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Alnylam Pharmaceuticals, Inc.: Q1 FY2026 earnings call

What management said about Q1 FY2026, from the documents filed with the SEC on 30 April 2026: press release. Guidance figures: 1 new, 7 kept. The quarter’s numbers.

Key takeaways

  • Product revenue passed $1 billion: Total net product revenues were $1,036 million, up 121% from Q1 2025, or 117% at constant exchange rates, driven mainly by AMVUTTRA demand in U.S. ATTR-CM patients. Source
  • Total revenues and income rose sharply: Total revenues were $1,167 million versus $594 million a year earlier. GAAP income from operations was $269 million versus $18 million, and GAAP diluted EPS was $1.51 versus a loss of $0.14. Source
  • TTR franchise revenue up 153%: Total TTR net product revenues were $910 million, up 153% (150% at CER). AMVUTTRA contributed $890 million, up 187%, and ONPATTRO contributed $20 million, down 59%. Source
  • Cost of goods rose with AMVUTTRA sales: Cost of goods sold was 20.0% of net product revenues, up from 15.0%, mainly from higher AMVUTTRA sales and a higher blended royalty rate payable on AMVUTTRA net sales. Source
  • ATTR-CM demand drove AMVUTTRA growth: AMVUTTRA growth was driven by increased patient demand, mainly in U.S. patients with ATTR-CM. Quarterly HCP-administered dosing showed high adherence and persistence in real-world data. Source
  • New HELIOS-B quality-of-life data: Phase 3 HELIOS-B analyses presented at ACC.26 showed improved health-related quality of life versus placebo, with consistent effects across disease severity, including diastolic dysfunction. Source
  • Cash and securities reached $3.0 billion: Cash, cash equivalents and marketable securities were $3.0 billion at March 31, 2026, up from $2.9 billion at December 31, 2025, mainly from operating cash inflows. Source
  • Alnylam 2030 goals cited: Management tied the quarter to Alnylam 2030 goals: global TTR leadership, growth through innovation, and scaling with financial discipline. Source
  • Nucresiran trial enrollment expanded: Enrollment in TRITON-CM is ahead of expectations, so the target was raised to about 1,750 patients, while the 2030 ATTR-CM launch goal was kept. Source
  • First-half 2026 trial starts and enrollment: In the first half of 2026, Alnylam expects to complete enrollment in the cAPPricorn-1 Phase 2 mivelsiran trial, start a Phase 2 mivelsiran trial in Alzheimer's disease, and start a Phase 2 ALN-6400 trial in a second bleeding disorder. Source
  • Second-half 2026 clinical data expected: In the second half of 2026, Alnylam expects clinical data from ALN-6400 Phase 1 and Phase 2 trials, ALN-HTT02 in Huntington's disease, and ALN-2232 in obesity. Source

“2026 is off to a strong start for Alnylam with the end of the first quarter marking one year since the U.S. launch of AMVUTTRA for ATTR-CM”

Yvonne Greenstreet, M.D., Chief Executive Officer of Alnylam

Guidance

AreaPeriodFigureAgainst last quarter
Total TTR net product revenues Sourcefull year 2026$4,400 million - $4,700 millionKept
Total Rare net product revenues Sourcefull year 2026$500 million - $600 millionKept
Total net product revenues Sourcefull year 2026$4,900 million - $5,300 millionKept
Net product revenues growth vs. 2025 at currency exchange rates Sourcefull year 202664% to 77%Kept
Net product revenues growth vs. 2025 at constant exchange rates Sourcefull year 202664% to 77%Kept
Net revenues from collaborations and royalties Sourcefull year 2026$400 million - $500 millionKept
Non-GAAP R&D and SG&A expenses Sourcefull year 2026$2,700 million - $2,800 millionKept
Stock-based compensation excluded from GAAP R&D and SG&A Sourcefull year 2026$300 million - $400 million
Nucresiran TRITON-CM enrollment target SourceTRITON-CM Phase 3 trialapproximately 1,750 patientsNew

