|
Three months ended
|
Nine months ended
|
|||||||||||||||
|
September 30,
|
September 30,
|
|||||||||||||||
|
2025
|
2024
|
2025
|
2024
|
|||||||||||||
|
(amounts in millions)
|
||||||||||||||||
|
Total revenue
|
$
|
157
|
$
|
134
|
$
|
740
|
$
|
479
|
||||||||
|
Operating expenses
|
$
|
317
|
$
|
282
|
$
|
907
|
$
|
843
|
||||||||
|
Operating expenses on a non-GAAP basis
|
$
|
286
|
$
|
250
|
$
|
816
|
$
|
749
|
||||||||
|
Loss from operations
|
$
|
(160
|
)
|
$
|
(148
|
)
|
$
|
(167
|
)
|
$
|
(364
|
)
|
||||
|
Loss from operations on a non-GAAP basis
|
$
|
(129
|
)
|
$
|
(116
|
)
|
$
|
(76
|
)
|
$
|
(270
|
)
|
||||
| (1) |
Reconciliation of GAAP to non-GAAP basis contained later in this release.
|
| • |
Revenue increased 17% in the third quarter of 2025 and increased 55% in the nine months ended September 30, 2025, compared to the same periods last year, driven by the continued successful launch
of TRYNGOLZA and increased royalty revenues. Contributing to the year-to-date increase, Ionis earned a $280 million upfront payment for the global license of sapablursen to Ono Pharmaceutical Co., Ltd. in the second quarter of 2025
|
| • |
Operating expenses increased 14% in the third quarter of 2025 and increased 9% in the nine months ended September 30, 2025, compared to the same periods last year, primarily due to investments
related to commercialization efforts for TRYNGOLZA, DAWNZERA and WAINUA
|
| • |
Increasing 2025 financial guidance reflects strong overall revenue performance experienced year-to-date and fourth quarter outlook, including strong momentum seen with TRYNGOLZA revenues:
|
|
Full Year 2025 Guidance
|
Previous
Guidance
|
New
Guidance
|
|
|
Total Revenue
|
$825-850 million
|
$875-900 million
|
|
|
TRYNGOLZA product sales, net
|
$75-80 million
|
$85-95 million
|
|
|
Operating loss on a non-GAAP basis
|
$300-325 million
|
$275-300 million
|
|
|
Cash, cash equivalents and short-term investments
|
~$2.0 billion
|
>$2.1 billion
|
| • |
TRYNGOLZA® (olezarsen), the first and only FDA approved treatment for adults living with familial chylomicronemia syndrome (FCS) as an
adjunct to diet
|
| o |
Generated net product sales of $32 million in the third quarter of 2025, its third full quarter on the market, a nearly 70% increase over the prior quarter, and $57 million in the nine months ended
September 30, 2025
|
| o |
Approved in the European Union (EU) as an adjunct to diet in adult patients for the treatment of genetically confirmed FCS; Sobi anticipates launching in the fourth quarter 2025
|
| • |
Olezarsen demonstrated positive topline results in the pivotal Phase 3 CORE and CORE2 studies in sHTG
|
| o |
Olezarsen demonstrated a highly statistically significant placebo-adjusted mean reduction in fasting triglycerides of up to 72% and a highly statistically significant reduction in acute
pancreatitis events of 85% with favorable safety and tolerability
|
| o |
sNDA submission on track for the end of 2025 with approval anticipated in the fourth quarter of 2026
|
| o |
Detailed data to be presented at the American Heart Association Conference on November 8, 2025, in a late-breaking session
|
| • |
DAWNZERA™ (donidalorsen) was approved on August 21, 2025, by the FDA for prophylaxis to prevent attacks of hereditary angioedema (HAE) in adult and pediatric patients 12 years of age and older
|
| o |
