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Arrowhead Pharmaceuticals, Inc.: Q2 FY2026 earnings call

What management said about Q2 FY2026, from the documents filed with the SEC on 7 May 2026: press release. Guidance figures: 1 new. The quarter’s numbers.

Key takeaways

  • Revenue fell from prior year: Revenue was $73,737 thousand, against $542,709 thousand in the same quarter last year. The prior quarter reported $264,033 thousand. Source
  • Prescriptions pass 400: Total prescriptions received and in process exceed 400, up more than 40% over the last four weeks. The prior quarter release cited over 100 prescriptions. Source
  • US list price set at $45,000: The wholesale acquisition cost was updated to $45,000 per patient per year, described as a premium to the competing approved APOC3 inhibitor, which the company believes its clinical evidence supports. Source
  • Four more geographies with positive action: Following the 2025 US approval, the company reported positive regulatory action in four additional geographies for patients with FCS. Source
  • Long-term severe hypertriglyceridemia data: Long-term plozasiran data presented at ACC showed an 83% median triglyceride reduction in severe hypertriglyceridemia and no adjudicated acute pancreatitis events in the two-year OLE study. Source
  • Madrigal license for ARO-PNPLA3: Madrigal will pay a $25 million upfront payment, with milestones up to $975 million and tiered royalties from high-single digits to the mid-teens. Source
  • Total cash resources increased: Total cash resources were $1,784,091 thousand at March 31, 2026, against $919,366 thousand at September 30, 2025 and $916,610 thousand at December 31, 2025. Source

“Arrowhead continues to show strong execution in meeting and exceeding our commercial, R&D, and corporate goals.”

Christopher Anzalone, Ph.D., President and CEO at Arrowhead Pharmaceuticals

Guidance

AreaPeriodFigureAgainst last quarter
EU regulatory decision Sourcesecond quarter of 2026second quarter of 2026New

What changed from last quarter

  • New: Exclusive worldwide license agreement with Madrigal Pharmaceuticals for ARO-PNPLA3, announced in the week before the release. Source
  • New: US wholesale acquisition cost of REDEMPLO updated to $45,000 per patient per year. Source
  • New: Australian Therapeutic Goods Administration approval of REDEMPLO for FCS, not reported in the prior quarter release. Source
  • New: Positive CHMP opinion recommending approval of REDEMPLO for adults with FCS in Europe, not reported in the prior quarter release. Source

Results and profitability

  • Revenue fell from prior year: Revenue was $73,737 thousand, against $542,709 thousand in the same quarter last year. The prior quarter reported $264,033 thousand. Source
  • Operating result moved to loss: Operating loss was $141,260 thousand, against operating income of $381,202 thousand a year earlier. Total other income was $3,695 thousand. Source
  • Diluted loss per share: Net loss attributable to Arrowhead was $132,732 thousand, or $0.93 per diluted share, against net income of $370,445 thousand, or $2.75 per diluted share a year earlier. Source

REDEMPLO launch metrics

  • Prescriptions pass 400: Total prescriptions received and in process exceed 400, up more than 40% over the last four weeks. The prior quarter release cited over 100 prescriptions. Source
  • About 180 patients shipped: Approximately 180 patients have received at least one pre-filled syringe shipment to date. Source
  • New prescriptions about 30 weekly: New weekly prescriptions average about 30 new written prescriptions per week, which management described as accelerating. Source
  • Most patients APOC3-naive: About 85% of prescriptions were for patients naive to the APOC3 class. Patients switching from other APOC3 therapies account for the remainder. Source

“We remain focused on a few key areas as being critical sources of sustainable growth for Arrowhead.”

