
749.0 k

esef· 07 Apr 2026verified

Free cash flow
2023
-18.7 m ≈
2024
-2.6 m ≈
2025
54.0 m ≈

esef· 07 Apr 2026derived

Investing cash flow
2023
-129.4 m
2024
31.6 m
2025
26.3 m

esef· 07 Apr 2026verified

Financing cash flow
2023
-1.0 m
2024
-34.4 m
2025
1.5 m

esef· 07 Apr 2026verified

Computed indicators

Growth

Revenue growth (YoY)
26.6%
computed by olivLawFY 2025
Revenue CAGR 3Y
unavailable
input data missing
Revenue CAGR 5Y
unavailable
input data missing
EBIT growth (YoY)
unavailable
the base of the ratio is not positive
Net income growth (YoY)
unavailable
the base of the ratio is not positive
Net income CAGR 3Y
unavailable
input data missing
Net income CAGR 5Y
unavailable
input data missing
EPS growth (YoY)
unavailable
the base of the ratio is not positive
EPS CAGR 3Y
unavailable
input data missing
EPS CAGR 5Y
unavailable
input data missing
FCF growth (YoY)
unavailable
the base of the ratio is not positive

Profitability

Gross margin
87.9%
computed by olivLawFY 2025
EBITDA margin
unavailable
input data missing
EBIT margin
6.9%
computed by olivLawFY 2025
Net margin
0.8%
computed by olivLawFY 2025
FCF margin
14.3%
computed by olivLawFY 2025

Returns

ROE
1.1%
computed by olivLawFY 2025 · balance sheet at 31 Dec 2025
ROA
0.6%
computed by olivLawFY 2025 · balance sheet at 31 Dec 2025
ROIC
unavailable
input data missing
ROCE
6.7%
computed by olivLawFY 2025 · balance sheet at 31 Dec 2025
Payout ratio (EPS)
unavailable
input data missing
Payout ratio (FCF)
unavailable
input data missing

Balance sheet

Net debt
unavailable
input data missing
Net debt / EBITDA
unavailable
input data missing
Debt / equity
unavailable
input data missing
Interest coverage
1.4x
computed by olivLawFY 2025

Liquidity

Current ratio
2.6x
computed by olivLawbalance sheet at 31 Dec 2025
Quick ratio
2.0x
computed by olivLawbalance sheet at 31 Dec 2025
Cash ratio
1.3x
computed by olivLawbalance sheet at 31 Dec 2025

Cash

Operating cash flow
54.7 m USD
computed by olivLawFY 2025
Capital expenditure
749.0 k USD
computed by olivLawFY 2025
Free cash flow
54.0 m USD
computed by olivLawFY 2025
FCF conversion
1,892.6%
computed by olivLawFY 2025
Cash conversion
unavailable
input data missing

Efficiency

Days sales outstanding
53 days
computed by olivLawFY 2025 · balance sheet at 31 Dec 2025
Days inventory outstanding
484 days
computed by olivLawFY 2025 · balance sheet at 31 Dec 2025
Days payables outstanding
692 days
computed by olivLawFY 2025 · balance sheet at 31 Dec 2025
Cash conversion cycle
-155 days
computed by olivLawFY 2025 · balance sheet at 31 Dec 2025

Market and valuation

Market capitalisation
unavailable
input data missing
Enterprise value
unavailable
input data missing
Market cap / net income TTM
unavailable
input data missing
P/E (TTM)
unavailable
input data missing
Earnings yield
unavailable
input data missing
P/B
unavailable
input data missing
P/S
unavailable
input data missing
EV/EBITDA
unavailable
input data missing
EV/EBIT
unavailable
input data missing
EV/Sales
unavailable
input data missing
P/FCF
unavailable
input data missing
FCF yield
unavailable
input data missing
Dividend yield
unavailable
input data missing
Shareholder yield (distributions)
unavailable
input data missing

1 indicators that do not apply to the sector.

Valuation

olivLaw classification

Insufficient data
What is missing
  • indicators available: 4 of at least 6
  • score weight coverage: 22.9% of at least 60%

A scoring methodology on indicators and valuation, not investment advice.

Closing price

1.11 EUR

05 Nov 2026Source: olivLaw, closing series

Market cap: unavailable

Price and reporting are in different currencies; market indicators are unavailable.

