Core Insights - Alnylam Pharmaceuticals reported fourth-quarter 2025 adjusted earnings of $1.25 per share, exceeding the Zacks Consensus Estimate of $1.16, compared to adjusted earnings of 6 cents in the same quarter last year [1] - Total revenues for the quarter were $1.10 billion, falling short of the Zacks Consensus Estimate of $1.14 billion, but representing an 85% year-over-year increase from $593.2 million [2] Financial Performance - Net product revenues reached $994.7 million, marking a 121% increase year over year, driven by strong demand for Amvuttra and other marketed drugs [3] - Net revenues from collaborators were $40.9 million, a 62% decrease from the previous year, primarily due to the absence of revenues from Novartis in the reported quarter [4] - Royalty revenues increased by 73% year over year to $61.4 million [5] Product Performance - Amvuttra generated sales of $826.6 million, up 189% year over year, although it missed the Zacks Consensus Estimate of $837.2 million [8] - Givlaari sales were $86.8 million, reflecting a 34% year-over-year increase and exceeding the Zacks Consensus Estimate of $79.7 million [9] - Oxlumo recorded sales of $49.6 million, a 14% increase year over year, but fell short of the Zacks Consensus Estimate of $55.2 million [9] Guidance and Future Outlook - For 2026, Alnylam expects net product revenues between $4.9 billion and $5.3 billion, indicating a year-over-year growth of 64-77% at constant exchange rates [17] - The company anticipates net revenues from collaborations and royalties to be in the range of $400 million to $500 million, with adjusted R&D and SG&A expenses projected between $2.7 billion and $2.8 billion [17] Overall Assessment - Alnylam's fourth-quarter results were mixed, with earnings surpassing estimates but revenues missing expectations, likely due to high market expectations rather than a decline in demand [18] - The significant year-over-year revenue growth was primarily driven by strong sales of Amvuttra, supported by recent label expansions [19]

Core Insights - Alnylam Pharmaceuticals achieved full-year GAAP profitability in 2025, driven by an 81% year-over-year growth in net product revenues [4] - The TTR franchise generated $858 million in Q4 2025, reflecting a 151% year-over-year increase, primarily due to the U.S. launch of Amvuttra for ATTR cardiomyopathy [4] - Amvuttra has nearly matched tafamidis in new treatment starts by its second full quarter post-launch, indicating a shift in prescribing dynamics [4] Strategic Performance and Platform Evolution - The company launched Cyrillis, a proprietary enzymatic ligation-based manufacturing platform aimed at expanding capacity and reducing costs for RNAi therapeutics [4] - Management attributes commercial success to broad first-line payer access, with over 90% of payers providing coverage without step-through requirements [4] 2026 Guidance and Long-term Strategic Goals - The 2026 TTR revenue guidance is projected between $4.4 billion and $4.7 billion, assuming continued category growth and a mid-single-digit net price decrease in the U.S. [8] - The 2030 strategy aims for a 25% revenue CAGR and 30% non-GAAP operating margins, supported by a pipeline of over 25 clinical programs [4][8] - Planned R&D investment will remain at approximately 30% of revenues to accelerate organic innovation and selectively access external technologies [8] Competitive Dynamics and Pricing Sustainability - Management anticipates a Q1 2026 revenue headwind due to pricing alignment in Germany and annual U.S. insurance reauthorizations [8] - International TTR revenue growth in 2026 is expected to align with 2025, moderated by lower launch pricing for cardiomyopathy in European markets [8] - Collaboration revenue is projected to decline by 38% in 2026 due to a one-time $300 million milestone from the zalesiran program not recurring [8]

