Ionis posts 2025 results and 2026 guidance
Ionis Pharmaceuticals reported fourth-quarter and full-year 2025 results and issued 2026 guidance.
Ionis Pharmaceuticals reported fourth-quarter and full-year 2025 results and issued 2026 guidance. Full-year revenue rose to $944 million from $705 million, driven by commercial growth and R&D collaboration revenue, including a $280 million upfront payment for sapablursen licensing.
TRYNGOLZA generated $108 million in 2025 net product sales in its first launch year, helping lift commercial revenue 49% year over year. Despite this growth, the company posted a 2025 GAAP net loss of $381 million and a non-GAAP operating loss of $248 million, both improved versus 2024.
Cash, cash equivalents and short-term investments increased to $2.7 billion as of December 31, 2025, aided by convertible debt refinancing. For 2026, Ionis guides to $800–$825 million in revenue, a non-GAAP operating loss of $500–$550 million, and year-end liquidity of about $1.6 billion, while continuing to invest in multiple independent launches and a broad late-stage pipeline.
Positive
- None.
Negative
- None.
Insights
Ionis shows strong 2025 revenue growth but guides to continued investment-driven losses in 2026.
Ionis delivered full-year 2025 revenue of $944 million, up from $705 million, with commercial revenue rising 49% as TRYNGOLZA contributed $108 million in its first year and DAWNZERA began to add sales. A $280 million sapablursen upfront payment also boosted R&D revenue.
Profitability remains negative, though trends improved. GAAP net loss narrowed to $381 million from $454 million, and non-GAAP operating loss to $248 million from $345 million, even as operating expenses increased to support independent launches and pipeline development.
Guidance for 2026—revenue of $800–$825 million and a non-GAAP operating loss of $500–$550 million—reflects the absence of the $280 million one-time sapablursen payment and higher commercial investments. Management highlights cash, cash equivalents and short-term investments of $2.7 billion at year-end 2025 and targets cash flow breakeven in 2028, contingent on execution of launches and late-stage programs.
8-K Event Classification
FAQ
AI-generated questions and answers. How Rhea-AI works. Not financial advice.
How did Ionis Pharmaceuticals (IONS) perform financially in full-year 2025?
What were the key commercial revenue drivers for Ionis Pharmaceuticals (IONS) in 2025?
What 2026 financial guidance did Ionis Pharmaceuticals (IONS) provide?
How did Ionis Pharmaceuticals’ (IONS) cash position and debt change by December 31, 2025?
What non-GAAP metrics does Ionis Pharmaceuticals (IONS) highlight, and why?
How did Ionis Pharmaceuticals’ (IONS) quarterly 2025 results compare year over year?
AI-generated analysis. How Rhea-AI works. Not financial advice.
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(Commission File No.)
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(IRS Employer Identification No.)
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Written communications pursuant to Rule 425 under the Securities Act (17 CFR 230.425)
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Soliciting material pursuant to Rule 14a-12 under the Exchange Act (17 CFR 240.14a-12)
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Pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange Act (17 CFR 240.14d-2(b))
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Pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange Act (17 CFR 240.13e-4(c))
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Title of each class
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Trading symbol
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Name of each exchange on which registered
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“
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| Item 2.02 |
Results of Operations and Financial Condition.
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| Item 9.01. |
Financial Statements and Exhibits.
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Exhibit No.
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Description
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99.1
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Press Release dated February 25, 2026.
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|
104
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Cover Page Interactive Data File (embedded within the Inline XBRL document).
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Ionis Pharmaceuticals, Inc.
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|
|
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| Dated: February 25, 2026 | By: | /s/ Patrick R. O’Neil |
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|
|
Patrick R. O’Neil |
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|
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Executive Vice President, Chief Legal Officer and General Counsel
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|
Three months ended
December 31,
|
Year ended
December 31,
|
|||||||||||||||
|
2025
|
2024
|
2025
|
2024
|
|||||||||||||
|
(amounts in millions)
|
||||||||||||||||
|
Total revenue
|
$
|
203
|
$
|
227
|
$
|
944
|
$
|
705
|
||||||||
|
Operating expenses
|
$
|
418
|
$
|
337
|
$
|
1,326
|
$
|
1,180
|
||||||||
|
Operating expenses on a non-GAAP basis
|
$
|
375
|
$
|
301
|
$
|
1,192
|
$
|
1,050
|
||||||||
|
Loss from operations
|
$
|
(215
|
)
|
$
|
(110)
|
$
|
(382
|
)
|
$
|
(475
|
)
|
|||||
|
Loss from operations on a non-GAAP basis
|
$
|
(172
|
)
|
$
|
(74)
|
$
|
(248
|
)
|
$
|
(345
|
)
|
|||||
| (1) |
Reconciliation of GAAP to non-GAAP basis contained later in this release.