Key indicators

Market capitalisation
unavailable
input data missing
P/E (TTM)
unavailable
input data missing
P/B
unavailable
input data missing
EV/EBITDA
unavailable
input data missing
ROE
1.1%
computed by olivLawFY 2025 · balance sheet at 31 Dec 2025
Net margin
0.8%
computed by olivLawFY 2025
Revenue growth (YoY)
26.6%
computed by olivLawFY 2025
Dividend yield
unavailable
input data missing

Coverage and freshness

26/37 reporting lines present
Latest full fiscal year: 2025
Latest reported period: 31 Dec 2025
Latest balance sheet date: 31 Dec 2025
Share count (cover of the latest filing), as of: 31 Dec 2024
Source: esefpublished 07 Apr 2026
verified 80derived 2

Score by group

23% · Insufficient data

Estimated value range

Low
0.04
USD per share
Mid
0.06
USD per share
High
0.10
USD per share
Price: unavailable
Potential to the central value: unavailable (value / price − 1)
Margin of safety: unavailable (1 − price / value)
Agreement between methods: single method · 1 methods used · 1 independent bases

The combined range = the median of the valid methods' low, central and high values; it is not a probability interval and does not cover every result. Envelope of all methods: 0.04 – 0.10 USD.

Valuation assumptions are editorial choices, not measured; beta is not measured.

Method ranges (USD per share)

— — Mid · ▏ Price

Valuation methods

  • DCF (discounted cash flow)unavailable · net debt missing: EV cannot be bridged to equity (missing debt is not zero)
  • Peers: EV/EBITDAunavailable · net debt missing: EV cannot be bridged to equity (missing debt is not zero)
  • Peers: P/E0.04 – 0.10 (Mid 0.06)
    16 companies used · median multiple 14.5x · quartiles 10.6x – 25.7x
    AALB.AS, ACOMO.AS, AD.AS, ADYEN.AS, AKZA.AS, ARCAD.AS, ASM.AS, ASML.AS, AXS.AS, BAMNB.AS, BNJ.AS, CRBN.AS, CTAC.AS, ECMPA.AS, FFARM.AS, HAL.AS
  • Dividend discount (DDM)unavailable · the company pays no dividend: a dividend model needs an explicit initiation assumption

Assumptions (illustrative, editorial)

Risk-free rate
4.3%
Equity risk premium
5.0%
Beta (default)
1.00
Cost of equity
9.3%
Terminal growth
2.5%

Factor scorecard

Insufficient data

Minimum-evidence gate: indicators available: 4 of at least 6; score weight coverage: 22.9% of at least 60%

FactorValueScoreWeight used
ROIC · Qualityunavailableunavailable—
Net margin · Quality0.8%42 (vs peers)27%
FCF conversion · Quality1,892.6%100 (on a fixed band)27%
Revenue CAGR 3Y · Growthunavailableunavailable—
EPS CAGR 3Y · Growthunavailableunavailable—
Net debt / EBITDA · Balance sheetunavailableunavailable—
Interest coverage · Balance sheet1.4x0 (on a fixed band)27%
Current ratio · Balance sheet2.6x100 (on a fixed band)18%
P/E (TTM) · Valuationunavailableunavailable—
EV/EBITDA · Valuationunavailableunavailable—
FCF yield · Valuationunavailableunavailable—
Shareholder yield (distributions) · Returnsunavailableunavailable—
Payout ratio (FCF) · Returnsunavailableunavailable—

Factors without a value were dropped; the remaining weights were renormalised.

Score groups

  • Balance sheet40/100 · 2/3 factors with a value
  • Growth· partialunavailable · 0/2 factors with a value
  • Quality71/100 · 2/3 factors with a value
  • Returns· partialunavailable · 0/2 factors with a value
  • Valuation· partialunavailable · 0/3 factors with a value

A «partial» group is computed from under half of its weight or from one factor: it is not a full assessment of the group.

Memo

Pharming Group N.V. (PHARM.AS). Latest full fiscal year: 2025; data up to 2025-12-31.

Figures computed from the financial statements: revenue 376.1 m USD in 2025; YoY growth 26.6%; net margin 0.8%; ROE 1.1%.

The estimated value range is 0.04–0.10 USD per share (median of 1 methods, agreement: single method); assumptions are illustrative. The range is the median of the methods' low, central and high values, not a probability interval.

Insufficient data for a verdict (indicators available: 4 of at least 6; score weight coverage: 22.9% of at least 60%).

Text generated deterministically from the figures shown; no language model. Not investment advice.

