Core Viewpoint - Alnylam Pharmaceuticals has announced a private offering of $575 million in convertible senior notes due 2028, targeting qualified institutional buyers under Rule 144A of the Securities Act [1] Group 1 - The offering consists of 0.00% convertible senior notes, indicating a non-interest-bearing structure [1] - The size of the offering was increased, reflecting strong demand from the market [1]

Key Takeaways Alnylam's collaborations with Novartis, Roche, Sanofi, and Regeneron add to revenue growth.ALNY and Regeneron are advancing cemdisiran in phase III studies for multiple conditions.ALNY and Roche plan a global phase III ZENITH CV outcomes study of zilebesiran in hypertension patients.Alnylam Pharmaceuticals (ALNY) currently markets four approved drugs — Onpattro, Givlaari, Oxlumo, and Amvuttra — which together generated $1.14 billion in net product revenues, representing a 47% year-over-year in ...

Company Overview - Alnylam Pharmaceuticals, Inc. is a leading player in the biopharmaceutical industry, focusing on RNA interference (RNAi) therapeutics aimed at silencing specific genes associated with various diseases [1] - The company competes with other biotech firms such as Moderna and BioNTech, positioning itself among the leaders in the sector [1] Recent Developments - On September 5, 2025, Kostas Biliouris from BMO Capital set a price target of $470 for ALNY, indicating a potential upside of about 3.8% from its trading price of $452.81 at that time [2] - Alnylam participated in Citi's Biopharma Back to School Conference on September 3, 2025, where key executives discussed the company's strategic initiatives and future plans [3] Stock Performance - Currently, ALNY's stock is priced at $452.13, reflecting a slight decrease of 0.31% or $1.41, with a daily trading range between $444.66 and $455.05 [4] - Over the past year, ALNY has experienced significant volatility, with a high of $469.81 and a low of $205.87 [4] Market Position - Alnylam's market capitalization is approximately $59.26 billion, indicating a substantial presence in the market [5] - The stock has a trading volume of 264,290 shares on the NASDAQ exchange, highlighting active trading and investor interest in Alnylam's growth potential [5]

PresentationThank you all. Welcome all again to the 2025 Citi Biopharma Conference in Boston. Next on the docket, we have Alnylam. If you could, I guess, introduce us and kind of tell us a little bit about the company for no one who's -- for people who haven't heard of you before, bring us up to speed, that would be great.Jeffrey PoultonCFO & Executive VP [indiscernible] very productive organic platform for the company. We've got 6 products in the market today, 4 of which that we're marketing ourselves, whi ...

Summary of Alnylam Pharmaceuticals Conference Call Company Overview - Alnylam Pharmaceuticals is focused on developing RNA interference (RNAi) therapies, with six products currently on the market, four of which are marketed by the company itself, indicating a strong organic growth platform [2][3] Core Industry Insights - The primary focus for investors is the launch of the product for ATTR cardiomyopathy, which has shown strong initial results, leading to an upgrade in guidance for the year [3][10] - The ATTR market is characterized as a rare disease market with significant potential, estimated to have over 300,000 patients globally, with only about 20% currently treated [11][12] - The hereditary polyneuropathy segment has around 50,000 patients, with Alnylam generating $1 billion in revenue from this segment last year, growing over 30% annually [12] Market Dynamics - The company anticipates that increased competition will drive diagnosis and treatment rates higher in the ATTR market, which is currently underpenetrated [14][16] - There is a significant unmet need in the market, as many patients remain undiagnosed or inadequately treated [15][16] - The competitive landscape is evolving, with multiple companies expected to coexist in the market rather than a zero-sum scenario [18] Product Performance and Strategy - In Q2, approximately 1,400 patients started therapy with Ambutra for cardiomyopathy, with a balanced mix of first-line and second-line treatments [21][22] - The company aims to prioritize first-line treatment to drive long-term growth, given the progressive nature of the disease [22] - The initial prescribers of Ambutra include both experienced physicians and new prescribers, indicating a broad uptake [25] Regulatory and Payer Landscape - Alnylam has successfully established payer policies that enable first-line utilization of Ambutra, which was a key factor in the quicker revenue uptake [32][33] - The company acknowledges that payer policies can change annually, necessitating ongoing engagement to maintain access [35] Future Product Pipeline - Nucleosiran, a next-generation therapy, is expected to have a cleaner off-target profile and longer action, with phase three studies initiated for both cardiomyopathy and polyneuropathy [40][47] - The economic model for Nucleosiran is favorable, with no royalty burden compared to Ambutra, which has a 15-30% royalty [49] Combination Therapy Potential - There is interest in combination therapies, but current payer policies make it challenging to obtain reimbursement for multiple therapies for the same disease [52] - The company is well-positioned to explore combination therapy opportunities as the market evolves, especially post-generic entry of existing therapies [54] Long-term Market Opportunities - The hypertension market presents a significant opportunity, with over 200 million patients across major markets, particularly targeting high cardiovascular risk patients [56][72] - Alnylam's collaboration with Roche for hypertension treatment is expected to leverage Roche's experience in launching innovative therapies [74] Challenges and Learnings - Transitioning RNAi therapies outside the liver presents challenges, particularly in delivery mechanisms and targeting specific cell types [83][86] - The company is applying learnings from liver-targeted therapies to enhance delivery and efficacy in other tissues [86] Guidance and Expectations - Alnylam is focused on maintaining strong commercial performance and has upgraded its guidance for the year, with an emphasis on first-line demand for its therapies [89][90]