First and only RNA-targeted prophylactic therapy that has the potential to offer durable efficacy, a favorable safety and tolerability profile, and the longest available dosing interval, with
self-administration via autoinjector every four or eight weeks
|
| o |
U.S. launch underway and off to an encouraging start
|
| o |
Currently under regulatory review in the EU
|
| • |
Zilganersen demonstrated positive results in the pivotal study in children and adults with Alexander disease (AxD), a rare, progressive, and often fatal neurological disorder with no approved
disease-modifying treatments
|
| o |
Zilganersen 50 mg demonstrated statistically significant and clinically meaningful stabilization on the primary endpoint of gait speed as assessed by the 10-Meter Walk Test (10MWT), compared to
control at week 61 (mean difference 33.3%) with favorable safety and tolerability
|
| o |
Additional data from the pivotal study in children and adults living with Alexander disease were presented at the Child Neurology Society Annual Meeting in October 2025
|
| o |
NDA submission planned for the first quarter of 2026 with approval anticipated next year
|
| • |
ION582 granted Breakthrough Therapy designation from FDA for the treatment of Angelman syndrome
|
| o |
Phase 3 REVEAL study expected to be fully enrolled in 2026
|
| o |
Phase 2 HALOS study showed continued improvement across multiple functional measures versus natural history through 18 months including expressive communication
|
| • |
WAINUA® (eplontersen) (WAINZUA in EU) for the treatment of adults with polyneuropathy of
hereditary transthyretin-mediated amyloidosis (ATTRv-PN) generated sales of $59 million and $143 million resulting in royalty revenue of $13 million and $33 million in the third quarter and the nine months ended September 30, 2025,
respectively
|
| o |
Launches underway in numerous regions, including the EU; additional submissions in progress to expand WAINUA access globally
|
| • |
SPINRAZA® (nusinersen) for the treatment of spinal muscular atrophy (SMA) generated global sales of $374 million and $1.2 billion
resulting in royalty revenue of $56 million and $158 million in the third quarter and the nine months ended September 30, 2025, respectively
|
|
Three months ended
|
Nine months ended
|
|||||||||||||||
|
September 30,
|
September 30,
|
|||||||||||||||
|
2025
|
2024
|
2025
|
2024
|
|||||||||||||
|
Revenue:
|
(amounts in millions)
|
|||||||||||||||
|
Commercial revenue:
|
||||||||||||||||
|
Product sales, net:
|
||||||||||||||||
|
TRYNGOLZA sales, net
|
$
|
32
|
$
|
-
|
$
|
57
|
$
|
-
|
||||||||
|
Total product sales, net
|
32
|
-
|
57
|
-
|
||||||||||||
|
Royalty revenue:
|
||||||||||||||||
|
SPINRAZA royalties
|
56
|
57
|
158
|
152
|
||||||||||||
|
WAINUA royalties
|
13
|
5
|
33
|
10
|
||||||||||||
|
Other royalties
|
7
|
5
|
19
|
17
|
||||||||||||
|
Total royalty revenue
|
76
|
67
|
210
|
179
|
||||||||||||
|
Other commercial revenue
|
8
|
9
|
27
|
28
|
||||||||||||
|
Total commercial revenue
|
116
|
76
|
294
|
207
|
||||||||||||
|
Research and development revenue:
|
||||||||||||||||
|
Collaborative agreement revenue
|
31
|
45
|
414
|
237
|
||||||||||||
|
WAINUA joint development revenue
|
10
|
13
|
32
|
35
|
||||||||||||
|
Total research and development revenue
|
41
|
58
|
446
|
272
|
||||||||||||
|
Total revenue
|
$
|
157
|
$
|
134
|
$
|
740
|
$
|
479
|
||||||||
|
