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Alnylam Pharmaceuticals, Inc.: Q2 FY2026 earnings call

What management said about Q2 FY2026, from the documents filed with the SEC on 30 July 2026: press release. Guidance figures: 1 raised, 4 lowered, 2 kept. The quarter’s numbers.

Key takeaways

  • Net product revenue rose 74%: Total net product revenues rose 74% at actual currency and at constant exchange rates. Growth came mainly from AMVUTTRA demand in U.S. ATTR-CM patients, with fewer ONPATTRO patients. Source
  • U.S. TTR revenue up $106 million: U.S. TTR net product revenues rose $106 million from Q1 2026. Demand grew $129 million, partly offset by about $20 million of inventory impact and a modest net price reduction. Source
  • Second-line demand normalized: Second-line AMVUTTRA demand growth moderated in early 2026 to what the company now regards as a normalized level, after pent-up demand from patients waiting for a new therapy. Source
  • Cost of goods rose to 25.4%: Cost of goods sold was 25.4% of net product revenues against 21.1% a year earlier, as AMVUTTRA sales rose and the blended royalty rate payable on them increased. Source
  • Exclusive China agreement with BeOne: The company entered an exclusive agreement with BeOne Medicines to commercialize AMVUTTRA in China. Source
  • Mivelsiran Phase 2 started: A Phase 2 mivelsiran trial started in patients with Down syndrome-associated Alzheimer's disease. Source
  • Cash and securities reached $3.3 billion: Cash, cash equivalents and marketable securities were $3.3 billion at June 30, 2026, up from $2.9 billion at year-end 2025, mainly from operating cash inflows. Source

“We have lowered our TTR product sales guidance for full-year 2026 to reflect learnings from the initial phase of our launch in the evolving ATTR-CM market,”

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

Guidance

AreaPeriodFigureAgainst last quarter
Total TTR net product revenues SourceFull-year 2026$4,200 million - $4,500 millionLowered from $4,400 million - $4,700 million
Total net product revenues SourceFull-year 2026$4,700 million - $5,100 millionLowered from $4,900 million - $5,300 million
Net product revenue growth at currency exchange rates SourceFull-year 202657% to 71%Lowered from 64% to 77%
Net product revenue growth at constant exchange rates SourceFull-year 202657% to 70%Lowered from 64% to 77%
Net revenues from collaborations and royalties SourceFull-year 2026$575 million - $625 millionRaised from $400 million - $500 million
Total Rare net product revenues SourceFull-year 2026$500 million - $600 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$330 million - $380 million
Currency exchange rate assumptions SourceFull-year 2026 guidance1 EUR = 1.14 USD and 1 USD = 162 JPY

What changed from last quarter

  • Guidance lowered: Full-year 2026 TTR net product revenue guidance cut to $4,200-$4,500 million from $4,400-$4,700 million. Source
  • Guidance lowered: Full-year 2026 total net product revenue guidance cut to $4,700-$5,100 million from $4,900-$5,300 million. Source
  • Guidance lowered: Full-year 2026 net product revenue growth at constant exchange rates cut to 57% to 70% from 64% to 77%. Source
  • Guidance raised: Full-year 2026 collaboration and royalty revenue guidance raised to $575-$625 million from $400-$500 million. Source
  • Guidance kept: Full-year 2026 Rare net product revenue guidance of $500-$600 million reiterated. Source
  • Guidance kept: Full-year 2026 non-GAAP R&D and SG&A expense guidance of $2,700-$2,800 million reiterated. Source
  • New: Exclusive agreement with BeOne Medicines to commercialize AMVUTTRA in China. Source
  • New: Strategic collaboration with Inceptive Nucleics announced to increase the pace of RNAi therapeutic innovation. Source
  • New: FDA and EMA accepted regulatory applications for cemdisiran in adult generalized myasthenia gravis, according to Regeneron. Source
  • New: Benjamin Franklin Cravatt III, Ph.D., appointed to the Board of Directors. Source
  • New: Collaboration announced with a large California health system to support the DETECT-ATTR study. Source

