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A. Operating Results
Overview
We are an international biotechnology company with a pipeline of novel antibody-based products and product
candidates designed to address unmet medical needs and improve treatment outcomes for patients with cancer and other
serious diseases. Our goal in building our pipeline is to bring medicines to market ourselves in geographic areas where we
believe we will be able to maximize their value and make a meaningful impact on the treatment landscape.
.
Our current priorities are the commercial or late-stage programs epcoritamab, Rina-S and petosemtamab. Epcoritamab,
marketed as EPKINLY in countries including the US and Japan and as TEPKINLY in the EU, is being developed and
commercialized in collaboration with AbbVie. Epcoritamab is the first and only bispecific antibody approved for the
treatment of multiple B-cell malignancies in various regions around the world. Rina-S and petosemtamab are wholly
owned by Genmab. Rina-S is in Phase III clinical development for PROC, PSOC and endometrial cancer. Petosemtamab is
in Phase III clinical development for newly diagnosed and recurrent/metastatic r/m HNSCC.
Our full pipeline includes bispecific T-cell engagers, next-generation immune checkpoint modulators, effector function
enhanced antibodies and ADCs. We currently have five proprietary products or product candidates in active clinical
development, which comprise programs where we retain at least 50% of product rights in collaboration with partners. Our
first proprietary commercial product to be approved was tisotumab vedotin, marketed as Tivdak. Tivdak is being co-
developed globally and co-promoted in the US in collaboration with Pfizer and exclusively by Genmab outside of the US
and China. Tivdak is the first and only ADC approved for the treatment of adult patients with recurrent or metastatic
cervical cancer with disease progression on or after prior systemic therapy in territories including the US, Europe and
Japan. In addition to our marketed products and clinical product candidates, we have multiple proprietary and partnered
preclinical programs.
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To develop and deliver novel therapies to patients, we have formed strategic collaborations with biotechnology and
pharmaceutical companies. We selectively enter into collaborations with other biotechnology and pharmaceutical
companies that build our network in the biotechnology space and give us access to complementary technologies or
products that move us closer to achieving our vision and fulfilling our core purpose. In addition to Genmab’s own pipeline
of product candidates, our innovation and proprietary technology platforms are applied in the pipelines of global
pharmaceutical and biotechnology companies. These companies are running clinical development programs with
antibodies created by Genmab or created using Genmab’s proprietary DuoBody bispecific antibody technology platform.
The six approved medicines created by Genmab or that incorporate Genmab’s innovation or technology platforms are
daratumumab, marketed by J&J as DARZALEX (IV formulation) and DARZALEX FASPRO or DARZALEX SC (SC
formulation), approved in the US, Europe, Japan and other territories for the treatment of certain indications of MM and
AL amyloidosis; amivantamab, marketed in the US, Europe, Japan and other territories by J&J as RYBREVANT for the
treatment of certain adult patients with locally-advanced or metastatic NSCLC with EGFR exon 20 insertion mutations. A
SC formulation, RYBREVANT FASPRO, is also approved in the US; teclistamab, marketed in the US, Europe, Japan and
other territories by J&J as TECVAYLI for certain indications of MM; talquetamab, marketed in the US, Europe, Japan and
other territories by J&J as TALVEY for certain indications of MM; SC ofatumumab, marketed in the US, Europe, Japan
and other territories as Kesimpta by Novartis for the treatment of RMS; and teprotumumab, marketed in the US, Europe
and Japan as TEPEZZA by Amgen for the treatment of TED. In addition BIZENGRI (Zenocutuumab-zbco) was added to
our portfolio of royalty medicines as part of our acquisition of Merus. Merus exclusively licensed to Partner Therapeutics
the right to commercialize BIZENGRI for the treatment of NRG1 fusion-positive cancer in the US. Under the agreements
for these products Genmab is entitled to certain potential milestones and royalties.