Christopher Anzalone, Ph.D., President and CEO at Arrowhead Pharmaceuticals

Pricing and operating costs

  • US list price set at $45,000: The wholesale acquisition cost was updated to $45,000 per patient per year, described as a premium to the competing approved APOC3 inhibitor, which the company believes its clinical evidence supports. Source
  • R&D spend rose: Research and development expense was $173,253 thousand, against $133,102 thousand a year earlier. Source
  • G&A expense rose: General and administrative expenses were $41,744 thousand, against $28,405 thousand a year earlier. Total operating expenses were $214,997 thousand, against $161,507 thousand. Source

Regulatory approvals and regions

  • Four more geographies with positive action: Following the 2025 US approval, the company reported positive regulatory action in four additional geographies for patients with FCS. Source
  • Australia approval received: The Australian TGA approved REDEMPLO as an adjunct to diet for adult patients with FCS in Australia. Source
  • European committee recommends approval: The CHMP issued a positive opinion recommending approval of REDEMPLO for adults with FCS in Europe. Source

Pipeline and clinical data

  • Long-term severe hypertriglyceridemia data: Long-term plozasiran data presented at ACC showed an 83% median triglyceride reduction in severe hypertriglyceridemia and no adjudicated acute pancreatitis events in the two-year OLE study. Source
  • ARO-DIMER-PA trial dosing began: The Phase 1/2a trial of ARO-DIMER-PA, designed to silence PCSK9 and APOC3 in one molecule for mixed hyperlipidemia, has dosed its first subjects. Source
  • ARO-PNPLA3 liver fat reduction: In a Phase 1 single-ascending dose study, liver fat fell by up to 40% in I148M homozygous patients, with no apparent increase in triglycerides or LDL-cholesterol. Source
  • Obesity interim data restated: In obese patients with type 2 diabetes, ARO-INHBE with tirzepatide achieved -9.4% weight loss at week 16, against -4.8% on tirzepatide alone. Source

Balance sheet and partnering

  • Madrigal license for ARO-PNPLA3: Madrigal will pay a $25 million upfront payment, with milestones up to $975 million and tiered royalties from high-single digits to the mid-teens. Source
  • Two offerings raised $930 million: Two concurrent public offerings gave gross proceeds of $930 million: $700 million of convertible senior notes and $230 million of common stock at $64.50 per share. Source
  • Convertible notes and capped call: The 0.00% notes due 2032 carry a 35% conversion premium, with an initial conversion price of about $87.08 per share. A capped call with a cap price of $119.33 was entered to reduce dilution. Source
  • Total cash resources increased: Total cash resources were $1,784,091 thousand at March 31, 2026, against $919,366 thousand at September 30, 2025 and $916,610 thousand at December 31, 2025. Source
  • Deferred revenue rose: Deferred revenue was $157,158 thousand at March 31, 2026, against $2,399 thousand at September 30, 2025. Convertible notes, net, were $681,940 thousand. Source

Management priorities

  • Goals met or exceeded: Management said the company is meeting and exceeding its commercial, R&D and corporate goals. Source
  • Focus on RNAi capabilities: Management said it continues to deliver best-in-class discovery, development and regulatory capabilities to support a deep pipeline of RNAi therapeutics. Source
  • Disciplined pipeline and finance: Management described being strategic and disciplined around pipeline, portfolio and financial management. Source

Coming up, as management said on 7 May 2026

  • Sanofi to market in Greater China: REDEMPLO will be marketed in Greater China by Sanofi under the agreement between Sanofi and Arrowhead. The release gives no date for this. Source

Figures management reported

FigureReported
R&D expense Source$173,253 thousand, three months ended March 31, 2026
Regulatory approvals SourceAustralia (TGA) approval; positive CHMP opinion in Europe
Severe hypertriglyceridemia trial data Source83% median TG reduction; 96% of patients below 500 mg/dL
ARO-PNPLA3 Phase 1 liver fat reduction SourceUp to 40% mean reduction in I148M homozygous patients
US list price (WAC) Source$45,000 per patient per year

Risks management discussed

  • Regulatory: The company said the single price is intended to apply across FCS and SHTG only if the SHTG indication is approved, so that approval is pending. Source

Earlier plans management reported on

  • Ahead: Management said the company is meeting and exceeding its commercial, R&D and corporate goals. 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.