Group 1 - The article promotes a weekly newsletter focused on stocks in the biotech, pharma, and healthcare industries, aimed at both novice and experienced investors [1] - The newsletter provides insights on key trends, catalysts driving valuations, product sales forecasts, and integrated financial statements for major pharmaceutical companies [1] - The author, Edmund Ingham, has over 5 years of experience in covering biotech, healthcare, and pharma, and has prepared detailed reports on more than 1,000 companies [1]

Core Insights - The FDA has extended the PDUFA goal date for Agios Pharmaceuticals' Pyrukynd sNDA by three months to December 7, 2025, due to a proposed REMS submission [1][2] - The REMS submission is a significant amendment but does not involve new efficacy or safety data [2] - Pyrukynd is supported by Phase 3 trial results and has received approval from the Saudi Food and Drug Authority for similar indications [3][4] Company Developments - Agios Pharmaceuticals has entered a distribution agreement with NewBridge Pharmaceuticals to enhance regulatory filings and commercialization of Pyrukynd in the GCC region [4] - Pyrukynd is approved for treating hemolytic anemia in adults with PK deficiency in the U.S. and for PK deficiency in the EU and Great Britain [4] Market Reaction - AGIO stock has decreased by 15.83%, trading at $34.18 [5]

Core Viewpoint - The U.S. FDA has extended the PDUFA goal date for Agios Pharmaceuticals' supplemental New Drug Application (sNDA) for PYRUKYND from September 7, 2025, to December 7, 2025, due to a proposed Risk Evaluation and Mitigation Strategy (REMS) submission to address hepatocellular injury risks [1][2]. Company Overview - Agios Pharmaceuticals is a commercial-stage biopharmaceutical company focused on innovative medicines for rare diseases, headquartered in Cambridge, Massachusetts [17]. Product Information - PYRUKYND (mitapivat) is an oral pyruvate kinase activator indicated for treating adult patients with non-transfusion-dependent and transfusion-dependent alpha- or beta-thalassemia [1][10]. - The sNDA for PYRUKYND is supported by results from the global, randomized, double-blind, placebo-controlled ENERGIZE and ENERGIZE-T Phase 3 trials [3][6]. Clinical Trials - The ENERGIZE trial involved 194 non-transfusion-dependent patients, with a primary endpoint of achieving a hemoglobin response defined as an increase of ≥1.0 g/dL in average hemoglobin concentrations [7]. - The ENERGIZE-T trial included 258 transfusion-dependent patients, focusing on achieving a transfusion reduction response defined as a ≥50% reduction in transfused red blood cell units [8]. Disease Context - Thalassemia is a rare inherited blood disease affecting hemoglobin production, categorized into alpha-thalassemia and beta-thalassemia, leading to anemia and serious complications [4][5]. - Approximately 6,000 adult patients in the U.S. are diagnosed with thalassemia, experiencing significant disease burden and reduced quality of life [5].

Core Viewpoint - Agios Pharmaceuticals has received approval from the Saudi Food and Drug Authority (SFDA) for PYRUKYND (mitapivat) to treat adult patients with both non-transfusion-dependent and transfusion-dependent alpha- or beta-thalassemia, marking a significant milestone in providing new treatment options for thalassemia patients in Saudi Arabia [1][2]. Company Overview - Agios Pharmaceuticals is a commercial-stage biopharmaceutical company focused on innovative medicines for rare diseases, headquartered in Cambridge, Massachusetts [13]. - The company has partnered with NewBridge Pharmaceuticals to facilitate the distribution and commercialization of PYRUKYND in the Gulf Cooperation Council (GCC) region, which includes Saudi Arabia, UAE, Kuwait, Qatar, Oman, and Bahrain [3][5]. Product Information - PYRUKYND is a pyruvate kinase activator indicated for the treatment of hemolytic anemia in adults with pyruvate kinase deficiency and is now approved for thalassemia in Saudi Arabia [5][6]. - The approval is based on results from the global, randomized, double-blind, placebo-controlled ENERGIZE and ENERGIZE-T Phase 3 trials [2][4]. Market Potential - The SFDA's approval is significant as it is the first of its kind for thalassemia treatment in Saudi Arabia, addressing a community with high prevalence and limited treatment options [2][4]. - Regulatory applications for PYRUKYND are currently under review in the U.S., UAE, and European Union, with a PDUFA goal date of September 7, 2025, for the U.S. [4].