Three months ended
|
Nine months ended
|
|||||||||||||||
|
September 30,
|
September 30,
|
|||||||||||||||
|
2025
|
2024
|
2025
|
2024
|
|||||||||||||
|
(unaudited)
|
||||||||||||||||
|
Revenue:
|
||||||||||||||||
|
Commercial revenue:
|
||||||||||||||||
|
Product sales, net
|
$
|
32
|
$
|
-
|
$
|
57
|
$
|
-
|
||||||||
|
Royalty revenue
|
76
|
67
|
210
|
179
|
||||||||||||
|
Other commercial revenue
|
8
|
9
|
27
|
28
|
||||||||||||
|
Total commercial revenue
|
116
|
76
|
294
|
207
|
||||||||||||
|
Research and development revenue:
|
||||||||||||||||
|
Collaborative agreement revenue
|
31
|
45
|
414
|
237
|
||||||||||||
|
WAINUA joint development revenue
|
10
|
13
|
32
|
35
|
||||||||||||
|
Total research and development revenue
|
41
|
58
|
446
|
272
|
||||||||||||
|
Total revenue
|
157
|
134
|
740
|
479
|
||||||||||||
|
Expenses:
|
||||||||||||||||
|
Cost of sales
|
2
|
1
|
8
|
7
|
||||||||||||
|
Research, development and patent
|
218
|
220
|
636
|
656
|
||||||||||||
|
Selling, general and administrative
|
97
|
61
|
263
|
180
|
||||||||||||
|
Total operating expenses
|
317
|
282
|
907
|
843
|
||||||||||||
|
Loss from operations
|
(160
|
)
|
(148
|
)
|
(167
|
)
|
(364
|
)
|
||||||||
|
Other income (expense):
|
||||||||||||||||
|
Interest expense related to the sale of future royalties
|
(18
|
)
|
(19
|
)
|
(55
|
)
|
(55
|
)
|
||||||||
|
Other income, net
|
49
|
23
|
70
|
66
|
||||||||||||
|
Loss before income tax benefit
|
(129
|
)
|
(144
|
)
|
(152
|
)
|
(353
|
)
|
||||||||
|
Income tax benefit
|
-
|
4
|
-
|
3
|
||||||||||||
|
Net loss
|
$
|
(129
|
)
|
$
|
(140
|
)
|
$
|
(152
|
)
|
$
|
(350
|
)
|
||||
|
Basic and diluted net loss per share
|
$
|
(0.80
|
)
|
$
|
(0.95
|
)
|
$
|
(0.95
|
)
|
$
|
(2.38
|
)
|
||||
|
Shares used in computing basic and diluted net loss per share
|
160
|
149
|
159
|
147
|
||||||||||||
|
Three months ended
September 30,
|
Nine months ended
September 30,
|
|||||||||||||||
|
2025
|
2024
|
2025
|
2024
|
|||||||||||||
|
(unaudited)
|
||||||||||||||||
|
As reported research, development and patent expenses according to GAAP
|
$
|
218
|
$
|
220
|
$
|
636
|
$
|
656
|
||||||||
|
Excluding compensation expense related to equity awards
|
(21
|
)
|
(22
|
)
|
(61
|
)
|
(67
|
)
|
||||||||
|
Non-GAAP research, development and patent expenses
|
$
|
197
|
$
|
198
|
$
|
575
|
$
|
589
|
||||||||
|
|
||||||||||||||||
|
As reported selling, general and administrative expenses according to GAAP
|
$
|
97
|
$
|
61
|
$
|
263
|
$
|
180
|
||||||||
|
Excluding compensation expense related to equity awards
|
(10
|
)
|
(10
|
)
|
(29
|
)
|
(26
|
)
|
||||||||
|
Non-GAAP selling, general and administrative expenses
|
$
|
87
|
$
|
51
|
$
|
234
|
$
|
154
|
||||||||
|
|
||||||||||||||||
|
As reported operating expenses according to GAAP
|
$
|
317
|
$
|
282
|
$
|
907
|
$
|
843
|
||||||||
|
Excluding compensation expense related to equity awards
|
(31
|
)
|
(32
|
)
|
(91
|
)
|
(94
|
)
|
||||||||
|
Non-GAAP operating expenses
|
$
|
286
|
$
|
250
|
$
|
816
|
$
|
749
|
||||||||
|
|
||||||||||||||||
|
As reported loss from operations according to GAAP
|
$
|
(160
|
)
|
$
|
(148
|
)
|
$
|
(167
|
)
|
$
|
(364
|
)
|
||||
|
Excluding compensation expense related to equity awards
|
(31
|
)
|
(32
|
)
|
(91
|
)
|
(94
|
)
|
||||||||
|
Non-GAAP loss from operations
|
$
|
(129
|
)
|
$
|
(116
|
)
|
$
|
(76
|
)
|
$
|
(270
|
)
|
||||
|
|
||||||||||||||||