What changed from last quarter

  • Full-year 2026 guidance was reiterated, with no change to the TTR, Rare, total product, collaboration and royalty, or expense ranges. Source
  • New: TRITON-CM enrollment target increased from 1,250 to approximately 1,750 patients, with nucresiran launch in ATTR-CM still expected by 2030. Source
  • New: Partnerships announced with Viz.ai and the American Heart Association on ATTR-CM diagnosis and care. Source

Results and growth drivers

  • Product revenue passed $1 billion: Total net product revenues were $1,036 million, up 121% from Q1 2025, or 117% at constant exchange rates, driven mainly by AMVUTTRA demand in U.S. ATTR-CM patients. Source
  • Total revenues and income rose sharply: Total revenues were $1,167 million versus $594 million a year earlier. GAAP income from operations was $269 million versus $18 million, and GAAP diluted EPS was $1.51 versus a loss of $0.14. Source
  • Non-GAAP operating income more than tripled: Non-GAAP income from operations was $339 million versus $75 million, a 353% increase. Non-GAAP diluted EPS was $1.99 versus $0.29. Source

Segments and regions

  • TTR franchise revenue up 153%: Total TTR net product revenues were $910 million, up 153% (150% at CER). AMVUTTRA contributed $890 million, up 187%, and ONPATTRO contributed $20 million, down 59%. Source
  • Rare franchise grew 15%: Total Rare net product revenues were $126 million, up 15% (10% at CER). GIVLAARI was $74 million, up 11%, and OXLUMO was $51 million, up 22%. Source
  • Royalty income from Leqvio rose: Royalty revenue was $49 million, up 85%, on higher volume and rate of royalties earned from global Leqvio net sales by Novartis. Source

“Together, this represents important initial progress toward our Alnylam 2030 goals of achieving global TTR leadership, driving growth through innovation, and scaling with financial discipline”

Yvonne Greenstreet, M.D., Chief Executive Officer of Alnylam

Collaborations and royalties

  • Collaboration revenue fell on prior-year payment: Net revenues from collaborations were $82 million, down 17%. The prior-year quarter included a $30 million Vir Biotechnology payment recognized in March 2025. Source
  • Roche and Regeneron collaboration revenue: Roche collaboration revenue was $36 million, up 109%. Regeneron collaboration revenue was $46 million, down 9%. Source

Costs, margins and pricing

  • Cost of goods rose with AMVUTTRA sales: Cost of goods sold was 20.0% of net product revenues, up from 15.0%, mainly from higher AMVUTTRA sales and a higher blended royalty rate payable on AMVUTTRA net sales. Source
  • R&D spend rose on Phase 3 trials: GAAP R&D expenses were $365 million, up 38%. Non-GAAP R&D was $335 million, up 39%, mainly from clinical trial costs for ZENITH, TRITON-CM and TRITON-PN. Source
  • SG&A rose with AMVUTTRA launch: GAAP SG&A expenses were $323 million, up 34%. Non-GAAP SG&A was $283 million, up 36%, from higher employee compensation and marketing for the ATTR-CM launch. Source
  • Interest expense and tax provision: Interest expense was $69 million, including $40 million on the Leqvio royalty liability and $26 million on vutrisiran and zilebesiran development funding. The tax provision was $16 million. Source

Demand and the ATTR-CM franchise

  • ATTR-CM demand drove AMVUTTRA growth: AMVUTTRA growth was driven by increased patient demand, mainly in U.S. patients with ATTR-CM. Quarterly HCP-administered dosing showed high adherence and persistence in real-world data. Source
  • New HELIOS-B quality-of-life data: Phase 3 HELIOS-B analyses presented at ACC.26 showed improved health-related quality of life versus placebo, with consistent effects across disease severity, including diastolic dysfunction. Source