|
| • |
Revenue for the year ended December 31, 2025 substantially exceeded expectations due to continued commercial success. In addition, Ionis earned substantial R&D revenue, including a $280 million upfront payment for the global license of
sapablursen to Ono Pharmaceutical Co., Ltd. in the second quarter of 2025
|
| • |
Operating expenses for the year ended December 31, 2025 were in line with expectations and increased year over year from investments related to commercialization efforts for TRYNGOLZA, DAWNZERA and WAINUA
|
| • |
Cash and short-term investments of $2.7 billion as of December 31, 2025, included refinancing proceeds Ionis plans to use to repay its 2026 Convertible Notes
|
| • |
TRYNGOLZA® (olezarsen), the first FDA-approved treatment for adults living with familial chylomicronemia syndrome (FCS) as an adjunct to diet
|
| o |
Generated net product sales of $50 million in the fourth quarter of 2025, a 56% increase over the prior quarter, and $108 million for the year ended December 31, 2025
|
| o |
Approved and launched in the European Union (EU) as an adjunct to diet in adult patients for the treatment of genetically confirmed FCS
|
| • |
Olezarsen on track to launch this year as a transformational medicine for severely elevated triglycerides (sHTG), assuming approval
|
| o |
Positive groundbreaking results in the pivotal Phase 3 CORE and CORE2 studies in sHTG presented at the American Heart Association Conference, in a late-breaking session, and published in the New England
Journal of Medicine
|
| o |
sNDA submitted for marketing approval in U.S.
|
| • |
DAWNZERA™ (donidalorsen), the first and only RNA-targeted prophylactic therapy for hereditary angioedema (HAE) in patients 12 years of age and older
|
| o |
Generated net product sales of $7 million in the fourth quarter of 2025, in the first full quarter on the market
|
| ▪ |
Encouraging early launch momentum with prescriptions written for all patient segments and growing number of repeat prescribers
|
| o |
Approved in the European Union (EU) in January and recently launched for the routine prevention of recurrent attacks of HAE in patients 12 years of age and older
|
| o |
Positive one-year results from OASISplus open-label extension cohort published in the Journal of Asthma and Allergy
|
| • |
Zilganersen on track for launch this year as the first and only medicine to demonstrate clinically meaningful and disease-modifying impact in children and adults with Alexander disease (AxD), assuming approval
|
| o |
NDA submitted with approval decision anticipated in H2:2026
|
| o |
Expanded access program (EAP) in U.S. underway
|
| • |
SPINRAZA® (nusinersen) for the treatment of spinal muscular atrophy (SMA) generated global sales of $356
million and $1.5 billion resulting in royalty revenue of $54 million and $212 million in the fourth quarter and the year ended December 31, 2025, respectively
|
| o |
High dose approved and launched in the EU; under review for marketing approval in U.S. (PDUFA date of April 3, 2026)
|
| o |
Positive high dose results from pivotal DEVOTE study published in Nature Medicine
|
| • |
WAINUA® (eplontersen) (WAINZUA in EU) for the treatment of adults