Core Insights - Alnylam Pharmaceuticals is recognized as one of the leading biotech companies in the industry, demonstrating strong execution and performance [1] Company Performance - The company continues to achieve results that are well above average compared to its peers, reinforcing its position in the biotech sector [1]

Core Insights - Alnylam Pharmaceuticals and Roche reported positive mid-stage results for zilebesiran in patients with uncontrolled hypertension and high cardiovascular risk [1][5] Group 1: Study Results - The phase II KARDIA-3 study achieved its primary endpoint with a single 300 mg dose of zilebesiran showing placebo-adjusted reductions in office systolic blood pressure at month 3, although it did not meet the pre-specified statistical significance [3][5] - The 300 mg dose also resulted in clinically meaningful reductions in 24-hour mean ambulatory systolic blood pressure at three and six months, with effects sustained throughout the 24-hour cycle [3][6] - Zilebesiran demonstrated early and durable reductions in cardiovascular and renal biomarkers, indicating potential long-term benefits for high-risk populations [7] Group 2: Future Plans - Alnylam and Roche plan to initiate a global phase III cardiovascular outcomes trial, ZENITH, to evaluate zilebesiran's potential to reduce major adverse cardiovascular events [9][11] - The ZENITH study will enroll approximately 11,000 patients and is expected to start by late 2025, focusing on patients with uncontrolled hypertension on multiple antihypertensives [11] Group 3: Market Performance - Year to date, Alnylam's stock has increased by 89.8%, significantly outperforming the industry average growth of 2.7% [4]

Summary of Alnylam Pharmaceuticals (ALNY) Update / Briefing - August 30, 2025 Company Overview - **Company**: Alnylam Pharmaceuticals (ALNY) - **Key Product**: Zalbesiran, a novel treatment for uncontrolled hypertension - **Collaboration**: Partnership with Roche for the development of Zalbesiran Industry Context - **Focus Area**: Cardiovascular disease, specifically hypertension - **Global Burden**: Cardiovascular disease is the leading cause of death worldwide, with approximately 20 million deaths annually attributed to it, primarily due to high blood pressure [11][12] - **Treatment Gap**: Less than 40% of women and 30% of men achieve adequate blood pressure control, highlighting a significant unmet need in hypertension management [13] Core Points and Arguments Clinical Development and Results - **CARDIA Trials**: The presentation focused on the results of the CARDIA three trial, which evaluated Zalbesiran in patients with uncontrolled hypertension and high cardiovascular risk [27][38] - **Efficacy**: - CARDIA one showed a significant reduction in blood pressure of 15 mmHg as monotherapy [28] - CARDIA two demonstrated reductions of -19 mmHg with a diuretic, -10 mmHg with amlodipine, and -7 mmHg with olmesartan [29] - CARDIA three results indicated a placebo-adjusted reduction of -5 mmHg and -3.3 mmHg for the 300 mg and 600 mg doses, respectively, at three months [34][38] - **Safety Profile**: The safety profile was encouraging, with low rates of serious adverse events and manageable instances of hyperkalemia and kidney dysfunction [36] Mechanism of Action - **RNA Interference Technology**: Zalbesiran utilizes RNA interference to silence genes associated with hypertension, allowing for infrequent dosing (once every six months) [4][5] - **Blood Pressure Control**: The drug aims to provide consistent blood pressure control, addressing both daytime and nighttime variability, which is crucial for reducing cardiovascular risk [17][21] Market Opportunity - **Patient Population**: There are approximately 219 million patients with hypertension in major markets, with 62 million currently uncontrolled [40] - **Unmet Need**: Patients with uncontrolled hypertension and high cardiovascular risk represent a significant unmet need, particularly those with comorbidities like diabetes and chronic kidney disease [40] Future Directions - **Phase Three Trial (Zenith)**: The upcoming Zenith trial will enroll 11,000 patients with uncontrolled hypertension and established cardiovascular disease, focusing on cardiovascular outcomes [43][45] - **Regulatory Engagement**: The protocol for the Zenith trial has been filed with multiple regulators, with plans to activate sites soon [45] - **Commercial Strategy**: Alnylam and Roche are developing strategies for the commercialization of Zalbesiran, including potential additional indications [46][47] Important but Overlooked Content - **Adherence Issues**: The challenge of treatment adherence in chronic diseases like hypertension is significant, with about 40% of patients not taking their medications as prescribed [22][23] - **Long Duration of Action**: The six-month duration of action for Zalbesiran is highlighted as a major advantage in improving adherence and overall treatment outcomes [24][51] - **Synergistic Effects with Diuretics**: The potential for Zalbesiran to work synergistically with diuretics is noted, as diuretics can upregulate the renin-angiotensin system, enhancing the effectiveness of Zalbesiran [60][63] Conclusion - **Transformational Potential**: Zalbesiran is positioned as a potentially paradigm-shifting therapy for hypertension, with the ability to improve blood pressure control and cardiovascular outcomes significantly [55][56]