What supports the thesis

  • FCF conversion: 1,892.6%
  • Current ratio: 2.6x

What contradicts it

  • Interest coverage: 1.4x

Not assessed (insufficient data or a ratio without meaning): ROIC, Revenue CAGR 3Y, EPS CAGR 3Y, Net debt / EBITDA, P/E (TTM), EV/EBITDA, FCF yield, Shareholder yield (distributions), Payout ratio (FCF).

Versus the vertical median

Listed companies from Netherlands · same country · compared with 39 companies

Multiples and returns vs the median

P/E
—
vertical median 20.2x
EV/EBITDA
—
vertical median 10.6x
P/S
—
vertical median 0.8x
P/B
—
vertical median 2.2x
ROE
1.1%
vertical median 4.3%
below median (−73.5%)
Net margin
0.8%
vertical median 1.9%
below median (−59.8%)
EBIT margin
6.9%
vertical median 3.9%
above median (+74.1%)
Revenue YoY
26.6%
vertical median 3.4%
above median (+692.1%)
Net debt/EBITDA
—
vertical median 0.7x
Dividend yield
—
vertical median 2.6%

Price rebased to 100 (monthly, 5 years)

Companies in the vertical

Market capP/EROENet marginRevenue YoY1A / 3A
ASML.ASASML Holding N.V.485.6 bn47.644.2%31.3%+15.6%+38% / +101%
DSFIR.ASDSM-Firmenich AG33.7 bn120.51.2%2.2%+20.4%+60% / +30%
AD.ASKoninklijke Ahold Delhaize N.V.31.2 bn13.915.3%2.5%+3.4%−3% / +30%
ASM.ASASM International N.V.31.2 bn43.318.7%22.8%+8.2%+34% / +35%
ADYEN.ASAdyen N.V.28.1 bn26.622.3%40.1%+18.9%−33% / −17%
HAL.ASHAL Trust15.5 bn9.710.5%12.8%+1.2%+22% / +47%
EXO.ASExor N.V.15.0 bn—-10.6%—−100.0%+1% / −18%
BESI.ASBE Semiconductor Industries N.V.11.2 bn84.928.7%22.3%−2.7%+8% / +10%
AKZA.ASAkzo Nobel N.V.10.7 bn17.013.8%6.3%−5.2%+12% / −11%
AALB.ASAalberts N.V.4.5 bn25.47.2%5.7%−5.3%+48% / +13%
ARCAD.ASArcadis N.V.4.2 bn20.218.3%4.3%−2.4%+24% / +2%
BNJ.ASBanijay Group N.V.3.4 bn13.8343.8%5.1%+1.6%−11% / −8%
BAMNB.ASKoninklijke BAM Groep N.V.3.3 bn41.89.1%1.3%+2.9%+47% / +400%
BFIT.ASBasic-Fit N.V.2.0 bn138.23.6%1.0%+16.9%+7% / +16%
CRBN.ASCorbion N.V.1.6 bn8.327.3%14.9%+1.9%+40% / +55%
ECMPA.ASEurocommercial Properties N.V.1.4 bn11.25.9%45.4%+4.2%−4% / +19%
FUR.ASFugro N.V.985.3 m—-1.5%-1.1%−18.8%−0% / −49%
ACOMO.ASAcomo N.V.685.9 m15.210.7%3.3%+7.6%−3% / +37%
FAST.ASFastned B.V.663.0 m—-28.2%-21.7%+66.1%+60% / +25%
FFARM.ASForFarmers N.V.479.4 m9.614.5%1.6%+14.8%+22% / +123%
BRNL.ASBrunel International N.V.383.2 m125.51.0%0.3%−10.8%−6% / −29%
ENVI.ASEnvipco Holding N.V.224.1 m—-12.7%-11.9%−20.8%−25% / +47%
ALFEN.ASAlfen N.V.219.8 m—-0.1%-0.0%−10.7%−4% / −78%
CMCOM.ASCM.com N.V.192.5 m—-22.2%-1.5%−5.4%+23% / −30%
AJAX.ASAFC Ajax N.V.140.9 m—-18.0%-21.0%+17.2%−15% / −29%

1- and 3-year price returns: for PHARM.AS from daily closes (the same as the performance table), for the other companies from month-end closes.

olivLaw engine forecast

The world engine ran after the company's latest material disclosure. Probabilities are of TOUCHING a level within the horizon (not closing there) and sit next to the random walk (p_rw), the no-information benchmark.