For our proprietary commercial products EPKINLY and Tivdak, our commercialization rights and related revenues
and expenses vary by jurisdiction as further described below:
•EPKINLY collaboration with AbbVie. Genmab shares commercial responsibilities for epcoritamab, marketed
as EPKINLY, with AbbVie in the US and Japan, while AbbVie is responsible for global commercialization
outside of the US and Japan. We are the principal for net sales of EPKINLY in the US and Japan and
therefore record such sales as net product sales. In the US and Japan, we share with AbbVie 50% of such
sales and related cost of product sales and these amounts are classified as cost of product sales. We and
AbbVie are each responsible for 50% of the aggregate research and development and sales and marketing
costs of EPKINLY in the US and Japan, and we classify our share of such costs in research and development
and selling, general and administrative expenses, respectively. We are entitled to tiered royalties between
22% and 26% on net sales for epcoritamab outside the US and Japan, subject to certain royalty reductions.
•Tivdak collaboration with Pfizer. Tisotumab vedotin, marketed as Tivdak, is being co-developed by Genmab
and Pfizer. Under a joint commercialization agreement, Genmab is co-promoting Tivdak in the US and is
leading commercial operational activities in Japan, Europe and all other regions globally, excluding the US
and China. Pfizer is leading commercial operational activities in the US and will lead commercial operational
activities in China once approved in connection with the sublicense of its rights to develop and commercialize
tisotumab vedotin in China to Zai Lab. Genmab will record sales for Europe, Japan and rest of world markets
(excluding the US and China), and will provide royalties in the low teens to Pfizer on net sales.
We are funding our operating requirements, including our research and development expenses and our planned
commercialization activities, primarily through operating cash flow (including royalties and milestones from our
collaboration partners). We may also use additional debt financing, proceeds from equity financing or other forms of
financing to finance acquisitions or other forms of growth.
For a description of certain of our product and technology collaborations including relevant royalty tiers, milestones
and expense sharing provisions, please refer to “Item 4.B—Business Overview—Product and Technology Collaborations”.
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Acquisition of Merus
On December 12, 2025, we completed the Acquisition of Merus, resulting in Merus becoming a wholly owned
subsidiary of Genmab. It provided us with worldwide rights outside of the US to Merus' approved product, BIZENGRI
(zenocutuzumab-zbco), and its lead product candidate, petosemtamab. In addition, we acquired Merus' Biclonics and
Triclonics technology platforms. Petosemtamab is an investigational antibody-dependent cell-mediated cytotoxicity
(ADC)-enhanced Biclonics® for the potential treatment of solid tumors that is designed to bind to cancer stem cells
expressing EGFR and LGR5.
We intend to continue the clinical development of petosemtamab in the LiGeR-HN1 Phase III clinical trial for the
treatment of 1L PD-L1+ r/m HNSCC with pembrolizumab; the LiGeR-HN2 Phase III clinical trial for the treatment of
2/3L r/m HNSCC and the ongoing Phase I/II clinical trial in mCRC. We also intend to commence a Phase III clinical trial
of petosemtamab in locally advanced HNSCC.
The FDA granted petosemtamab BTD in combination with pembrolizumab for the first-line treatment of adult patients
with r/m PD-L1 positive HNSCC with CPS ≥ 1 in February 2025, and for the treatment of patients with r/m HNSCC whose
disease has progressed following treatment with platinum based chemotherapy and an anti-PD-1 or anti-PD-L1 antibody.
This designation followed receipt of FTD for petosemtamab for the treatment of patients with r/m HNSCC whose disease
has progressed following treatment with platinum-based chemotherapy and an anti-programmed cell death protein 1
antibody announced in August 2023.
See Note 5.5 in our Audited Financial Statements for additional details regarding our acquisition of Merus.
Key Components of Our Results and Related Trends
Impact of the Acquisition of Merus
We expect that the acquisition of Merus will increase our research and development expenses as well as our selling,
general and administrative expenses in the short to medium term as compared to our own recent historical level. We expect
an increase in these expenses primarily as a result of our planned development and commercialization activities for
petosemtamab. We intend to expand Merus' current development plan for petosemtamab in additional HNSCC settings and
other potential tumor types. Such expanded development will involve increased research and development and selling,
general and administrative expenses as we support related manufacturing, clinical trial activities, and commercialization
activities. See “—Liquidity and Capital Resources.”