Core Viewpoint - Roche and Alnylam are initiating a Phase III cardiovascular outcomes trial (CVOT) for zilebesiran, an RNAi therapeutic aimed at reducing major adverse cardiovascular events in patients with uncontrolled hypertension [1][5]. Group 1: Clinical Trial Details - The Phase III trial, named ZENITH, will enroll approximately 11,000 patients and evaluate zilebesiran (300 mg) administered every six months compared to placebo [5][16]. - The KARDIA-3 study demonstrated a placebo-adjusted reduction in office systolic blood pressure (SBP) of -5.0 mmHg at month three and -3.9 mmHg at month six for the 300 mg dose [2][12]. - KARDIA-3 identified a patient population that could benefit most from zilebesiran, particularly those on diuretics with a baseline SBP greater than 140 mmHg, showing reductions of -9.2 mmHg at month three and -8.3 mmHg at month six [3][12]. Group 2: Safety and Efficacy - Zilebesiran exhibited an encouraging safety profile, with serious adverse events occurring in 3.8% of patients treated with zilebesiran compared to 4.5% in the placebo group, and no deaths reported during the six-month period [14]. - The drug demonstrated clinically meaningful reductions in blood pressure and sustained effects over six months, indicating its potential as a long-acting therapy for hypertension [8][12]. Group 3: Market Need and Potential - Hypertension affects over 1.2 billion people globally, with up to 80% of patients not achieving adequate blood pressure control, highlighting the need for new treatment options [6][20]. - Zilebesiran's biannual dosing could address adherence issues associated with daily oral therapies, potentially reducing the risk of serious health complications and cardiovascular events [4][17].

Core Insights - Alnylam Pharmaceuticals is a commercial-stage company with four marketed drugs, including Amvuttra, which is its primary revenue driver, generating $801.9 million in sales in the first half of 2025, reflecting an 89% year-over-year growth [2][10] - Amvuttra received label expansion approvals in the U.S. and EU for treating ATTR amyloidosis with cardiomyopathy, marking it as the first RNAi therapeutic approved for both ATTR-CM and hATTR-PN in adults [3][4] - Alnylam's stock has surged 93% in 2025, outperforming the industry and S&P 500, although the stock is considered expensive with a price/sales ratio of 24.10 compared to the industry average of 2.12 [8][12] Drug Performance - Amvuttra's sales growth is attributed to new patient starts and patients switching from Onpattro, with expectations for continued growth following the recent label expansion [2][4] - The label expansion is anticipated to further boost Amvuttra's uptake in the second half of 2025, with additional approvals expected in other regions [4] Competitive Landscape - Amvuttra faces competition from Pfizer's Vyndaqel/Vyndamax and BridgeBio's Attruby, which are already approved for ATTR-CM and offer advantages such as oral administration and lower list prices [5] - Pfizer's Vyndaqel family generated $3.1 billion in global revenues in the first half of 2025, a 27% increase year-over-year, indicating strong market demand [6] Financial Estimates - Alnylam's earnings estimates for 2025 have improved significantly, with projections rising from 93 cents to $3.39 per share, and for 2026 from $3.58 to $8.75 [15]