Financial Data and Key Metrics Changes - Total global net product revenues for 2025 were nearly $3 billion, representing an 81% growth compared to 2024, driven by a more than doubling of revenue in the TTR franchise [25][26] - The company achieved GAAP profitability for the full year 2025 and expects to sustain profitability going forward [7][29] - Non-GAAP operating income for 2025 was $850 million, a $755 million increase compared to the previous year [28] Business Line Data and Key Metrics Changes - The TTR franchise generated $858 million in net revenues in Q4 2025, up 151% year-over-year [12] - The rare disease portfolio generated $136 million in net revenue in Q4, up 26% year-over-year [11] - GIVLAARI and OXLUMO together became a $500 million franchise in 2025, reflecting continued growth more than five years post-launch [11] Market Data and Key Metrics Changes - U.S. net revenues for the TTR franchise grew 20% compared to Q3 2025 and 222% compared to Q4 2024 [12] - International revenues grew 13% quarter-over-quarter and 47% year-over-year, indicating strong global momentum [14] - The company anticipates launching AMVUTTRA for ATTR cardiomyopathy in additional international markets throughout 2026 [14] Company Strategy and Development Direction - The company has set new five-year goals, Alnylam 2030, focusing on achieving global TTR leadership, sustainable innovation, and disciplined growth [8][9] - Plans include launching nucresiran in 2028 for polyneuropathy and 2030 for cardiomyopathy, with an aim for over 25% revenue CAGR through 2030 [10] - The company expects to invest approximately 30% of revenues in non-GAAP R&D to accelerate organic innovation and selectively access external innovation [9] Management's Comments on Operating Environment and Future Outlook - Management expressed confidence in the size and growth of the ATTR-CM category, noting that the majority of patients remain untreated [15] - The early momentum of AMVUTTRA is encouraging, with strong customer demand and broad access expected to drive future growth [17] - Management highlighted the importance of improving diagnosis and treatment rates to expand the category further [18] Other Important Information - The company ended 2025 with cash, cash equivalents, and marketable securities of $2.9 billion, an increase from $2.7 billion at the end of 2024 [29] - Collaboration revenue for 2025 was $553 million, an 8% growth compared to 2024, including a significant milestone payment [26] Q&A Session Summary Question: Insights on new patient additions and first-line mix for patisiran versus tafamidis - Management expressed satisfaction with the AMVUTTRA launch and noted strong fundamentals supporting continued growth [41][43] Question: Addressing choppiness in scripts and pricing dynamics - Management indicated confidence in access and pricing, with a mid-single-digit net price decline expected in 2026 [49][61] Question: Seasonality effects in Q4 and potential tailwinds for Q1 2026 - Management acknowledged typical industry seasonality but emphasized that underlying momentum remains strong [53][54] Question: Gross to net pattern over 2026 - Management confirmed a gradual mid-single-digit net price decrease expected throughout the year [59][61] Question: External innovation strategy and potential partnerships - Management highlighted a focus on complementary technologies that enhance the existing portfolio and pipeline [66][98] Question: Impact of nucresiran on operating margins - Management anticipates significant positive margin impacts post-2030 if nucresiran demonstrates a best-in-class profile [70][71] Question: Updates on the Huntington's program and trial initiation - Management is optimistic about the Huntington's program and plans to accelerate it responsibly based on initial data [78][79] Question: Prioritization of ACVR1C asset in obesity pipeline - Management explained the prioritization based on preclinical data indicating ACVR1C's potential for greater efficacy compared to other targets [86][87]

Financial Data and Key Metrics Changes - Total global net product revenues for 2025 were nearly $3 billion, representing an 81% growth compared to 2024, driven by a more than doubling of revenue in the TTR franchise [24][25] - The company achieved GAAP profitability for the full year 2025 and expects to sustain profitability going forward [5][27] - Non-GAAP operating income for the full year was $850 million, a $755 million increase compared to the previous year [26] Business Line Data and Key Metrics Changes - The TTR franchise generated $858 million in net revenues in Q4 2025, up 151% year-over-year [11] - The rare disease portfolio generated $136 million in net revenue in Q4, reflecting a 26% increase compared to the same period last year [10] - GIVLAARI and OXLUMO together became a $500 million franchise in 2025, showing continued growth more than five years post-launch [10] Market Data and Key Metrics Changes - U.S. net revenues for the TTR franchise grew 20% compared to Q3 2025 and 222% compared to Q4 2024 [11] - International revenues grew 13% quarter-over-quarter and 47% year-over-year, indicating strong global momentum [12] - The company anticipates launching AMVUTTRA for ATTR cardiomyopathy in additional international markets throughout 2026 [12] Company Strategy and Development Direction - The company has set new five-year goals, Alnylam 2030, focusing on achieving global TTR leadership, sustainable innovation, and disciplined growth [6][9] - Plans include launching nucresiran in 2028 for polyneuropathy and 2030 for cardiomyopathy, with aspirations to deliver RNAi to 10 tissue types and expand the pipeline to over 40 clinical programs by 2030 [7][8] - The company aims for over 25% revenue CAGR through 2030 and a non-GAAP operating margin of approximately 30% [9] Management's Comments on Operating Environment and Future Outlook - Management expressed confidence in the size and growth of the ATTR-CM category, noting that the majority of patients remain untreated [14] - The early momentum of AMVUTTRA is encouraging, with strong customer demand and broad access expected to drive growth [16] - The company is focused on improving diagnosis and treatment rates to expand the category further [17] Other Important Information - The company initiated three Phase 3 studies in 2025 and expanded its clinical pipeline with four proprietary CTAs [18] - The proprietary enzymatic ligation manufacturing platform, Syrelis, was launched to enhance capacity and reduce costs [20] - The company ended 2025 with cash, cash equivalents, and marketable securities of $2.9 billion, an increase from $2.7 billion at the end of 2024 [27] Q&A Session Summary Question: Can you comment on new patient adds and the mix of first-line for patisiran versus tafamidis switches? - Management highlighted strong AMVUTTRA launch momentum and improved first-line access, supporting confidence in 2026 guidance [38][41] Question: Can you speak to the choppiness in scripts for the first quarter and pricing dynamics? - Management noted that the majority of patients have first-line access and expect a mid-single-digit net price decline in 2026, which is integrated into their outlook [44][47] Question: Have you seen any seasonality during the fourth quarter? - Management acknowledged typical industry seasonality but emphasized that underlying momentum remains strong [50][51] Question: What is the rationale for prioritizing the ACVR1C asset over others in your pipeline? - Management indicated that ACVR1C appears to be a more potent target based on preclinical work and emerging data [81][85] Question: How should we think about the impact of nucresiran on operating margins once available? - Management expects nucresiran to have a best-in-class profile, potentially driving margins to the mid-40s post-2030 [68][69]