While we expect to record additional royalty revenues because we acquired zenocutuzumab as a part of the Merus
acquisition, we do not expect such revenues to be material. Considering the costs of development of petosemtamab and
other Merus product candidates, we expect to maintain positive operating earnings and positive cash flow generation driven
by our royalty business and proprietary products.
In addition, we recorded acquisition-related costs and integration-related charges in the year ending December 31,
2025 related to the acquisition of Merus. We also expect to record integration-related charges related to the acquisition of
Merus in the year ending December 31, 2026. Such integration-related charges may be significant.
In December 2025, Genmab entered into two senior secured credit facilities, consisting of a a $1 billion Term Loan A
Facility and a $2 billion Term Loan B Facility (the loans thereunder, collectively the “Term Loans”), and a $500 million
revolving credit facility (together with the Term Loans, the "Loans"). Genmab also issued $1.5 billion principal amount of
Senior Secured Notes and $1.0 billion principal amount of Senior Unsecured Notes (together, the “Notes”). Genmab
incurred indebtedness under the Loans and Notes to contribute to the financing of the acquisition of Merus. The detailed
descriptions of the Term Loans and Notes in Note 4.8 to the Audited Financial Statements included in the Annual Report
for 2025 are incorporated herein by reference.
Revenues
Our revenues are currently comprised of royalties, net product sales, milestone revenue, reimbursement revenue,
collaboration revenue and license fees. Royalty revenue from licenses is based on third-party sales of licensed products.
Net product sales represent sales of products when Genmab is determined to be the principal in sales to the end customers.
Milestone revenue is typically related to reaching particular stages in product development, regulatory approval or a certain
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level of net sales. Reimbursement revenue is mainly comprised of the reimbursement of certain research and development
expenses related to the development work under our collaboration agreements. Collaboration revenue reflects profit sharing
arrangements for the sale of commercial products by our collaboration partners. License fees are non-refundable, upfront
fees for our intellectual property received from our collaboration partners.
The majority of our revenue is recognized from our collaboration partners under our collaboration agreements. In
particular, our ability to generate revenue significantly depends on the success of J&J’s continued ability to effectively
maintain and grow sales of DARZALEX for its approved indications, expand its indications, and successfully compete
with existing and potential new investigational agents and technologies that are currently being marketed or studied for the
same indications as DARZALEX. In addition, the royalties payable by J&J are limited in time. Pursuant to the terms of the
agreement, J&J’s obligation to pay royalties to us will expire on a country-by-country basis on the later of the date that is
13 years after the first sale of daratumumab in such country or upon the expiration or invalidation of the last-to-expire
relevant Genmab patent covering daratumumab in such country. The first US, European and Japanese sales of
daratumumab occurred in 2015, 2016 and 2017, respectively. We have issued patents and pending patent applications
covering daratumumab in numerous jurisdictions, including patents issued in the US, Europe and Japan. J&J owns a
separate patent portfolio related to the SC formulation of daratumumab used in DARZALEX FASPRO/DARZALEX SC,
but a binding arbitration determined that we are not entitled to royalties based on these separate patents. Our issued US,
European and Japanese patents covering daratumumab, after giving effect to issued US, European and Japanese PTEs and
SPCs, expire in 2029, 2031 and begin to expire in 2030, respectively. Assuming constant underlying sales of DARZALEX,
we expect that our royalties from sales of DARZALEX will begin to decline materially in 2029 following expiration of our
US patent rights on daratumumab. We have also received, and in the future may from time to time receive, revenues from
milestones and other payments relating to our collaborations.
In addition to revenue recognized from our collaboration partners, we also record revenue for sales of our proprietary
commercial products. Epcoritamab was approved by the FDA and Japan MHLW in May 2023 and September 2023,
respectively, and is marketed in the US and Japan under the tradename EPKINLY. Our net product sales derive solely from
EPKINLY. Tisotumab vedotin was approved by the FDA in September 2021, and is currently marketed in the US as
Tivdak. Pfizer records net product sales in the US and shares 50% of the profit of such sales with us, and we record this
profit share as collaboration revenue. Our ability to generate revenue from our proprietary commercial products, including
EPKINLY and Tivdak, depends on the commercial potential of such products as well as our ability to successfully
commercialize them.