Quarter results and growth

  • Total revenue rose 67 percent: The company reported total revenues of $1,290,948 thousand for the three months ended June 30, 2026, up 67% from $773,689 thousand, and GAAP income from operations of $231,441 thousand against a loss of $16,199 thousand. Source
  • Net product revenue rose 74%: Total net product revenues rose 74% at actual currency and at constant exchange rates. Growth came mainly from AMVUTTRA demand in U.S. ATTR-CM patients, with fewer ONPATTRO patients. Source
  • Non-GAAP earnings per share rose: Non-GAAP income from operations was $318,066 thousand, up 233%. Non-GAAP diluted EPS was $1.84 against $0.28. GAAP diluted EPS was $1.21 against a loss of $0.55. Source

TTR franchise and ATTR-CM demand

  • U.S. TTR revenue up $106 million: U.S. TTR net product revenues rose $106 million from Q1 2026. Demand grew $129 million, partly offset by about $20 million of inventory impact and a modest net price reduction. Source
  • Demand growth more than doubled: Management said demand growth in the quarter was more than double the growth in demand in Q1 2026 compared with Q4 2025. Source
  • International TTR up $14 million: International TTR net product revenues rose $14 million from Q1 2026, driven mainly by demand in hATTR-PN and ATTR-CM across international markets. Source
  • Second-line demand normalized: Second-line AMVUTTRA demand growth moderated in early 2026 to what the company now regards as a normalized level, after pent-up demand from patients waiting for a new therapy. Source
  • HELIOS-B subgroup benefits maintained: New HELIOS-B analyses at Heart Failure 2026 showed reductions in all-cause mortality and recurrent cardiovascular events across subgroups on a broad range of heart failure therapies. Source

“These results underscore the growing leadership and global impact of our TTR franchise in transforming outcomes for patients with ATTR amyloidosis”

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

Rare products and collaboration revenue

  • Rare products grew 11%: Total Rare net product revenues were $142 million, up 11%, with GIVLAARI and OXLUMO gaining patients while ONPATTRO patient numbers fell. Source
  • Collaboration revenue declined: Net revenues from collaborations fell, mainly on lower Regeneron collaboration revenue, partly offset by higher Roche revenue from ZENITH Phase 3 development work on zilebesiran. Source
  • Royalty revenue up 79%: Royalty revenue rose 79% to $71.7 million on higher volume and rate of royalties earned from global Leqvio net sales by Novartis. Source

Costs, margins and pricing

  • Cost of goods rose to 25.4%: Cost of goods sold was 25.4% of net product revenues against 21.1% a year earlier, as AMVUTTRA sales rose and the blended royalty rate payable on them increased. Source
  • R&D spend rose on trials: GAAP R&D expense rose 28% to $413 million and non-GAAP R&D rose 38%, mainly on clinical trial costs for ZENITH, TRITON-CM and TRITON-PN. Source
  • SG&A rose on AMVUTTRA marketing: GAAP SG&A rose 8% to $348 million and non-GAAP SG&A rose 14%, mainly on marketing for the ongoing global ATTR-CM launch of AMVUTTRA. Source
  • Interest expense from funding liabilities: Interest expense was $82 million, including $53 million on the Leqvio royalty sale liability and $26 million on vutrisiran and zilebesiran development funding. Source
  • Tax charge of $13 million: Provision for income taxes was $13 million, mainly U.S. state income taxes, use of Swiss deferred tax assets and taxable income in other jurisdictions. U.S. deferred tax assets keep a full valuation allowance. Source

“we remain confident in the trajectory of our ongoing ATTR-CM launch and are continuing to invest robustly in this franchise”

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

Global launch and real-world evidence

  • AMVUTTRA launched in Spain: AMVUTTRA had a recent launch in Spain, extending the company's global reach. Source
  • Exclusive China agreement with BeOne: The company entered an exclusive agreement with BeOne Medicines to commercialize AMVUTTRA in China. Source
  • DemonsTTRate study design shared: Management shared the design of DemonsTTRate, a global observational study of real-world outcomes in ATTR-CM, with up to five years of follow-up. Source

Pipeline and clinical programs

  • Mivelsiran Phase 2 started: A Phase 2 mivelsiran trial started in patients with Down syndrome-associated Alzheimer's disease. Source
  • ALN-6400 Phase 2 started: A Phase 2 trial of ALN-6400, an RNAi therapeutic targeting plasminogen, started in adult and adolescent women with von Willebrand disease and heavy menstrual bleeding. Source
  • Mivelsiran ARIA safety data: Analysis of single- and multiple-dose mivelsiran data showed no increased ARIA risk. CSF reductions were durable up to 30 months, with no serious or severe related adverse events. Source
  • CAPPricorn-1 enrollment completed: Enrollment is complete in cAPPricorn-1, the Phase 2 trial of mivelsiran in cerebral amyloid angiopathy. Source
  • ALN-6222 obesity trial started: A Phase 1 trial of ALN-6222, an RNAi therapeutic targeting INHBE, began in adults with obesity. Source
  • Tau program data at AAIC: Preclinical data and Phase 1 design details for ALN-5288, an RNAi therapeutic targeting MAPT, were presented at AAIC 2026. Source