Core Insights - Argo Biopharmaceutical Co., Ltd. has initiated a global Phase 2b clinical trial for DII235 (BW-20829) in adults with elevated Lipoprotein (a) and Atherosclerotic Cardiovascular Disease, marking a significant advancement in its clinical pipeline [1][2] - The company will receive milestone payments from Novartis as part of their collaboration, which will support ongoing research and development of its siRNA portfolio [1] - BW-20829 is the sixth asset in Argo's pipeline to enter mid-stage global clinical development, highlighting the company's progress in RNAi therapeutics [1][3] Company Overview - Argo Biopharma is focused on developing next-generation RNAi therapeutics aimed at providing improved treatment options for various diseases, including cardiovascular diseases, viral infections, and metabolic conditions [3] - The company has established a diverse pipeline with six RNAi candidates currently in clinical development, showcasing its commitment to addressing unmet medical needs [3]

Core Viewpoint - Alnylam Pharmaceuticals has announced a new five-year strategy called "Alnylam 2030," aimed at scaling operations, achieving leadership in ATTR amyloidosis, driving long-term growth through sustainable innovation, and delivering exceptional financial results with discipline and agility [1] Group 1: Strategic Focus - The strategy emphasizes achieving leadership in ATTR amyloidosis, a key area for the company [1] - The company aims to drive long-term growth through sustainable innovation, indicating a commitment to research and development [1] - Financial discipline and agility are highlighted as essential components for delivering exceptional results [1] Group 2: Financial Performance - Alnylam reported preliminary fourth quarter and full year 2025 global net product results, although specific figures were not disclosed in the announcement [1]

Summary of Alnylam Pharmaceuticals Conference Call Company Overview - Alnylam Pharmaceuticals is a leading RNA interference (RNAi) company, recognized for its innovative approach based on Nobel Prize-winning science. The company has successfully launched six marketed products and has a robust clinical pipeline with over 20 programs [2][4]. Key Focus Areas 1. **TTR Leadership**: - Alnylam aims to establish leadership in transthyretin (TTR) therapeutics, particularly with the launch of Amvuttra for cardiomyopathy. The company believes Amvuttra has the potential to become the standard of care [3][4]. - The next-generation program, Nucresiran, is expected to provide long-term durability for the TTR franchise, extending its impact into the 2040s [3]. 2. **Innovation and Pipeline Growth**: - Alnylam is focused on expanding its pipeline, which has the potential for three to four blockbuster medicines. The company emphasizes the high probability of success from its R&D efforts [3][4]. 3. **Financial Performance**: - The company is committed to disciplined capital allocation and aims to achieve sustainable non-GAAP profitability. Alnylam has seen growing revenues and is building a foundation for long-term growth [4][6]. Amvuttra Launch Insights - The launch of Amvuttra has exceeded expectations, with rapid access to 170 healthcare systems that account for 80% of TTR amyloidosis prescriptions. This early success allowed the company to raise revenue guidance [10][11]. - Patient volume demand has doubled, indicating strong market acceptance and effective execution by the commercial team [11][12]. - The company reports a balanced utilization of Amvuttra across both first-line and second-line treatment settings, with a significant share of first-line prescriptions [20][21]. Market Dynamics - There is a significant underdiagnosis issue in TTR cardiomyopathy, with only 20% of an estimated 150,000 patients in the US diagnosed. Alnylam sees opportunities for improved diagnosis rates due to advancements in diagnostic tools [31][32]. - The company is successfully penetrating community centers, which now contribute over half of its business, indicating a broad acceptance of Amvuttra [34]. Future Developments - Nucresiran is in two Phase 3 studies, with expectations for improved patient outcomes due to higher TTR knockdown rates and a more convenient dosing schedule [42][44]. - Alnylam is also advancing its pipeline in other areas, including Huntington's disease and hypertension, with promising early results [48][49]. Conclusion - Alnylam Pharmaceuticals is positioned for significant growth with its innovative RNAi therapeutics, particularly through the successful launch of Amvuttra and the upcoming Nucresiran. The company is focused on expanding its market presence, improving patient outcomes, and achieving financial sustainability [51].