Our ability to generate revenue from our proprietary and partnered product candidates depends on our and our
collaboration partners’ ability to successfully complete clinical trials for our product candidates and receive regulatory
approvals, which could impact the commercial potential of such products and our potential to receive milestone payments,
royalties, net sales and other revenues for these products in the future.
Our reported revenue is affected by the translation of royalties and other revenues denominated in foreign currencies
into US dollars.
For more information on our revenues, including for the breakdown of our revenues by type, collaboration partner and
product, see Note 2.1 of our Audited Financial Statements included in this Annual Report.
Cost of Product Sales
Cost of product sales includes direct and indirect costs relating to the manufacturing of inventory mainly from third-
party providers of manufacturing as well as costs related to internal resources and distribution and logistics. Inventory
amounts written down as a result of excess or obsolescence are charged to cost of product sales. Also included in cost of
product sales are royalty payments on commercialized products.
Additionally, cost of product sales includes profit-sharing amounts owed to collaboration partners for the sale of
commercial products when Genmab is determined to be the principal in sales to end customers. The only profit-sharing
amounts owed to collaboration partners that are recorded as cost of product sales relate to sales of EPKINLY in the US and
Japan pursuant to the Collaboration Agreement with AbbVie.
Aside from these items, there are no other costs included within cost of product sales.
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Research and Development Expenses
We are currently advancing our proprietary product candidates through clinical development and are conducting
preclinical trials with respect to other programs. Developing product candidates is expensive, time-intensive and risky, and
we expect our research and development expenses to increase over the next few years, particularly as we seek to advance
our proprietary product candidates toward commercialization. Our research and development expenses include internal
costs relating to our research and development departments, as well as external costs relating to trials performed by
external suppliers and collaboration partners. Internal research and development expenses consist primarily of salaries and
benefits for our research and development staff and related expenses, including expenses related to cash bonuses, warrant
and restricted stock unit (“RSU”) programs as applicable to such personnel, costs of related facilities, equipment and other
overhead expenses that have been determined to be directly attributable to research and development, costs associated with
obtaining and maintaining patents for intellectual property, amortization of licenses and rights, amortization and
impairment of intangible assets and depreciation and impairment of property and capital assets used to develop our product
candidates.
Major components of the external costs are fees and other costs paid to CROs in conjunction with preclinical trials and
the performance of clinical trials, milestone payments for in-licensed technology, as well as fees paid to CMOs in
conjunction with the production of clinical compounds, drug substances and drugs. This includes (i) antibody clinical
material for use in clinical trials and (ii) preparation for production of process validation batches for potential future
regulatory submissions and related activities. These costs are expensed as incurred, because they do not qualify to be
capitalized as inventory under IFRS Accounting Standards since the technical feasibility of the materials is not proven and
no alternative use for them exists in the absence of marketing approval. Research and development expenses include
amortization of intangible assets only in connection with licenses and rights we have acquired and capitalized. We do not
capitalize intellectual property generated through our internal development activities. We expect to incur higher research
and development expenses in future periods, including increasing costs for clinical trials and manufacturing as our
proprietary product candidates advance in clinical development and we increase the number of product candidates under
active clinical development. Our research and development expenses may vary substantially from period to period based on
the timing of our research and development activities, including timing due to regulatory approvals and enrollment of
patients in clinical trials. See ‘‘Item 5.B—Liquidity and Capital Resources’’ below.
Selling, General and Administrative Expenses
Our selling, general and administrative expenses consist primarily of wages and salaries for personnel other than
research and development staff. Also included are expenses related to pre-launch commercialization activities,
depreciation, amortization and impairment of property and equipment, to the extent such expenses are related to the
administrative functions, and co-promotion expenses related to commercial sales of Tivdak in the US in accordance with
our Joint Commercialization Agreement with Pfizer. Lastly, selling, general and administrative expenses include
our 50% share of the aggregate costs incurred by us and AbbVie in relation to sales and commercialization of EPKINLY in
the US and Japan. We expect our selling, general and administrative expenses to increase over the next few years as we
continue to expand our commercialization capabilities in a number of jurisdictions. Such expenses may also increase over
time as a result of inflation and other factors.
