OMER: A Biotech on the Rise
This isn’t financial advice, simply my own opinion, so do your own DD. I own a long position in OMER ($12.47 average).
TLDR: OMER is trading around $870 million market cap. Their drug Yartemlea alone could give the company over a $5 billion market cap. Considering their $2.1 billion deal with NOVO for another drug in their pipeline, Zaltenibart, I think OMER is currently undervalued. I think OMER will be trading around $30 per share by the end of summer 2026. My bullish estimate is $40+ (with EMA approval, EU partnership, and stronger than anticipated Yartemlea sales in 2026)
OMER is one of my favorite biotech plays at the moment. They had their 1q 2026 earnings report on May 13th, and there is a lot to be excited about in regard to the future of OMER. Here are some highlights why I think this stock will be trading at a $2 billion market cap or more by the end of summer.
1. Yartemlea FDA & EMA Approval: OMER received FDA approval for their drug Yartemlea in December 2025, and was giving a broad label (can be used on patients as young as 2), with no warning label, They commercially launched the drug in late January 2026. The drug treats transplant-associated thrombotic microangiopathy (TA-TMA), and it is the only FDA drug approved to treat TA-TMA. On the recent earnings call, mgmt said that this drug has already achieved self-sustainability (sales revenue exceeds production, distribution, and sales team/marketing costs).
This drug alone will help the company become cash flow positive by 2027, using 2025 expenses (so the numbers could be different based on expenses in 2026), that means mgmt thinks Yartemlea will reach at least ~$123 million in annual revenue by 2027. That is only considering the US market. In it’s commercial launch quarter (1q 2026), Yartemlea achieved $9.9 million net sales, which beat analysts expectations of $4.19 million. By the end of March, Yartemlea had orders from 30 unique accounts; 60% of the top ten transplant centers in the US have given Yartemlea P&T committee approval. The U.S. Centers for Medicare and Medicaid Services (CMS) assigned a permanent health care common procedure coding system, J-code, which will go into effect on July 1st, 2026. The J-code designation will be a huge boost to reimbursement and help drive increased sale of Yartemlea from Medicare/Medicaid patients.
OMER is awaiting EU approval for Yartemlea, which will be decided in summer 2026. If Yartemlea gets EU approval, that will increase the patient population for Yartemlea by over 100%. On their earnings call in March, mgmt confirmed they are working on a partnership deal for the EU market. Based on mgmts estimate that Yartemlea could achieve over $120 million in revenue in the US alone by 2027, if they get EU approval, that could substantially increase their current estimate (and I personally think they are intentionally being conservative with their estimated sales). So Yartemlea alone could be reaching $250 million in annual revenue by 2027.
2. Yartemlea Sales Potential: As far as the sales potential for Yartemlea, data I’ve read says there about 2000-3000 new cases of TA-TMA each year in the US alone. There are some higher estimates all the way up to 10,000 a year, but I’ll stick with the 2000-3000 a year estimate. Yartemlea costs $36,000 per vial, and most patients need 8-10 doses for the treatment. So that would be $288,000 to $360,000 per patient. Let’s say there’s some discounts or rebates with clinics and/or health insurance companies, I’d conservatively say it’s about $250,000 per patient. If 100% of patients that develop TA-TMA were to get this drug, that would put the ceiling at $500 million to $750 million in sales per year, in the USA alone (using 2,000-3,000 patient estimate)
The EU market would be a big deal, and it would roughly double the patient population (4,000-6,000) annually. It would bring the potential ceiling to $1.0-$1.5 billion peak annual revenue for Yartemlea. If the number of patients each year is closer to the 10,000 estimate, then that would be $2.5 billion in peak annual revenue for Yartemlea.
I realize that 100% of patients getting Yartemlea isn’t realistic, but there is currently no other drug that has been approved to treat TA-TMA. There are some off-label drugs that have been used to treat TA-TMA but they have side effects (some have serious side effects). Yartemlea does not have any directly attributed side effects from OMERs research studies (infections have been seen, but that is extremely common with TA-TMA in general so no definitive relation to the drug itself). I think the low risk of side effects from Yartemlea and the ability to be used in children as young as 2, will make Yartemlea a heavily used drug in this population.
3. OMER Deal with NOVO: OMER secured a deal with NOVO Nordisk in November 2025 for another drug in their pipeline, Zaltenibart, which treats rare blood and kidney disorders. This deal is worth up to a potential $2.1 billion dollars. OMER received $240 million upfront in late 2025, which they used a portion of to pay off debt. They now only have $70.8 million in debt remaining in 2029 convertibles. OMER has $171.8 million in cash and investments on hand. They have an upcoming $100 million milestone payment from the NOVO deal that mgmt feels confident they will achieve (per the deal, no specifics given on what the milestone is), and I assume “upcoming” means it will happen at some point this year.
On the recent earnings call, the CFO highlighted that OMER had repurchased 360,000 shares for $4.2 million. They indicated they may repurchase more (no specifics given) shares depending on the market conditions. All in all I think OMER will be trading over $30 a share by late summer if it gets EU approval and sales of Yartemlea are looking strong. However, if OMER announces an EU partnership deal for Yartemlea in the summer and gets EMA approval, then I think OMER will be trading over $40 per share by the end of summer.