Adaptive Biotechnologies Turns A Profit, Raises MRD Forecast To $276 Million-$286 Million

Third-quarter revenue fell 11% to $83.9 million on a missing Genentech payment, while clonoSEQ tests delivered rose 46%.

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Adaptive Biotechnologies Turns A Profit, Raises MRD Forecast To $276 Million-$286 Million

Adaptive Biotechnologies, which reads the genetic code of immune cells to build cancer diagnostics and research tools, reported total company profitability for the third quarter and raised its full-year MRD revenue outlook to $276 million to $286 million. Total revenue still fell 11% to $83.9 million, because the Genentech Agreement produced no revenue this quarter.

Revenue down, core testing up

Excluding Genentech revenue, the company said quarterly revenue rose 39% from a year earlier. Revenue from minimal residual disease (MRD) testing, which detects leftover cancer cells, was $72.6 million, up 28%, or 44% excluding milestones.

Immune Medicine revenue was $11.3 million, down 70%, though it rose 229% excluding Genentech revenue. The company delivered 39,587 clonoSEQ tests in the quarter, up 46% from the third quarter of 2025.

CEO Chad Robins said the company achieved profitability "ahead of expectations" and delivered "44% growth in core MRD revenue."

Profit measures narrowed from last year

Adjusted EBITDA, a profit measure that excludes items such as interest, taxes and stock pay, was $14.3 million, against $28.0 million a year earlier. Net income was $2.8 million, against $9.5 million, and free cash flow was $7.7 million.

Excluding Genentech revenue, the company reported a year-earlier net loss of $24.2 million and an adjusted EBITDA loss of $5.8 million. Operating expenses were $84.4 million, up 1% from $83.7 million. Cash and marketable securities stood at $400.2 million at September 30.

Guidance and the Immune Medicine split

The new MRD forecast, up from $268 million to $278 million, implies annual growth of 30% to 35%, the company said. It now expects total operating expenses, including cost of revenue, of about $350 million, versus a prior range of $350 million to $355 million. No revenue guidance is given for Immune Medicine, which the company said is progressing through a separation process.

Robins pointed to new myeloma guidelines and a new definition of cure that he said "amplify the need for MRD testing." The company also submitted a technical assessment to MolDX seeking an additional Medicare bundle for maintenance testing in multiple myeloma.

Management was scheduled to detail the outlook on a conference call at 4:30 p.m. ET Wednesday.

Sources

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