Lilly Q3'25: Ranks First in Pharmaceutical Business Revenue as Tirzepatide Sells USD 24.8b


On October 30, Eli Lilly and Company released its Q3 2025 results, with revenue reaching USD 17.6 billion in the 3-month period, a year-on-year (YoY) increase of 54%. Combined with the results of the first two quarters, Lilly's total revenue for the first 9 months of the year was USD 45.9 billion (up 46%). Eight Big Pharma companies have released their Q3 results, with Lilly currently ranking fourth in total revenue and first in pharmaceutical sales, showing significant changes compared to the half-year report.

From a regional distribution perspective, between Q1 and Q3 2025, revenue from the US market was USD 30.6 billion (+43%), the European market contributed USD 8.5 billion (+89%), Japan USD 1.5 billion (+18%), China USD 1.5 billion (+20%), and other markets USD 3.9 billion (+21%).

Broken down by therapeutic area, Lilly's four major segments — Cardiometabolic Health, Oncology, Immunology, and Neuroscience — generated revenues of USD 33.8 billion, USD 6.8 billion, USD 3.7 billion, and USD 932 million respectively.


Incretin-based drug tirzepatide (Mounjaro and Zepbound) and abemaciclib Verzenio® (abemaciclib) HCP were the main drivers of Lilly's pharmaceutical sales growth, generating USD 24.8 billion (+125%) and USD 4.1 billion (+10%) respectively over the first three quarters. It is worth mentioning that the gap in prescription share between Lilly's and Novo Nordisk's GLP-1 products in the US market further widened in Q3 (57.9% vs 41.7%).

In terms of R&D progress, Lilly achieved several key milestones in the GLP-1 field in the first 9 months, such as the successful completion of six Phase III studies for the small molecule GLP-1R agonist orforglipron (three of which were completed in Q3), while the Phase III study of tirzepatide (Mounjaro) for paediatric and adolescent type 2 diabetes (T2D) met its primary endpoint. The company anticipates further progress in this field in the final quarter, with orforglipron poised for regulatory submission, and GLP-1R/GIPR/GCGR triple agonist retatrutide expected to complete its first late -stage study (for knee osteoarthritis pain). Additionally, Lilly discontinued two programs in Q3, including a Phase II study of a P2X7 inhibitor for pain and a Phase III study of abemaciclib for sequenced metastatic breast cancer.

For the full-year 2025 performance outlook, Eli Lilly has once again raised its annual revenue expectation from between USD 60 and 62 billion to between USD 63 and 63.5 billion.

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