Three months
ended
December 31,
|
Year ended
December 31,
|
|||||||||||||||
2024
|
2023
|
2024
|
2023
|
|||||||||||||
(amounts in millions)
|
||||||||||||||||
Total revenue
|
$
|
227
|
$
|
325
|
$
|
705
|
$
|
788
|
||||||||
Operating expenses
|
$
|
337
|
$
|
331
|
$
|
1,180
|
$
|
1,141
|
||||||||
Operating expenses on a non-GAAP basis
|
$
|
301
|
$
|
305
|
$
|
1,050
|
$
|
1,035
|
||||||||
Loss from operations
|
$
|
(110
|
)
|
$
|
(6
|
)
|
$
|
(475
|
)
|
$
|
(353
|
)
|
||||
Income (Loss) from operations on a non-GAAP basis
|
$
|
(74
|
)
|
$
|
20
|
$
|
(345
|
)
|
$
|
(247
|
)
|
(1) |
Reconciliation of GAAP to non-GAAP basis contained later in this release.
|
• |
Revenue for the year ended December 31, 2024 substantially exceeded guidance as Ionis continued to generate revenue from diverse sources. Ionis
added new sources of revenue in 2024 with the launch of WAINUA and TRYNGOLZA in the U.S. in late January and late December, respectively
|
• |
Operating expenses for the year ended December 31, 2024 were in line with expectations with increased expenses from commercialization efforts for WAINUA, TRYNGOLZA and donidalorsen
|
• |
Cash, cash equivalents and short-term investments of $2.3 billion as of December 31, 2024 exceeded revised guidance and enable continued investments to support ongoing and upcoming planned launches
and advancing wholly owned medicines in development
|
• |
TRYNGOLZATM (olezarsen) launch underway following approval on December 19, 2024 in the U.S as first-ever treatment for adults living
with familial chylomicronemia syndrome (FCS) as an adjunct to diet
|
• |
WAINUATM (eplontersen) (WAINZUA in EU) for the treatment of adults with polyneuropathy of hereditary transthyretin-mediated amyloidosis (ATTRv-PN) achieved multiple commercial and
regulatory milestones:
|
o |
Generated sales of $85 million resulting in royalty revenue of $20 million in the year ended December 31, 2024. Substantial sequential growth throughout 2024 as launch progressed, including an 84%
increase in product sales in the fourth quarter, compared to the third quarter
|
o |
Launch underway in numerous countries, including the UK, following approval by the Medicines and Healthcare products Regulatory Agency (MHRA) with an accelerated National Institute for Health and
Care Excellence (NICE) recommendation
|
o |
Received positive Committee for Medicinal Products for Human Use (CHMP) opinion from European Medicines Agency (EMA) for the treatment of hereditary transthyretin-mediated amyloidosis in adult
patients with stage 1 or stage 2 polyneuropathy
|
• |
SPINRAZA® (nusinersen) for the treatment of spinal muscular atrophy (SMA) generated global sales of $1.6 billion resulting in royalty revenue of $216 million in year ended December 31,
2024. Product sales increased 2% in the fourth quarter of 2024, compared to the same period in 2023
|
o |
Higher dose nusinersen under regulatory review in U.S. (PDUFA date of September 22, 2025) and EU