The engine has no published run for this company yet.

Valuation scenarios (editable assumptions)

Illustrative scenarios

Scenarios are not available. input data missing

AI analysis

AI-generatedAI-generated analysis (Claude) from cited public sources; it may contain errors. Not investment advice. As of 27 Oct 2026 · Model: claude-haiku-5-5.

In brief

Pharming Group N.V. is a biotechnology company that develops and markets therapies for rare and ultra-rare diseases, focusing on hereditary angioedema and primary immunodeficiencies. Total revenues rose 27% to US$376.1 million in 2025 1, and the company now shows operating profit, which matters for funding its pipeline.

SWOT

Strengths

  • The company has an established U.S. position with RUCONEST and Joenja and reached operating profit in 2025 1.
  • The portfolio focuses on rare diseases with unmet needs, where Joenja is the only approved targeted therapy for APDS 1.
  • The company has its own commercial and manufacturing infrastructure that supports launches and wider access 1.

Weaknesses

  • Revenue depends heavily on RUCONEST, and rising competition in HAE could affect this dependence 1.
  • Net profit is modest, and foreign currency losses weighed on the 2025 financial result 1.
  • The APDS market is very small and still early, which limits near-term Joenja revenue 1.

Opportunities

  • If Phase II studies of leniolisib succeed, the target population could grow considerably 1.
  • Expansion into new countries and paediatric approvals could add revenue for Joenja 1.
  • If the pivotal study of napazimone succeeds, the company could enter a market with major unmet needs 1.

Threats

  • New HAE therapies could reduce RUCONEST's share of the U.S. market 1.
  • Pricing pressure and changes in health technology assessment could limit access and revenue 1.
  • Clinical results or development delays could change plans for leniolisib and napazimone 1.

Risks

  • Competition in HAEhigh

    New mechanisms in HAE could reduce RUCONEST's share and require further diversification 1.

  • Regulation and reimbursementmedium

    Changes in HTA requirements, pricing pressure and reimbursement constraints could affect patient access 1.

  • Clinical and development riskhigh

    Clinical results, regulatory reviews or timelines could differ from expectations, particularly for napazimone 1.

  • Supply continuitymedium

    Complex biologic manufacturing and a global supply chain could affect product availability for patients 1.

  • Macroeconomic volatilitylow

    Exchange rate changes, inflation and geopolitical instability could change operating costs and financial results 1.

Investment thesis

What would need to be true (bull case)

  • Growth in RUCONEST and Joenja, together with the move to operating profit, could support funding of the pipeline without relying heavily on external capital 1.
  • If leniolisib succeeds in PIDs with immune dysregulation, the target population could become much larger than the current APDS market 1.
  • Napazimone could become the first therapy targeting the cause of mtDNA-driven mitochondrial disease, a significant unmet need 1.

What would break the thesis

  • RUCONEST depends heavily on the U.S. market, and new HAE therapies could reduce the company's share 1.
  • The APDS market remains very small, and Joenja's growth depends on finding new patients and on reclassification of VUS variants 1.
  • Net profit in 2025 was very small, and currency losses could reappear if the euro strengthens against the dollar 1.

What to watch

  • Results of Phase II studies of leniolisib in PIDs with immune dysregulationsecond half 2026
  • Progress of the pivotal study for napazimone (KL1333)2026
  • RUCONEST revenue trend against new HAE therapiesQ1 2027
  • Ex-U.S. approvals and paediatric label expansion for Joenja2027

Products, market & competition

AI-generatedAI-generated analysis (Claude) from cited public sources; it may contain errors. Not investment advice. As of 27 Oct 2026 · Model: claude-haiku-5-5.

The business

Pharming presents itself as an integrated biotechnology company with in-house capabilities in clinical development, manufacturing, regulatory affairs and commercialization. It markets two approved therapies: RUCONEST, the only recombinant C1 esterase inhibitor protein replacement therapy for acute hereditary angioedema attacks, and Joenja, an oral PI3Kδ inhibitor for APDS 1. The strategy aims at durable growth through RUCONEST, mid-term momentum from Joenja and advancing leniolisib and napazimone (KL1333) 1.

The pipeline is centred on rare immunological and genetic diseases. Leniolisib is being evaluated in Phase II studies for primary immunodeficiencies with immune dysregulation, and napazimone (KL1333), acquired with Abliva AB in 2025, is in a pivotal trial for mtDNA-driven primary mitochondrial disease 1. The company says it could become the first therapy targeting the biology of this disease if the study succeeds 1.