|
As reported net loss according to GAAP
|
$
|
(129
|
)
|
$
|
(140
|
)
|
$
|
(152
|
)
|
$
|
(350
|
)
|
||||
|
Excluding compensation expense related to equity awards and related tax effects
|
(31
|
)
|
(32
|
)
|
(91
|
)
|
(94
|
)
|
||||||||
|
Non-GAAP net loss
|
$
|
(98
|
)
|
$
|
(108
|
)
|
$
|
(61
|
)
|
$
|
(256
|
)
|
||||
|
September 30,
|
December 31,
|
|||||||
|
2025
|
2024
|
|||||||
|
(unaudited)
|
||||||||
|
Assets:
|
||||||||
|
Cash, cash equivalents and short-term investments
|
$
|
2,240
|
$
|
2,298
|
||||
|
Contracts receivable
|
25
|
92
|
||||||
|
Other current assets
|
254
|
230
|
||||||
|
Property, plant and equipment, net
|
106
|
94
|
||||||
|
Right-of-use assets
|
242
|
162
|
||||||
|
Other assets
|
166
|
127
|
||||||
|
Total assets
|
$
|
3,033
|
$
|
3,003
|
||||
|
Liabilities and stockholders’ equity:
|
||||||||
|
Current portion of deferred contract revenue
|
$
|
77
|
$
|
79
|
||||
|
0% convertible senior notes, net – current
|
631
|
-
|
||||||
|
Other current liabilities
|
195
|
229
|
||||||
|
1.75% convertible senior notes, net
|
567
|
565
|
||||||
|
0% convertible senior notes, net
|
-
|
629
|
||||||
|
Liability related to sale of future royalties, net
|
545
|
542
|
||||||
|
Long-term lease liabilities
|
263
|
162
|
||||||
|
Long-term obligations, less current portion
|
29
|
52
|
||||||
|
Long-term deferred contract revenue
|
108
|
157
|
||||||
|
Total stockholders’ equity
|
618
|
588
|
||||||
|
Total liabilities and stockholders’ equity
|
$
|
3,033
|
$
|
3,003
|
||||
|
New Product Launches
|
|||||
|
Program
|
Indication
|
2025
|
2026
|
||
|
DAWNZERA (U.S.)
|
HAE
|
Achieved
|
|||
|
TRYNGOLZA (U.S.)
|
FCS
|
Achieved
|
|||
|
WAINZUA (EU)
|
ATTRv-PN
|
Achieved
|
|||
|
Olezarsen (U.S.)
|
sHTG
|
•
|
|||
|
Zilganersen (U.S.)
|
Alexander disease
|
•
|
|||
|
Regulatory Actions
|
|||||||
|
Program
|
Indication
|
Regulatory Action
|
2025
|
2026
|
|||
|
Donidalorsen
|
HAE
|
U.S. approval decision
|
Achieved
|
||||
|
EU approval decision
|
•
|
||||||
|
TRYNGOLZA
|
FCS
|
EU approval decision
|
Achieved
|
||||
|
Olezarsen
|
sHTG
|
U.S. submission
|
•
|
||||
|
U.S. approval decision
|
•
|
||||||
|
Zilganersen
|
Alexander disease
|
U.S. submission
|
•
|
||||
|
U.S. approval decision
|
•
|
||||||
|
Nusinersen
(higher dose)
|
SMA
|
U.S. and EU submissions
|
Achieved
|
||||
|
U.S. approval decision
|
Refiling process
on track
|
||||||
|
WAINZUA
|
ATTRv-PN
|
EU approval decision
|
Achieved
|
||||
|
Pelacarsen
|
Lp(a)- CVD
|
U.S. submission
|
•
|
||||
|
Bepirovirsen
|
HBV
|
Regulatory submission(s)
|
•
|
||||
|
Regulatory decision(s)
|
•
|
||||||
|
Key Phase 3 Clinical Events
|
|||||||
|
Program
|
Indication
|
Event
|
2025
|
2026
|
|||
|
Olezarsen
|
sHTG
|
CORE, CORE2 data
|
Achieved
|
||||
|
Essence data
|
Achieved
|
||||||
|
Zilganersen
|
Alexander disease
|
Phase 3 data
|
Achieved
|
||||
|
ION582
|
Angelman syndrome
|
Phase 3 study start
|
Achieved
|
||||
|
Phase 3 enrollment completion
|
•
|
||||||
|
Pelacarsen
|
Lp(a)-CVD
|
Lp(a) HORIZON data
|
•
|
||||
|
Bepirovirsen
|
HBV
|
B-Well data
|
•
|
||||
|
Eplontersen
|
ATTR-CM
|
CARDIO-TTRansform data
|
•
|
||||
|
Sefaxersen
|
IgAN
|
IMAGINATION data
|
•
|
||||
|
Ulefnersen
|
FUS-ALS
|
FUSION data
|
•
|
||||
| (1) |
Timing expectations based on current assumptions and subject to change.
|
| • |
Indicates that the milestone is anticipated in the respective year.
|