|
• |
QALSODY® (tofersen) for the treatment of SOD1-ALS generated global sales of $32 million resulting in royalty revenue of $4 million in the year ended December 31, 2024. Product sales grew sequentially throughout 2024
|
o |
Granted marketing approval in China and Japan
|
• |
Olezarsen on track for Phase 3 data in patients with severe hypertriglyceridemia (sHTG) in H2:2025, positioning it to potentially treat this second more prevalent patient population with urgent unmet
need
|
• |
Olezarsen and donidalorsen Canadian commercialization rights licensed to Theratechnologies
|
• |
Donidalorsen on track for potential launch this year as the first RNA-targeted prophylactic treatment for people with hereditary angioedema (HAE):
|
o |
Under review in U.S. (PDUFA date of August 21, 2025) and EU
|
o |
Presented positive Phase 2 open label extension (OLE) study data demonstrating an overall sustained mean reduction in HAE attack rates of 96% in patients treated up to three years with every four
weeks or every eight weeks dosing
|
• |
ION582 on track to initiate Phase 3 development in Angelman syndrome (AS) in H1:2025
|
• |
Ulefnersen global commercialization rights licensed to Otsuka; Phase 3 development ongoing for the treatment of patients with FUS-ALS
|
Three months ended
|
Year ended
|
|||||||||||||||
December 31,
|
December 31,
|
|||||||||||||||
2024
|
2023
|
2024
|
2023
|
|||||||||||||
Revenue:
|
(amounts in millions)
|
|||||||||||||||
Commercial revenue:
|
||||||||||||||||
SPINRAZA royalties
|
$
|
64
|
$
|
62
|
$
|
216
|
$
|
240
|
||||||||
WAINUA royalties
|
10
|
-
|
20
|
-
|
||||||||||||
Other commercial revenue:
|
||||||||||||||||
TEGSEDI and WAYLIVRA revenue, net
|
8
|
9
|
34
|
35
|
||||||||||||
Other revenue
|
4
|
8
|
23
|
34
|
||||||||||||
Total commercial revenue
|
86
|
79
|
293
|
309
|
||||||||||||
Research and development revenue:
|
||||||||||||||||
Amortization from upfront payments
|
27
|
76
|
132
|
125
|
||||||||||||
Milestone payments
|
30
|
11
|
106
|
101
|
||||||||||||
License fees
|
34
|
92
|
71
|
117
|
||||||||||||
Other services
|
6
|
-
|
24
|
10
|
||||||||||||
Collaborative agreement revenue
|
97
|
179
|
333
|
353
|
||||||||||||
WAINUA joint development revenue
|
44
|
67
|
79
|
126
|
||||||||||||
Total research and development revenue
|
141
|
246
|
412
|
479
|
||||||||||||
Total revenue
|
$
|
227
|
$
|
325
|
$
|
705
|
$
|
788
|
Full Year 2025 Guidance
|
|
Revenue
|
>$600 million
|
Operating loss on a non-GAAP basis
|
<$495 million
|
Cash, cash equivalents and short-term investments
|
~$1.7 billion
|
Three months ended
|
Year ended
|
|||||||||||||||
December 31,
|
December 31,
|
|||||||||||||||
2024
|
2023
|
2024
|
2023
|
|||||||||||||
(unaudited)
|
||||||||||||||||
Revenue:
|
||||||||||||||||
Commercial revenue:
|
||||||||||||||||
SPINRAZA royalties
|
$
|
64
|
$
|
62
|
$
|
216
|
$
|
240
|
||||||||
WAINUA royalties
|
10
|
-
|
20
|
-
|
||||||||||||
Other commercial revenue
|
12
|
17
|
57
|
69
|