Cash, capital and balance sheet

  • Cash and securities reached $3.3 billion: Cash, cash equivalents and marketable securities were $3.3 billion at June 30, 2026, up from $2.9 billion at year-end 2025, mainly from operating cash inflows. Source
  • Operating cash included funding payments: Operating cash flow included $26 million on the Leqvio royalty sale liability and $33 million on vutrisiran and zilebesiran development funding, both recorded to interest expense. Source
  • Equity rose and shares increased: Total stockholders' equity rose to $1,354 million from $789 million at year-end 2025. Shares outstanding rose to 133,734 thousand from 132,376 thousand. Source

Strategy, AI partnerships and board

  • Health system AI screening study: A large California health system will run DETECT-ATTR, a study of an AI-enabled echocardiography screening tool for cardiac amyloidosis, serving more than 4.5 million members. Source
  • Inceptive AI collaboration for RNAi: The Inceptive Nucleics collaboration pairs Alnylam's RNAi platform and data with Inceptive's foundation models, aiming to speed RNAi therapeutic innovation. Source
  • Komodo partnership expanded: The partnership with Komodo Health was expanded to scale its Marmot analytics AI platform across key enterprise functions at Alnylam. Source
  • New board director appointed: Benjamin Franklin Cravatt III, Ph.D., was appointed to the Board of Directors. Source

Coming up, as management said on 30 July 2026

  • Huntington's Phase 1 results in October: Initial Phase 1 ALN-HTT02 results will be presented at the EHDN Clinical Research Congress in Kraków, Poland, on October 23, 2026. Source
  • ALN-HTT02 RNAi Roundtable October 26: An RNAi Roundtable on ALN-HTT02 is scheduled for Monday, October 26, 2026, at 10:00 am ET. Source
  • Zilebesiran RNAi Roundtable September 17: An RNAi Roundtable on zilebesiran is scheduled for Thursday, September 17, at 10:30 am ET. Source
  • Cemdisiran FDA decision November 2026: Regeneron said the FDA will review cemdisiran's NDA under Priority Review, with a target action date in November 2026. A European Commission decision is anticipated in the second half of 2027. Source
  • Second-half clinical data readouts: Clinical data are expected from ALN-6400 Phase 1 in healthy volunteers and Phase 2 in HHT, and from a Phase 1 ALN-2232 obesity trial. Source

Figures management reported

FigureReported
AMVUTTRA net product revenue, Q2 2026 Source$1,012 million
ONPATTRO net product revenue, Q2 2026 Source$18 million, down 65%
Total TTR net product revenue, Q2 2026 Source$1,030 million, up 89%
GIVLAARI net product revenue, Q2 2026 Source$90 million, up 11%
OXLUMO net product revenue, Q2 2026 Source$52 million, up 11%
Total Rare net product revenue, Q2 2026 Source$142 million, up 11%
Non-GAAP R&D expense, Q2 2026 Source$377 million, up 38%
Phase 2 studies initiated SourceTwo
Cemdisiran regulatory review SourceTarget action date in November 2026
AMVUTTRA launch in Spain SourceRecent launch

Risks management discussed

  • Demand: Management cites normalization of second-line AMVUTTRA demand, after pent-up early launch demand, as the reason for the TTR guidance change. Source
  • Financial: Cost of goods rose as a share of product revenue because the blended royalty rate payable on AMVUTTRA sales increased. Source
  • Regulatory: The BeOne China distribution arrangement depends on AMVUTTRA receiving marketing authorization there. Source

Earlier plans management reported on

  • Met: Management reported enrollment in cAPPricorn-1 completed. Source
  • Met: A Phase 2 trial was initiated in patients with Down syndrome-associated Alzheimer's disease. Source
  • Met: A Phase 2 trial of ALN-6400 was initiated in von Willebrand disease. Source
  • Not stated: Management said initial Phase 1 ALN-HTT02 results will be presented at EHDN on October 23, 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.