Core Insights - Agios Pharmaceuticals reported a notable revenue beat in Q2 2025, with GAAP net product revenue of $12.5 million for its lead product PYRUKYND, reflecting strong sales momentum despite increasing costs as the company prepares for major regulatory events and product launches [1][5] Financial Performance - EPS (GAAP) for Q2 2025 was $(1.93), a decline of 14.2% year-over-year from $(1.69) in Q2 2024 [2] - Revenue (GAAP) reached $12.5 million, up 45.4% from $8.6 million in Q2 2024 [2] - Net loss increased to $(112.0 million), a rise of 16.5% compared to $(96.1 million) in Q2 2024 [2][8] - R&D expenses rose to $91.9 million, an increase of 18.7% from $77.4 million in Q2 2024 [2] - SG&A expenses increased by 29.3% to $45.9 million, driven by preparations for regulatory approvals [2][6] Business Overview and Strategy - Agios specializes in therapies for rare blood disorders, focusing on high unmet needs, with PYRUKYND targeting pyruvate kinase deficiency [3] - The company aims to expand PYRUKYND's reach to other rare diseases, including thalassemia and sickle cell disease, through clinical trials and regulatory filings [3] Regulatory and Commercial Developments - The company is preparing for a key regulatory milestone with a PDUFA goal date of September 7, 2025, for PYRUKYND's approval in thalassemia [6][7] - Agios has established a European distribution partnership with Avanzanite Bioscience to launch PYRUKYND across Europe and the UK [6] - The FDA is currently reviewing the application for PYRUKYND in thalassemia, with late-stage trial results for sickle cell disease expected by year-end [7][9] Pipeline and Future Outlook - PYRUKYND product revenue grew 44.6% year-over-year, with unique patients enrolling for treatment reaching 248, a 6% increase from the prior quarter [5] - The company closed the quarter with $1.34 billion in cash and marketable securities, a decrease from year-end 2024 [8] - Management did not provide detailed financial guidance for fiscal 2025 but indicated that the current liquidity position supports plans for new launches and ongoing research investments [10]

Table of Contents UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 FORM 10-Q (Mark One) ☒ QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 For the quarterly period ended June 30, 2025 OR ☐ TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 Commission File Number: 001-36014 AGIOS PHARMACEUTICALS, INC. (Exact Name of Registrant as Specified in Its Charter) Delaware 26-0662915 (State or Other Jurisdiction of Inc ...

Financial Data and Key Metrics Changes - In Q2 2025, the company reported net revenue of $12.5 million, a 45% increase compared to $8.6 million in Q2 2024 and a 44% increase compared to $8.7 million in Q1 2025 [9][10] - The company ended Q2 2025 with approximately $1.3 billion in cash, cash equivalents, and marketable securities, indicating a strong financial position to support future growth [7][11] Business Line Data and Key Metrics Changes - The net revenue growth was attributed to strong commercial execution in Pyrokine, with an increase in the number of patients on active treatment [10][15] - The company dosed the first patient in the Phase II trial of tebapivat in sickle cell disease and received IND clearance for AG-236, targeting polycythemia vera [8][9] Market Data and Key Metrics Changes - The company anticipates a potential launch of Pyrokine for thalassemia in the U.S. pending FDA approval, with a PDUFA goal date set for September 7, 2025 [6][19] - The GCC market has an estimated 70,000 thalassemia patients, with a focus on Saudi Arabia for initial market entry [23][24] Company Strategy and Development Direction - The company aims to deliver sustainable growth and unlock long-term shareholder value through a capital-efficient commercial build-out and strategic investments in its pipeline [5][12] - The focus is on expanding the pipeline through internal efforts and business development activities, with a strong emphasis on rare disease treatments [13][32] Management's Comments on Operating Environment and Future Outlook - Management expressed confidence in the potential to transform the treatment landscape for thalassemia and sickle cell disease with Pyrokine, highlighting the high unmet need in these patient populations [8][19] - The company is well-prepared for the potential launch of Pyrokine in thalassemia, with a robust commercial strategy and a dedicated sales force [21][56] Other Important Information - The company has entered into revenue-sharing agreements with Avanzanite Bioscience for commercialization in Europe and Newbridge Pharmaceuticals for the GCC, which are expected to favor Agios in the long term [12][22] - The company is actively engaging with healthcare professionals and patients to understand their needs better, which is crucial for the successful launch of Pyrokine [20][57] Q&A Session Summary Question: Any updates on ometipivat safety profile? - Management confirmed there are no new updates regarding the safety profile, including liver toxicity [36][37] Question: Insights on GCC approval dates? - Management indicated ongoing discussions across multiple regions and readiness for commercialization [38] Question: Are you in labeling discussions for thalassemia? - Management stated that updates to the PKD label are anticipated to reflect the new indication and dosing [43][46] Question: Expectations for SG&A spending? - Management expects some growth in SG&A expenses related to the thalassemia launch, with additional launch-related expenses anticipated upon approval [48][49] Question: Initial target patient population for thalassemia? - Management identified approximately 4,000 symptomatic patients as the initial target for the launch in the U.S. [55][56] Question: Pediatric opportunity for thalassemia? - Management plans to expand trials to the pediatric population once adult data is available [66][67] Question: Changes in sickle cell trial protocol? - Management confirmed that monitoring protocols have been aligned with previous findings to ensure patient safety [82][83] Question: Will hepatocellular injury be in the label? - Management indicated that the final label will be determined at the PDUFA date, with ongoing discussions with the FDA [88][92] Question: Prescriber base for thalassemia launch? - Management emphasized the importance of engaging both academic centers and community hematologists to address the unmet needs of thalassemia patients [96][98]