||||||||||||
Total commercial revenue
|
86
|
79
|
293
|
309
|
||||||||||||
Research and development revenue:
|
||||||||||||||||
Collaborative agreement revenue
|
97
|
179
|
333
|
353
|
||||||||||||
WAINUA joint development revenue
|
44
|
67
|
79
|
126
|
||||||||||||
Total research and development revenue
|
141
|
246
|
412
|
479
|
||||||||||||
Total revenue
|
227
|
325
|
705
|
788
|
||||||||||||
Expenses:
|
||||||||||||||||
Cost of sales
|
4
|
3
|
11
|
9
|
||||||||||||
Research, development and patent
|
245
|
257
|
902
|
900
|
||||||||||||
Selling, general and administrative
|
88
|
71
|
267
|
232
|
||||||||||||
Total operating expenses
|
337
|
331
|
1,180
|
1,141
|
||||||||||||
Loss from operations
|
(110
|
)
|
(6
|
)
|
(475
|
)
|
(353
|
)
|
||||||||
Other income (expense):
|
||||||||||||||||
Interest expense related to the sale of future royalties
|
(19
|
)
|
(18
|
)
|
(73
|
)
|
(69
|
)
|
||||||||
Other income, net
|
22
|
21
|
88
|
88
|
||||||||||||
Loss before income tax benefit (expense)
|
(107
|
)
|
(3
|
)
|
(460
|
)
|
(334
|
)
|
||||||||
Income tax benefit (expense)
|
3
|
(6
|
)
|
6
|
(32
|
)
|
||||||||||
Net loss
|
$
|
(104
|
)
|
$
|
(9
|
)
|
$
|
(454
|
)
|
$
|
(366
|
)
|
||||
Basic and diluted net loss per share
|
$
|
(0.66
|
)
|
$
|
(0.06
|
)
|
$
|
(3.04
|
)
|
$
|
(2.56
|
)
|
||||
Shares used in computing basic and diluted net loss per share
|
158
|
144
|
150
|
143
|
Three months ended
December 31,
|
Year ended
December 31,
|
|||||||||||||||
2024
|
2023
|
2024
|
2023
|
|||||||||||||
(unaudited)
|
||||||||||||||||
As reported research, development and patent expenses according to GAAP
|
$
|
245
|
$
|
257
|
$
|
902
|
$
|
900
|
||||||||
Excluding compensation expense related to equity awards
|
(25
|
)
|
(20
|
)
|
(92
|
)
|
(78
|
)
|
||||||||
Non-GAAP research, development and patent expenses
|
$
|
220
|
$
|
237
|
$
|
810
|
$
|
822
|
||||||||
As reported selling, general and administrative expenses according to GAAP
|
$
|
88
|
$
|
71
|
$
|
267
|
$
|
232
|
||||||||
Excluding compensation expense related to equity awards
|
(11
|
)
|
(6
|
)
|
(37
|
)
|
(27
|
)
|
||||||||
Non-GAAP selling, general and administrative expenses
|
$
|
77
|
$
|
65
|
$
|
230
|
$
|
205
|
||||||||
As reported operating expenses according to GAAP
|
$
|
337
|
$
|
331
|
$
|
1,180
|
$
|
1,141
|
||||||||
Excluding compensation expense related to equity awards
|
(36
|
)
|
(26
|
)
|
(130
|
)
|
(106
|
)
|
||||||||
Non-GAAP operating expenses
|
$
|
301
|
$
|
305
|
$
|
1,050
|
$
|
1,035
|
||||||||
As reported loss from operations according to GAAP
|
$
|
(110
|
)
|
$
|
(6
|
)
|
$
|
(475
|
)
|
$
|
(353
|
)
|
||||
Excluding compensation expense related to equity awards
|
(36
|
)
|
(26
|
)
|
(130
|
)
|
(106
|
)
|
||||||||
Non-GAAP loss from operations
|
$
|
(74
|
)
|
$
|
20
|
$
|
(345
|
)
|
$
|
(247
|
)
|
|||||
As reported net loss according to GAAP
|
$
|
(104
|
)
|
$
|
(9
|
)
|
$
|
(454
|
)
|
$
|
(366
|
)
|
||||
Excluding compensation expense related to equity awards and related tax effects
