Summary of Agios Pharmaceuticals FY Conference Call (January 14, 2026) Company Overview - **Company**: Agios Pharmaceuticals (NasdaqGS:AGIO) - **Event**: 44th Annual J.P. Morgan Healthcare Conference - **Speaker**: CEO Brian Goff Key Industry and Company Insights Growth and Strategic Focus - Agios is at a pivotal growth inflection point driven by three key components: 1. Advancement of the pyruvate kinase (PK) activator franchise as the standard of care for hemolytic anemias [2] 2. Progress in early and mid-stage pipeline, unlocking further value [3] 3. Clear path to profitability with the existing commercial portfolio, especially following the recent approval for thalassemia [3] Pipeline and Market Potential - The PK activation franchise is anchored on mitapivat, approved for pyruvate kinase deficiency and thalassemia, with ongoing pursuits in sickle cell disease [4] - The total market potential for Agios's pipeline by 2030 is projected to exceed $10 billion, with thalassemia alone representing over $1 billion [4][26] - The company is also advancing tevapivat for sickle cell disease and low-risk myelodysplastic syndromes (MDS) [4][16] Recent Approvals and Launch Strategy - Acvezmi, approved for thalassemia on December 23, 2025, is positioned as a historic approval for the thalassemia community [7][8] - The launch strategy includes a highly experienced field force, a patient support program (myAgios), and a focus on global expansion [5][6] - The pricing for Acvezmi is set at $425,000 per patient per year in the U.S., reflecting its clinical value [11] Market Dynamics and Patient Population - Approximately 4,000 adult patients in the U.S. are deemed addressable at launch, with a total adult population of about 6,000 [10] - The launch will initially focus on transfusion-dependent patients, who are in regular contact with healthcare systems [39] Financial Discipline and Future Outlook - Agios aims to maintain flat operating expenses in 2026 compared to 2025 while maximizing the Acvezmi launch opportunity [21][23] - The company is committed to financial discipline to ensure long-term sustainability and growth [21] Pipeline Developments and Future Catalysts - Upcoming milestones include: - Pre-SNDA meeting with the FDA regarding sickle cell disease data [24][45] - Phase 2b readout for tevapivat in low-risk MDS [24] - Phase 1 healthy volunteer data for the TMPRSS6 inhibitor for polycythemia vera [24] - Phase 2 data for tevapivat in sickle cell disease and proof of mechanism data for AG181 for phenylketonuria [25] Conclusion - Agios Pharmaceuticals is positioned for significant growth in 2026, focusing on the successful launch of Acvezmi and advancing its pipeline while maintaining financial discipline [24][30]