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Ionis Pharmaceuticals, Inc. logo

Ionis Pharmaceuticals, Inc.

ionis.com

What Do They Do?

Develops RNA-targeted medicines for people with serious diseases, including neurological and cardiometabolic conditions.

How Do They Make Money?

Research and development collaborations are the largest revenue stream (54%): partners pay for research as work progresses, licenses when delivered, and milestones when achieved. Ionis also sells medicines, earns royalties when partners sell them, and receives cost-share funding for WAINUA development.

revenue
SegmentShareRevenue
Product Sales, Net
Sold outright

12%
FY2022: 5.1%
Royalty Revenue
Licensed

30%
Other Commercial Revenue
3.7%
FY2022: 10%
Commercial Revenue
46%
FY2022: 52%
Collaborative Agreement Revenue
Mix

49%
FY2022: 35%
WAINUA Joint Development Revenue
Recurring
4.5%
FY2022: 13%
Research and Development Revenue
54%
FY2022: 48%

Who Are Their Customers?

Ionis independently commercializes TRYNGOLZA and DAWNZERA in the U.S.; partners commercialize WAINUA and SPINRAZA, while Sobi distributes TEGSEDI and WAYLIVRA in Europe.

Do Revenues Turn Into Profits?

No. It lost $381.4M in FY2025.

Operating income, FY2025
−40% of revenue
▼ −20% (Loss) vs FY2024 (−$475.1M, −67%)
Net income, FY2025
−40% of revenue
▼ −16% (Loss) vs FY2024 (−$453.9M, −64%)
Free cash flow, FY2025
−34% of revenue
▼ −41% (Loss) vs FY2024 (−$546.2M, −77%)

How Are They Changing?

Since the FY2025 annual report
Latest quarter: Q2 FY2026, the three months to Jun 30, 2026
Revenue
▼ −41%
vs $452M in Q2 FY2025
Net income
▼ Now a loss
vs $123.6M in Q2 FY2025
Research and Development Revenue share of revenue vs 77.3% in Q2 FY2025
  • Sep 4, 2026 FDA approves zilganersen for Alexander disease Ionis will make ZANVASTRO available in the U.S.; Recordati holds exclusive development and commercialization rights elsewhere.
  • Jun 24, 2026 FDA approves TRYNGOLZA for severe hypertriglyceridemia The medicine is approved to reduce triglycerides and acute pancreatitis risk in adults with severe hypertriglyceridemia.

Growing. Revenue grew 16% in 4 years, from $810.5M in FY2021 to $943.7M in FY2025, about 4% a year.

Expanded marketed portfolio The marketed portfolio expanded from SPINRAZA, TEGSEDI and WAYLIVRA to include TRYNGOLZA, DAWNZERA, WAINUA and QALSODY.

More direct U.S. sales The earlier report described sales through Sobi and PTC; the latest report says Ionis independently commercializes TRYNGOLZA and DAWNZERA in the U.S.

Revenue over time
Product Sales, Net Royalty Revenue Other Commercial Revenue Commercial Revenue Collaborative Agreement Revenue WAINUA Joint Development Revenue Research and Development Revenue SPINRAZA Royalties Licensing and Other Royalties Other Revenue WAINUA Royalties DAWNZERA Sales Other Royalties TRYNGOLZA Sales
$1B$500M$0

Who Do They Compete With?

Competes with Arrowhead Pharmaceuticals, Roche, NorthSea Therapeutics, Eli Lilly, Takeda, BioCryst, CSL Behring, Pharvaris, Intellia, Alnylam, Pfizer, BridgeBio, AstraZeneca, Novo Nordisk, Novartis, Ultragenyx, Neuren, Gilead Sciences, Arbutus Biopharma, and Replicor

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