|
(36
|
)
|
(26
|
)
|
(130
|
)
|
(106
|
)
|
||||||||
Non-GAAP net loss
|
$
|
(68
|
)
|
$
|
17
|
$
|
(324
|
)
|
$
|
(260
|
)
|
December 31,
|
December 31,
|
|||||||
2024
|
2023
|
|||||||
(unaudited)
|
||||||||
Assets:
|
||||||||
Cash, cash equivalents and short-term investments
|
$
|
2,298
|
$
|
2,331
|
||||
Contracts receivable
|
92
|
98
|
||||||
Other current assets
|
230
|
213
|
||||||
Property, plant and equipment, net
|
94
|
71
|
||||||
Right-of-use assets
|
162
|
172
|
||||||
Other assets
|
127
|
105
|
||||||
Total assets
|
$
|
3,003
|
$
|
2,990
|
||||
Liabilities and stockholders’ equity:
|
||||||||
Current portion of deferred contract revenue
|
$
|
79
|
$
|
151
|
||||
0.125% convertible senior notes, net – short-term
|
-
|
44
|
||||||
Other current liabilities
|
229
|
253
|
||||||
1.75% convertible senior notes, net
|
565
|
562
|
||||||
0% convertible senior notes, net
|
629
|
625
|
||||||
Liability related to sale of future royalties, net
|
542
|
514
|
||||||
Long-term lease liabilities
|
162
|
171
|
||||||
Long-term obligations, less current portion
|
52
|
42
|
||||||
Long-term deferred contract revenue
|
157
|
241
|
||||||
Total stockholders’ equity
|
588
|
387
|
||||||
Total liabilities and stockholders’ equity
|
$
|
3,003
|
$
|
2,990
|
New Product Launches | |||||
Program
|
Indication
|
2025
|
2026
|
||
Donidalorsen (U.S.)
|
HAE
|
•
|
|||
TRYNGOLZA (U.S.)
|
FCS
|
Achieved
|
|||
WAINZUA (EU)
|
ATTRv-PN
|
•
|
|||
Olezarsen (U.S.)
|
sHTG
|
•
|
|||
Zilganersen (U.S.)
|
Alexander disease
|
•
|
Regulatory Actions | |||||||
Program
|
Indication
|
Regulatory Action
|
2025
|
2026
|
|||
Donidalorsen
|
HAE
|
U.S. approval decision
|
•
|
||||
EU approval decision
|
•
|
||||||
TRYNGOLZA
|
FCS
|
EU approval decision
|
•
|
||||
Olezarsen
|
sHTG
|
U.S. submission
|
•
|
||||
U.S. approval decision
|
•
|
||||||
Zilganersen
|
Alexander disease
|
U.S. submission
|
•
|
||||
U.S. approval decision
|
•
|
||||||
Nusinersen
(higher dose)
|
SMA
|
U.S. and EU submissions
|
Achieved
|
||||
U.S. approval decision
|
•
|
||||||
WAINZUA
|
ATTRv-PN
|
EU approval decision
|
•
|
||||
Pelacarsen
|
Lp(a)- CVD
|
U.S. submission
|
•
|
||||
Bepirovirsen
|
HBV
|
Regulatory submission(s)
|
•
|
||||
Regulatory decision(s)
|
•
|
Key Phase 3 Clinical Events
|
|||||||
Program
|
Indication
|
Event
|
2025
|
2026
|
|||
Olezarsen
|
sHTG
|
CORE, CORE2 and Essence data
|
•
|
||||
Zilganersen
|
Alexander disease
|
Phase 3 data
|
•
|
||||
ION582
|
Angelman syndrome
|
Phase 3 study start
|
•
|
||||
Phase 3 enrollment completion
|
•
|
||||||
Pelacarsen
|
Lp(a)-CVD
|
HORIZON data
|
•
|
||||
Bepirovirsen
|
HBV
|
B-Well data
|
•
|
||||
Eplontersen
|
ATTR-CM
|
CARDIO-TTRansform data
|
•
|
||||
Sefaxersen
|
IgAN
|
IMAGINATION data
|
•
|
||||
Ulefnersen
|
FUS-ALS
|
Phase 3 data
|
•
|
(1) |
Timing expectations based on current assumptions and subject to change.
|
• |
Indicates that the milestone is anticipated in the respective year
|