Financial Data and Key Metrics Changes - Total net product revenues for Q3 2025 were $851 million, representing a 103% increase year-over-year [7][28] - TTR franchise revenues reached $724 million, showing a 135% year-over-year growth, primarily driven by the AMVUTTRA ATTR CM launch in the U.S. [6][11] - The company increased its total net product revenue guidance for 2025 from a range of $2.65 billion to $2.8 billion to a revised range of $2.95 billion to $3.05 billion, reflecting a 10% increase at the midpoint [8][33] Business Line Data and Key Metrics Changes - The rare disease portfolio achieved $127 million in sales, up 14% compared to Q3 2024, driven by ongoing patient demand [10] - U.S. net sales for the TTR franchise grew 42% quarter-over-quarter and 194% year-over-year, reflecting strong adoption following the AMVUTTRA ATTR CM label expansion [12][14] - Outside the U.S., revenues grew 13% quarter-over-quarter and 46% year-over-year, indicating continued global momentum [12] Market Data and Key Metrics Changes - The U.S. TTR franchise delivered $543 million in net product revenues, representing an increase of approximately $160 million versus the prior quarter [14] - In Japan, the AMVUTTRA ATTR CM launch is progressing well, tracking in line with leading launch analogs [12] - The international performance reflects the strength of the hereditary ATTR polyneuropathy legacy business, which remains robust despite new competition [12] Company Strategy and Development Direction - The company focuses on three core pillars: TTR leadership, growth through innovation, and strong financial performance [5] - The company is committed to establishing long-term leadership in TTR and advancing its pipeline of RNAi therapeutics [5][6] - The company plans to expand its global reach with anticipated international AMVUTTRA ATTR CM launches in 2026 [17] Management's Comments on Operating Environment and Future Outlook - Management expressed confidence in the AMVUTTRA ATTR CM launch and the overall growth trajectory of the TTR franchise [8][11] - The management highlighted the importance of early treatment in ATTR cardiomyopathy and the positive reception from payers and physicians [62] - The company is optimistic about the potential of RNAi therapeutics to become the standard of care in TTR amyloidosis [19] Other Important Information - The company ended the quarter with cash, cash equivalents, and marketable securities of $2.7 billion [32] - Non-GAAP R&D expenses increased by 23% to $310 million, driven by costs associated with multiple Phase 3 clinical studies [31] - The company announced the initiation of a Phase 1 trial of ALN-5288 targeting Alzheimer's disease [26] Q&A Session Summary Question: Can you discuss the momentum of AMVUTTRA in first line versus switch population? - Management noted that patient demand for AMVUTTRA has doubled, with broad adoption across various settings, indicating healthy uptake [36][38] Question: What gives you confidence in continued patient additions next year? - Management highlighted the strong launch momentum and the raised guidance as indicators of confidence in sustained growth [53] Question: Can you provide insights on payer dynamics as you approach 2026? - Management reported no significant payer headwinds and positive feedback from payers regarding the value of AMVUTTRA [60][62] Question: How should we model inventory demand for AMVUTTRA? - Management explained that inventory growth was driven by increased demand, with expectations for continued growth in the fourth quarter [66][68] Question: What is the expected pricing strategy for AMVUTTRA in Europe? - Management indicated ongoing negotiations for pricing in Europe, with expectations for a gradual decline in net price over time [90][93]