Financial Data and Key Metrics Changes - In Q2 2025, Agios Pharmaceuticals reported net revenue of $12.5 million, a 45% increase compared to $8.6 million in Q2 2024 and a 44% increase compared to $8.7 million in Q1 2025 [9][10] - The company ended the quarter with approximately $1.3 billion in cash, cash equivalents, and marketable securities, indicating a strong financial position to support future growth [6][11] Business Line Data and Key Metrics Changes - The net revenue growth in the second quarter was attributed to strong commercial execution in pyruvate kinase deficiency (PKD) and an increase in the number of units processed directly by specialty pharmacies [10][14] - The company anticipates continued variability in net revenues due to ordering patterns, especially with the upcoming focus on thalassemia treatment [10][11] Market Data and Key Metrics Changes - As of Q2 2025, 248 patients completed prescription enrollment forms, a 6% increase from the previous year, with 142 patients actively receiving treatment, reflecting a 4% sequential increase [15] - The company is preparing for a potential launch in thalassemia, with a focus on the 4,000 patients actively managed due to their symptoms [19][53] Company Strategy and Development Direction - Agios aims to deliver sustainable growth and unlock long-term shareholder value through the commercialization of Pyrokine and the advancement of its pipeline [4][30] - The company has entered into revenue-sharing agreements with Avanzanite Bioscience for Europe and Newbridge Pharmaceuticals for the GCC, allowing for capital-efficient commercialization strategies [12][20] Management's Comments on Operating Environment and Future Outlook - Management expressed confidence in the potential to transform the treatment landscape for thalassemia and sickle cell disease with Pyrokine, pending FDA approval [5][8] - The company is focused on building a diversified rare disease portfolio and advancing its PK activator franchise across multiple indications [31][30] Other Important Information - The company has received IND clearance for AG-236, an siRNA targeting TMPRSS6 for polycythemia vera, and has dosed the first patient in the Phase II trial of tebapivat in sickle cell disease [7][29] - Agios is actively engaging with healthcare professionals and patients to understand their needs and prepare for the upcoming product launches [18][54] Q&A Session Summary Question: Any updates on ometipivat safety profile? - Management confirmed there are no new updates regarding the safety profile [36] Question: Insights on GCC approval dates? - Management indicated ongoing discussions across multiple regions and readiness for commercialization [37] Question: Are you in labeling discussions for thalassemia? - Management stated that updates to the PKD label are anticipated to reflect the new indication and dosing [44] Question: Expectations for SG&A spending? - Management expects some growth in SG&A expenses related to the thalassemia launch, with additional launch-related expenses anticipated upon approval [46] Question: Initial target patient population for thalassemia? - The initial focus will be on approximately 4,000 patients who are actively managed due to their symptoms [52] Question: Pediatric opportunity for thalassemia? - Management confirmed a high unmet need in pediatric patients and plans to run trials once adult data is available [64] Question: Changes in sickle cell trial protocol? - Management confirmed that monitoring protocols have been updated to align with safety concerns identified in other trials [81] Question: Will hepatocellular injury be in the label? - Management indicated that the final label will be determined at the PDUFA date, with ongoing discussions with the FDA [90]

Agios Pharmaceuticals shares have added about 14.2% since the beginning of the year versus the S&P 500's gain of 8.2%. What's Next for Agios Pharmaceuticals? While Agios Pharmaceuticals has outperformed the market so far this year, the question that comes to investors' minds is: what's next for the stock? There are no easy answers to this key question, but one reliable measure that can help investors address this is the company's earnings outlook. Not only does this include current consensus earnings expect ...

Financial Performance - PYRUKYND net revenues reached $12.5 million in Q2 2025, a 44% increase compared to $8.7 million in Q1 2025 and a 45% increase compared to $8.6 million in Q2 2024[10] - The company maintains a strong financial position with $1.3 billion in cash on hand[9, 10, 14] - Net loss for Q2 2025 was $112.0 million, compared to a net loss of $96.1 million for Q2 2024[14] Pipeline Development - First patient dosed in Phase 2 Sickle Cell Disease trial for AG-236 after receiving IND clearance[11] - RISE UP Phase 3 trial in sickle cell disease is expected to have topline data by the end of 2025[37] - Tebapivat Phase 2b trial for LR-MDS is ongoing, with topline results expected in early 2026[9, 45] Commercialization - 248 unique PK deficiency patients completed prescription enrollment forms since launch in the U S [21] - 142 patients are on treatment in the U S , including new prescriptions and treatment continuations, with 215 unique prescribers[22] - The company anticipates a potential U S launch of PYRUKYND for thalassemia in Q3 2025, with a PDUFA goal date of September 7, 2025[11, 23, 24] Strategic Partnerships - Announced a commercialization and distribution partnership with Avanzanite Bioscience in Europe[10] - A commercialization and distribution agreement is in place with NewBridge for the GCC region, with anticipated first regulatory approval in the coming months[30]