with polyneuropathy of hereditary transthyretin-mediated amyloidosis (ATTRv-PN) generated sales of $69 million and $212 million resulting in royalty revenue of $16 million and $49 million in the fourth quarter and the year ended December
31, 2025, respectively
|
| o |
Launches underway in numerous regions, including the EU; recently approved in China; additional submissions in progress to expand WAINUA access globally
|
| • |
Bepirovirsen, a potential first-in-class medicine for chronic hepatitis B (CHB), achieved primary endpoint and demonstrated a statistically significant and clinically meaningful functional cure rate in B-Well 1 and B-Well 2 Phase 3 studies
|
| o |
Presentation planned for European Association for the Study of the Liver (EASL) Congress 2026, assuming acceptance
|
| o |
Global regulatory filings planned beginning in Q1:2026 with 2026 anticipated launch, assuming approval
|
| • |
Ulefnersen for the treatment of FUS-ALS granted U.S. Fast Track designation
|
| • |
Sapablursen for the treatment of polycythemia vera (PV) demonstrated positive Phase 2 results, which were presented at American Society of Hematology (ASH) conference; Ono advancing sapablursen into Phase 3 development
|
| • |
Opemalirsen for the treatment of APOL1-mediated chronic kidney disease (AMKD) granted U.S. Fast Track designation
|
|
Three months ended
December 31,
|
Year ended
December 31,
|
|||||||||||||||
|
2025
|
2024
|
2025 | 2024 | |||||||||||||
|
Revenue:
|
(amounts in millions)
|
|||||||||||||||
|
Commercial revenue:
|
||||||||||||||||
|
Product sales, net:
|
||||||||||||||||
|
TRYNGOLZA sales, net
|
$
|
50
|
$
|
-
|
$
|
108
|
$
|
-
|
||||||||
|
DAWNZERA sales, net
|
7
|
-
|
8
|
-
|
||||||||||||
|
Total product sales, net
|
57
|
-
|
116
|
-
|
||||||||||||
|
Royalty revenue:
|
||||||||||||||||
|
SPINRAZA royalties
|
54
|
64
|
212
|
216
|
||||||||||||
|
WAINUA royalties
|
16
|
10
|
49
|
20
|
||||||||||||
|
Other royalties
|
6
|
3
|
24
|
21
|
||||||||||||
|
Total royalty revenue
|
76
|
77
|
285
|
257
|
||||||||||||
|
Other commercial revenue
|
8
|
9
|
35
|
36
|
||||||||||||
|
Total commercial revenue
|
141
|
86
|
436
|
293
|
||||||||||||
|
Research and development revenue:
|
||||||||||||||||
|
Collaborative agreement revenue
|
52
|
97
|
466
|
333
|
||||||||||||
|
WAINUA joint development revenue
|
10
|
44
|
42
|
79
|
||||||||||||
|
Total research and development revenue
|
62
|
141
|
508
|
412
|
||||||||||||
|
Total revenue
|
$
|
203
|
$
|
227
|
$
|
944
|
$
|
705
|
||||||||
|
Full Year 2026 Guidance
|
|||
|
Revenue
|
$800- $825 million
|
||
|
Operating loss on a non-GAAP basis
|
$500-550 million
|
||
|
Cash, cash equivalents and short-term investments
|
~$1.6 billion
|
|
Three months ended
December 31,
|
Year ended
December 31,
|
|||||||||||||||
|
2025
|
2024
|
2025
|
2024
|
|||||||||||||
|
(unaudited)
|
||||||||||||||||
|
Revenue:
|
||||||||||||||||
|
Commercial revenue:
|
||||||||||||||||
|
Product sales, net
|
$
|
57
|
$
|
-
|
$
|
116
|
$
|
-
|
||||||||
|
Royalty revenue
|
76
|
77
|
285
|
257
|
||||||||||||
|
Other commercial revenue
|
8
|
9
|
35
|
36
|
||||||||||||
|
Total commercial revenue
