From twitter:
J&J's Spravato just had its best quarter ever: $624M in Q3, up 36% YoY. US sales were $559M (+38%), and it's at $1.68B YTD (+40%) [1].
With more patients hitting their deductibles and using leftover FSA dollars by year-end, I expect Q4 to continue higher. For reference, another 7% QoQ growth from Q3 to Q4 would translate to $668M in sales in Q4 and $2.34B in FY26.
In this scenario, to reach the $3B–3.5B in 2028 sales J&J has targeted, per Reuters [2], Spravato would need to grow 13–22% annually over the next two years, even as growth slows from 40%+. In a recent conference, Compass management said they see "no reason why they will not hit that number" [3].
On the call, CEO Joaquin Duato called it "impressive growth… reflecting strong demand in treatment-resistant depression," and J&J credited "strong physician adoption and increased patient demand" [4].
In addition to growing physician and patient adoption, certified treatment centers are increasing by roughly 500 per quarter, to about 8,500, per Compass [5]. Given all of the above, I expect Spravato to keep growing and meet its sales targets, even if COMP360 launches next year.
More importantly, a point worth emphasizing: even though people with TRD have few treatment options, Spravato reaches only about 100K of the 2.8–4.0M US adults with TRD, roughly 3% [6]. Perhaps that grows to 4–5% in a few years, but the vast majority of people with TRD still wouldn't be getting it.