Overhead expenses are allocated to research and development expenses or selling, general and administrative expenses
based on the number of employees and their relevant functions. The Dutch Research and Development Act (“WBSO”)
provides compensation for a part of research and development wages and other costs at our Utrecht facility through a
reduction in payroll taxes in the Netherlands. WBSO grant amounts are offset against wages and salaries included in
research and development expenses.
Our ongoing research and development and, increasingly, commercialization activities will require substantial amounts
of capital and may not ultimately be successful. Over the next several years, we expect that we will continue to incur
substantial expenses, primarily as a result of activities related to the continued development of our proprietary pipeline and
developing our commercial capabilities. Our proprietary product candidates will require significant further development,
financial resources and personnel to pursue and obtain regulatory approval and develop them into commercially viable
products, if they are approved and commercialized at all. Our commitment of resources to the research and continued
development of our product candidates and expansion of our proprietary pipeline will likely result in our operating
expenses increasing and/or fluctuating as a result of such activities in future periods. We may also incur significant
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milestone payment obligations to certain of our licensors as our product candidates progress through clinical trials towards
potential commercialization.
Acquisition and Integration Related Charges
In the year ended December 31, 2025, acquisition related charges comprise payments to holders of outstanding Merus
equity awards related to post-combination services. The remaining expenses are integration related charges, which
comprise professional fees incurred to assist with the integration of Merus into our operations post-acquisition.
See Note 5.5 in our Audited Financial Statements for additional details regarding our acquisition of Merus.
Results of Operations
Financial Results for the Year Ended December 31, 2025 Compared to the Year Ended December 31, 2024 and Financial
Results for the Year Ended December 31, 2024 Compared to the Year Ended December 31, 2023
The information on pages 38-46 in our Annual Report 2025 under the heading “Financial Review” is incorporated
herein by reference.
Significant Accounting Policies
The information in Note 1.1 to our Audited Financial Statements included in our Annual Report 2025 is incorporated
herein by reference.
Implementation of New and Revised Standards and Interpretations
The information in Note 1.2 to our Audited Financial Statements included in our Annual Report 2025 is incorporated
herein by reference.
Standards and Interpretations Not Yet in Effect
The information in Note 1.2 to our Audited Financial Statements included in our Annual Report 2025 is incorporated
herein by reference.
B. Liquidity and Capital Resources
The information on pages 43-44 in our Annual Report 2025 under the heading “Liquidity and Capital Resources” is
incorporated herein by reference.
The description of our internal and external sources of liquidity, including Genmab’s unsecured three-year revolving
credit facility and Genmab's five-year senior secured revolving credit facility, in Notes 4.1 and 4.8 to our Audited Financial
Statements included in our Annual Report 2025 is incorporated herein by reference.
The description of our lease obligations in Note 3.3 to our Audited Financial Statements included in our Annual
Report 2025 is incorporated herein by reference.
The description of our financial instruments in Notes 4.2 and 4.3 to our Audited Financial Statements included in our
Annual Report 2025 is incorporated herein by reference.
The description of our contractual obligations related to a number of agreements, primarily related to research and
development activities, in Note 5.3 to our Audited Financial Statements included in our Annual Report 2025 is
incorporated herein by reference.
The description of our contingent commitments under our license and collaboration agreements that may become due
for future payments in Note 5.3 to our Audited Financial Statements included in our Annual Report 2025 is incorporated
herein by reference. The contingent commitments entail uncertainties regarding the period in which payments are due
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because these obligations are dependent on milestone achievements, most of which are not expected to be incurred within
the next five years.
In addition to the above obligations, we enter into a variety of agreements and financial commitments in the normal
course of business. The terms generally allow us the option to cancel, reschedule and adjust our requirements based on our
business needs prior to the delivery of goods or performance of services. It is not possible to predict the maximum potential
amount of future payments under these agreements due to the conditional nature of our obligations and the unique facts and
circumstances involved in each particular agreement.
C. Research and Development, Patents and Licenses, etc.
See “Item 4.B—Business Overview” and “Item 5.A—Operating Results”.
D. Trend Information
See “Item 5.A—Operating Results—Key Components of Our Results and Related Trends”.
E. Critical Accounting Estimates
Not applicable.