|
141
|
86
|
436
|
293
|
||||||||||||
|
Research and development revenue:
|
||||||||||||||||
|
Collaborative agreement revenue
|
52
|
97
|
466
|
333
|
||||||||||||
|
WAINUA joint development revenue
|
10
|
44
|
42
|
79
|
||||||||||||
|
Total research and development revenue
|
62
|
141
|
508
|
412
|
||||||||||||
|
Total revenue
|
203
|
227
|
944
|
705
|
||||||||||||
|
Expenses:
|
||||||||||||||||
|
Cost of sales
|
8
|
4
|
16
|
11
|
||||||||||||
|
Research, development and patent
|
280
|
245
|
916
|
902
|
||||||||||||
|
Selling, general and administrative
|
130
|
88
|
394
|
267
|
||||||||||||
|
Total operating expenses
|
418
|
337
|
1,326
|
1,180
|
||||||||||||
|
Loss from operations
|
(215
|
)
|
(110
|
)
|
(382
|
)
|
(475
|
)
|
||||||||
|
Other income (expense):
|
||||||||||||||||
|
Interest expense related to the sale of future royalties
|
(18
|
)
|
(19
|
)
|
(73
|
)
|
(73
|
)
|
||||||||
|
Other income, net
|
5
|
22
|
75
|
88
|
||||||||||||
|
Loss before income tax benefit (expense)
|
(228
|
)
|
(107
|
)
|
(380
|
)
|
(460
|
)
|
||||||||
|
Income tax benefit (expense)
|
(1
|
)
|
3
|
(1
|
)
|
6
|
||||||||||
|
Net loss
|
$
|
(229
|
)
|
$
|
(104
|
)
|
$
|
(381
|
)
|
$
|
(454
|
)
|
||||
|
Basic and diluted net loss per share
|
$
|
(1.41
|
)
|
$
|
(0.66
|
)
|
$
|
(2.38
|
)
|
$
|
(3.04
|
)
|
||||
|
Shares used in computing basic and diluted net loss per share
|
162
|
158
|
160
|
150
|
||||||||||||
|
Three months ended
December 31,
|
Year ended
December 31,
|
|||||||||||||||
|
2025
|
2024
|
2025
|
2024
|
|||||||||||||
|
(unaudited)
|
||||||||||||||||
|
As reported research, development and patent expenses according to GAAP
|
$
|
280
|
$
|
245
|
$
|
916
|
$
|
902
|
||||||||
|
Excluding compensation expense related to equity awards
|
(29
|
)
|
(25
|
)
|
(90
|
)
|
(92
|
)
|
||||||||
|
Non-GAAP research, development and patent expenses
|
$
|
251
|
$
|
220
|
$
|
826
|
$
|
810
|
||||||||
|
As reported selling, general and administrative expenses according to GAAP
|
$
|
130
|
$
|
88
|
$
|
394
|
$
|
267
|
||||||||
|
Excluding compensation expense related to equity awards
|
(13
|
)
|
(11
|
)
|
(42
|
)
|
(37
|
)
|
||||||||
|
Non-GAAP selling, general and administrative expenses
|
$
|
117
|
$
|
77
|
$
|
352
|
$
|
230
|
||||||||
|
As reported operating expenses according to GAAP
|
$
|
418
|
$
|
337
|
$
|
1,326
|
$
|
1,180
|
||||||||
|
Excluding compensation expense related to equity awards
|
(43
|
)
|
(36
|
)
|
(134
|
)
|
(130
|
)
|
||||||||
|
Non-GAAP operating expenses
|
$
|
375
|
$
|
301
|
$
|
1,192
|
$
|
1,050
|
||||||||
|
As reported loss from operations according to GAAP
|
$
|
(215
|
)
|
$
|
(110
|
)
|
$
|
(382
|
)
|
$
|
(475
|
)
|
||||
|
Excluding compensation expense related to equity awards
|
(43
|
)
|
(36
|
)
|
(134
|
)
|
(130
|
)
|
||||||||
|
Non-GAAP loss from operations
|
$
|
(172
|
)
|
$
|
(74
|
)
|
$
|
(248
|
)
|
$
|
(345
|
)
|
||||
|
As reported net loss according to GAAP
|
$
|
(229
|
)
|
$
|
(104
|
)
|
$
|
(381
|
)
|
$
|
(454
|
)
|
||||
|
Excluding compensation expense related to equity awards and related tax effects
|
(43
|
)
|
(36
|
)
|
(134
|
)
|
(130
|
)
|
||||||||
|
Non-GAAP net loss
|
$
|
(186
|
)
|
$