Capital, cash and returns

  • Cash and securities reached $3.0 billion: Cash, cash equivalents and marketable securities were $3.0 billion at March 31, 2026, up from $2.9 billion at December 31, 2025, mainly from operating cash inflows. Source
  • Operating cash included financing-related payments: Operating cash flow included $30 million of Leqvio royalty liability payments and $32 million of development funding payments recorded to interest expense. Source
  • Tax position and valuation allowance: The company will use Swiss deferred tax assets to offset current cash taxes and keeps a full valuation allowance on U.S. net deferred tax assets. Source
  • Accumulated deficit narrowed: Total stockholders' equity rose to $1,075 million from $789 million, and the accumulated deficit narrowed to $6,497 million from $6,703 million, with 1,068 thousand more shares outstanding. Source

Strategy and pipeline

  • Alnylam 2030 goals cited: Management tied the quarter to Alnylam 2030 goals: global TTR leadership, growth through innovation, and scaling with financial discipline. Source
  • Three Phase 3 trials ongoing: Three Phase 3 trials are ongoing, and a Phase 1 study began for ALN-2232, the first adipose-targeted program for obesity and weight management. Source
  • Zilebesiran Phase 2 safety shown: Additional Phase 2 KARDIA data on zilebesiran were presented at ACC.26, with an acceptable safety profile both alone and with standard antihypertensives. Source
  • Cemdisiran NDA submitted by Regeneron: Regeneron submitted a New Drug Application to the FDA for cemdisiran in adults with generalized myasthenia gravis, with more global filings planned for 2026. Source
  • Nucresiran trial enrollment expanded: Enrollment in TRITON-CM is ahead of expectations, so the target was raised to about 1,750 patients, while the 2030 ATTR-CM launch goal was kept. Source

Partnerships and collaborations

  • New AI and care-pathway partnerships: Alnylam partnered with Viz.ai on an AI-enabled ATTR-CM care pathway and is supporting an American Heart Association three-year national learning collaborative across 10 health systems. Source
  • Tenaya and Helix agreements: A research collaboration with Tenaya Therapeutics targets cardiovascular disease genetic targets. A multi-year agreement with Helix gives Alnylam access to phenotyped genomic and claims cohorts. Source

Upcoming milestones

  • First-half 2026 trial starts and enrollment: In the first half of 2026, Alnylam expects to complete enrollment in the cAPPricorn-1 Phase 2 mivelsiran trial, start a Phase 2 mivelsiran trial in Alzheimer's disease, and start a Phase 2 ALN-6400 trial in a second bleeding disorder. Source
  • Second-half 2026 clinical data expected: In the second half of 2026, Alnylam expects clinical data from ALN-6400 Phase 1 and Phase 2 trials, ALN-HTT02 in Huntington's disease, and ALN-2232 in obesity. Source
  • RNAi Roundtable later this year: The 10th RNAi Roundtable will be held later in 2026, with a schedule to be announced separately. Source

Coming up, as management said on 30 April 2026

  • First-half 2026 trial milestones: Complete enrollment in cAPPricorn-1, start a Phase 2 mivelsiran trial in Alzheimer's disease, and start a Phase 2 ALN-6400 trial in a second bleeding disorder. Source
  • Second-half 2026 clinical data: Clinical data expected from ALN-6400 Phase 1 and Phase 2, ALN-HTT02 Phase 1 in Huntington's disease, and ALN-2232 Phase 1 in obesity. Source
  • RNAi Roundtable later in 2026: The 10th RNAi Roundtable series will be held later this year, with details to be announced separately. Source

Earlier plans management reported on

  • On track: Management reiterated full-year 2026 guidance for product revenues, collaboration and royalty revenues, and non-GAAP R&D and SG&A expenses. Source
  • Not stated: Management still expects to launch nucresiran in ATTR-CM by 2030, assuming positive data and regulatory approval. Source
  • Not stated: Management expects to complete enrollment in cAPPricorn-1, start two Phase 2 trials, and initiate a Phase 2 ALN-6400 trial in the first half of 2026. Source

Other quarters

Summarised with AI from the documents the company filed with the SEC. Every point is checked against the filing before it is shown: management’s own words word for word, figures against the line or table row they come from. A point that fails the check is left out. Source opens the filing at that line.