Financial Performance - Total net product revenues reached $851 million in Q3 2025, representing a 103% year-over-year growth compared to Q3 2024[17, 24] - Total TTR net revenues were $724 million in Q3 2025, a 135% increase year-over-year[17, 31] - U S total TTR net revenues amounted to $543 million in Q3 2025, demonstrating a 194% year-over-year growth[17] - The company increased its 2025 total net product revenue guidance to a range of $2950 million to $3050 million, a 10% increase at the midpoint[17] - Non-GAAP operating income was $476 million, resulting in a 38% non-GAAP operating margin[65] Product Performance - Rare disease franchise revenues totaled $127 million in Q3 2025, a 14% increase year-over-year[28] - OXLUMO sales grew by 31% year-over-year, driven by a 15% increase in global patients on therapy[29] - AMVUTTRA's ATTR-CM launch contributed significantly to growth, with estimated ATTR-CM revenue of approximately $300 million in Q3 2025 in the U S [33, 34] Pipeline and Clinical Development - Phase 3 trial initiated for nucresiran in ATTR-CM, with topline results expected in 2028 and targeting launch around 2030[17, 47] - Phase 3 cardiovascular outcomes trial (CVOT) initiated for zilebesiran in high cardiovascular risk patients with uncontrolled hypertension, randomizing approximately 11,000 patients[17, 56] - HELIOS-B data showed a 37% risk reduction in time-to-first ACM and CV events with long-term vutrisiran treatment[43]

Alnylam Pharmaceuticals FY Conference Summary Company Overview - Alnylam Pharmaceuticals is a pioneer in RNAi therapeutics, with over 20 years of development focused on drug delivery and innovation. The company currently has six commercial products, with four being actively commercialized. The primary focus is on the launch of products targeting cardiomyopathy in the ATTR market, which is significantly larger than previous markets the company has operated in [3][4]. Financial Performance - Alnylam is on the verge of achieving profitability, a goal set five years ago. The company reported a significant increase in top-line growth, with TTR revenue globally reaching $544 million, representing a 77% year-over-year growth. In the U.S., revenue was $383 million, with a $170 million increase from Q1, driven primarily by the cardiomyopathy launch [4][6]. Market Dynamics - The ATTR market has been segmented into hereditary polyneuropathy (PN) and cardiomyopathy (CM). The hereditary market is estimated to have about 50,000 patients, while the CM market is approximately ten times larger. The company has successfully launched its products in the CM segment, with an estimated 1,400 patients on therapy by the end of Q2 [5][6]. Launch Strategy and Execution - The rapid establishment of provider setups and payer coverage was a key driver for the successful launch. The company initially expected a six to nine-month setup period but achieved this in a much shorter timeframe. The focus was on getting the drug on formulary at health systems, which are critical for patient treatment [7][8][10]. Demand and Patient Segmentation - The demand for the product has been balanced between first-line and second-line treatments. Initially, demand was primarily from second-line patients, but by the end of the quarter, first-line demand was building. The company estimates that only about 20% of patients are currently treated, indicating significant growth potential [15][16][17]. Competitive Landscape - The competitive environment includes products from Pfizer and BridgeBio. The majority of patients are still being treated with tafamidis, but there is a growing interest in new products. The company aims to leverage its data from the HELIOS-B study to drive market share [21][22]. Pricing Strategy - Alnylam maintained the same pricing for its new product as for its previous offerings, with expectations of gradual price reductions over time. The company reported that approximately 70% of patients had zero out-of-pocket costs, making the product accessible despite its high cost [24][25][26]. Guidance and Future Outlook - The company raised its net product revenue guidance by $600 million, reflecting strong performance and expectations for continued growth. The TTR franchise is expected to grow by about $1 billion in revenue compared to 2024, with plans to expand into additional markets outside the U.S. starting in 2026 [27][30][31]. Long-term Market Evolution - Alnylam anticipates the entry of generics for tafamidis around the end of 2028, which may shift the market dynamics. The company is preparing for this by focusing on combination therapies and positioning its products effectively [39][40][41]. Pipeline and Future Innovations - The company is developing ALN-TTRsc04, a third-generation TTR product expected to provide better efficacy and convenience with a dosing schedule of once every six months. This product is anticipated to launch around 2030, coinciding with the expected generic entry of tafamidis [43][49]. Conclusion - Alnylam Pharmaceuticals is positioned for significant growth with a strong pipeline and a focus on innovative therapies. The company is committed to achieving long-term profitability and expanding its market presence while navigating competitive dynamics and evolving market conditions [64][65].