|
(68
|
)
|
$
|
(247
|
)
|
$
|
(324
|
)
|
||||
|
December 31,
2025
|
December 31,
2024
|
|||||||
|
(unaudited)
|
||||||||
|
Assets:
|
||||||||
|
Cash, cash equivalents and short-term investments
|
$
|
2,677
|
$
|
2,298
|
||||
|
Contracts receivable
|
66
|
92
|
||||||
|
Other current assets
|
247
|
230
|
||||||
|
Property, plant and equipment, net
|
123
|
94
|
||||||
|
Right-of-use assets
|
239
|
162
|
||||||
|
Other assets
|
172
|
127
|
||||||
|
Total assets
|
$
|
3,524
|
$
|
3,003
|
||||
|
|
||||||||
|
Liabilities and stockholders’ equity:
|
||||||||
|
Current portion of deferred contract revenue
|
$
|
74
|
$
|
79
|
||||
|
0% convertible senior notes due 2026, net – current
|
432
|
-
|
||||||
|
Other current liabilities
|
277
|
229
|
||||||
|
0% convertible senior notes due 2030, net
|
751
|
-
|
||||||
|
1.75% convertible senior notes due 2028, net
|
568
|
565
|
||||||
|
0% convertible senior notes due 2026, net
|
-
|
629
|
||||||
|
Liability related to sale of future royalties, net
|
551
|
542
|
||||||
|
Long-term lease liabilities
|
262
|
162
|
||||||
|
Long-term obligations, less current portion
|
28
|
52
|
||||||
|
Long-term deferred contract revenue
|
92
|
157
|
||||||
|
Total stockholders’ equity
|
489
|
588
|
||||||
|
Total liabilities and stockholders’ equity
|
$
|
3,524
|
$
|
3,003
|
||||
|
New Product Launches
|
|||||
|
Program
|
Indication
|
Location
|
|||
|
DAWNZERA
|
HAE
|
EU
|
Achieved
|
||
|
Olezarsen
|
sHTG
|
U.S.
|
•
|
||
|
Zilganersen
|
Alexander disease
|
U.S.
|
•
|
||
|
Bepirovirsen
|
CHB
|
U.S. & Japan
|
•
|
||
|
Regulatory Actions
|
||||||
|
Program
|
Indication
|
Regulatory Action
|
||||
|
Donidalorsen
|
HAE
|
EU approval decision
|
Achieved
|
|||
|
Olezarsen
|
sHTG
|
U.S. approval decision
|
•
|
|||
|
EU submission
|
•
|
|||||
|
Zilganersen
|
Alexander disease
|
U.S. submission
|
•
|
|||
|
U.S. approval decision
|
•
|
|||||
|
Nusinersen
(high dose)
|
SMA
|
EU approval decision
|
Achieved
|
|||
|
U.S. approval decision
|
•
|
|||||
|
Eplontersen
|
ATTR-CM
|
Regulatory submission(s)
|
•
|
|||
|
Bepirovirsen
|
HBV
|
Regulatory submission(s)
|
•
|
|||
|
Regulatory decision(s)
|
•
|
|||||
|
Pelacarsen
|
Lp(a)- CVD
|
U.S. submission
|
•
|
|||
|
Key Phase 3 Clinical Events
|
||||||
|
Program
|
Indication
|
Event
|
||||
|
Obudanersen
|
Angelman syndrome
|
Phase 3 enrollment completion
|
•
|
|||
|
Bepirovirsen
|
HBV
|
B-Well data
|
Achieved
|
|||
|
Pelacarsen
|
Lp(a)-CVD
|
Lp(a) HORIZON data
|
•
|
|||
|
Eplontersen
|
ATTR-CM
|
CARDIO-TTRansform data
|
•
|
|||
|
Sefaxersen
|
IgAN
|
IMAGINATION data
|
•
|
|||
|
Ulefnersen
|
FUS-ALS
|
FUSION data
|
•
|
|||
|
Salanersen
|
SMA
|
Phase 3 initiation
|
•
|
|||
|
Sapablursen
|
Polycythemia Vera
|
Phase 3 initiation
|
•
|
|||
|
Key Phase 2 Clinical Events
|
||||||
|
Program
|
Indication
|
Event
|
||||
|
IONIS-MAPTRx/ BIIB080
|
Alzheimer’s disease
|
Phase 2 CELIA data
|
•
|
|||
|
Tominersen
|
Huntington’s disease
|
Phase 2 GENERATION HD2 data
|
•
|
|||
|
Tonlamarsen
|
Uncontrolled hypertension
|
Phase 2 data
|
•
|
|||
| (1) |
Timing expectations based on current assumptions and subject to change.
|
| • |
Indicates that the milestone is anticipated in 2026.
|