The main market is the United States, where RUCONEST generates most revenue, and Joenja is commercialized directly in the U.S. and the United Kingdom 1. Revenue growth in 2025 reflected a larger patient and prescriber base in the U.S. and rising international demand for Joenja 1.

Segments

RUCONEST

RUCONEST is the on-demand treatment for acute hereditary angioedema attacks and the main revenue driver. Revenue rose 26% to US$317.9 million in 2025, and U.S. unit volume grew 20% 1. The company says it remains a cornerstone on-demand treatment, especially for patients with severe attacks or breakthrough attacks despite prophylaxis 1.

Joenja

Joenja (leniolisib) is an oral PI3Kδ inhibitor approved for APDS, an ultra-rare primary immunodeficiency. Revenue grew 29% to US$58.2 million in 2025, with 86% from the U.S. 1. The company is working on finding more APDS patients and on expansion to other markets and paediatric patients 1.

Pipeline

The pipeline includes leniolisib for primary immunodeficiencies with immune dysregulation, where Phase II studies for PIDs linked to PI3Kδ signalling and for CVID with immune dysregulation are fully enrolled, with top-line data expected in the second half of 2026 1. Napazimone (KL1333) is in a pivotal trial for primary mitochondrial disease 1.

Market context

The PID therapeutics market is estimated at about US$8 billion in 2025, with growth of about 6% a year towards 2034 1. The U.S. HAE market is expanding, but long-term prophylaxis has become the dominant paradigm, with about 68.5% of surveyed U.S. patients having received or currently receiving it 1. About 50% of patients on prophylaxis still experience breakthrough attacks, which keeps demand for acute treatment 1.

The APDS market is still at an early stage, but recent research suggests the disease could be more prevalent than previously understood, and reclassification of variants of uncertain significance could enlarge the identifiable population 1. This growth potential depends on new data and better diagnosis and is not assured 1.

Trends

  • Expansion of prophylaxis in HAEmixed

    Long-term prophylaxis has become the dominant HAE treatment, which could reduce demand for acute therapies if breakthrough attacks decline significantly. However, guidelines require ready access to on-demand treatment for all patients, which supports RUCONEST's role 1.

  • New HAE mechanismsheadwind

    FDA approvals in 2025 introduced new mechanisms for prophylaxis and on-demand treatment, widening treatment choice and increasing the complexity of treatment decisions 1. For RUCONEST this means a more competitive market that the company says it must reinforce 1.

  • Better diagnosis in rare immunologytailwind

    Expanded genetic testing and reclassification of VUS could increase the number of identifiable APDS and related PID patients, which could support long-term demand for Joenja 1.

  • Regulatory and pricing pressureheadwind

    Changes in health technology assessment, pricing pressure and reimbursement constraints could affect patient access and commercial performance, according to the company 1.

Competitive position

In HAE, the U.S. market spans therapies targeting C1-INH and components of the contact activation system, including plasma kallikrein and FXIIa inhibitors, delivered intravenously, subcutaneously or orally 1. In APDS, Joenja is the only approved therapy, and the company says it is not aware of active clinical programmes in APDS 1.

Competition in HAE is intensifying with new mechanisms, which requires the company to diversify its portfolio 1. Pharming relies on RUCONEST being the only recombinant C1-INH protein replacement therapy and on its position in acute attacks 1.

  • New HAE therapies (FXIIa and kallikrein inhibitors)

    Therapies approved in the U.S. in 2025 that target FXIIa, prekallikrein or plasma kallikrein, competing with RUCONEST and with prophylaxis 1.

  • Plasma-derived C1-INH therapies

    Human plasma-derived C1-INH products that compete with RUCONEST in the acute treatment of HAE attacks 1.

  • PID therapies (immunoglobulins and targeted therapies)

    Immunoglobulins and targeted therapies are the main options in the PID market, where Joenja competes for APDS or immune dysregulation patients 1.

  • Developers of mitochondrial disease therapies

    Companies developing primary mitochondrial disease therapies are potential competitors to napazimone, although this market has few approved therapies today 1.

News & filings

Annual reports (ESEF)

Sources

  1. [1] Annual report, fiscal year ended 2025-12-31 (ESEF) · SEC / Pharming Group N.V. · 31 Dec 2025

Figures computed by olivLaw from ESEF annual reports and closing prices; the qualitative analysis is AI-generated from cited sources. Not investment advice.