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Ionis reports first quarter 2023 financial results QALSODY approved for SOD1-ALS; MAA under review in EU Reported positive Phase 3 eplontersen ATTRv-PN data

Key Takeaway: Ionis Pharmaceuticals reported its first quarter 2023 financial results, highlighting the approval of QALSODY for SOD1-ALS and positive Phase 3 data for eplontersen. Despite ongoing investment in its growing pipeline, the company faced challenges with a loss from operations increasing year-over-year and a decline in total revenue. Ionis holds a robust late-stage pipeline and plans to maintain its financial guidance for 2023. The firm sees potential growth from eplontersen, positioned as a significant treatment for ATTRv-PN patients.

Market Sentiment Analysis

POSITIVE FACTORS

  • Approval of QALSODY for SOD1-ALS enhances the product portfolio.
  • Positive Phase 3 data for eplontersen positions it for potential success.
  • Gross cash position increased to $2.3 billion due to strategic partnerships.
  • Ionis remains on track with financial guidance and late-stage pipeline expansion.

CONCERNS & RISKS

  • Operating expenses increased substantially compared to the previous year.
  • A decrease in revenue from SPINRAZA royalties and overall revenue decline.
  • Loss from operations has significantly widened compared to the last year.
  • Dependency on R&D revenue may pose risks if projects do not meet expectations.

Full Press Release Details

Ionis reports first quarter 2023 financial results
QALSODY approved for SOD1-ALS; MAA under review in EU
Reported positive Phase 3 eplontersen ATTRv-PN data; December 22, 2023 PDUFA date
On track to achieve 2023 financial guidance
CARLSBAD, Calif., May 3, 2023 - Ionis Pharmaceuticals, Inc. (Nasdaq: IONS)
(the "Company"), today reported financial results for the first quarter of 2023. Financial results are summarized below:
Three months ended March 31,
2023 2022
(amounts in millions)
Total revenue $ 131 $ 142
Operating expenses $ 245 $ 199
Operating expenses on a non-GAAP basis $ 218 $ 173
Loss from operations $ (114 ) $ (57 )
Loss from operations on a non-GAAP basis $ (87 ) $ (31 )
Financial Highlights
"2023 is off to a strong start. With QALSODY's approval, it joins SPINRAZA as a new groundbreaking medicine to treat a devastating neurological disease, further
validating our RNA-targeting therapeutic platform. We also achieved another important milestone with our recent positive eplontersen Phase 3 data. We believe the positive efficacy and safety data, and the attractive self-administered dosing
profile, position eplontersen to be an important treatment for ATTRv-PN patients, who today are underserved. We look forward to the first potential approval of eplontersen in the U.S. in December," said Brett P. Monia, Ph.D., chief executive officer of Ionis. "In addition, we further expanded our industry-leading late-stage pipeline to seven programs across nine indications following the start of GSK's bepirovirsen
hepatitis B program. In the second half, we plan to report results from our olezarsen Phase 3 FCS study, which if positive, positions us for our first independent commercial launch. These recent achievements, together with our upcoming milestones,
continue to build value for Ionis stakeholders."
Recent Late-Stage Pipeline Highlights
Recent Additional Pipeline Updates
First Quarter 2023 Financial Results
"Our first quarter results were in line with our expectations. We generated meaningful revenue while continuing to invest in key growth opportunities across our
business. These results keep us on track to achieve our 2023 financial guidance," said Elizabeth L. Hougen, chief financial officer of Ionis. "We plan to continue investing in areas with the greatest potential to drive growth. As such, we expect
our investments to grow modestly as we advance and expand our late-stage pipeline and move our near-term commercial opportunities toward the market. Additionally, as we keep more programs for ourselves, we expect a greater proportion of commercial
revenues compared to R&D revenues, and our commercial revenues to be the primary driver of future revenue growth."
Ionis' revenue was comprised of the following:
Three months ended
March 31,
2023 2022
Revenue: (amounts in millions)
Commercial revenue:
SPINRAZA royalties $ 50 $ 54
TEGSEDI and WAYLIVRA revenue, net 7 6
Licensing and royalty revenue 11 12
Total commercial revenue 68 72
Research and development revenue:
Amortization from upfront payments 16 17
Milestone payments 23 27
License fees - 2
Other services - 4
Collaborative agreement revenue 39 50
Eplontersen joint development revenue 24 20
Total research and development revenue 63 70
Total revenue $ 131 $ 142
Ionis continued to derive its revenue for the first quarter of 2023 from diverse sources, with approximately half coming from commercial products and half from
numerous partnered programs. Commercial revenue for the first quarter of 2023 included $50 million from SPINRAZA royalties. Global SPINRAZA product sales of $443 million decreased six percent in the first quarter of 2023, compared to the same
period last year primarily due to the impact from foreign currency, fewer new patient starts in the U.S. and channel dynamics.
R&D revenue for the first quarter of 2023 included $24 million from AstraZeneca for its share of the global Phase 3 development costs for eplontersen, $20 million
from Biogen for advancing several neurology disease programs and $15 million from GSK for advancing bepirovirsen into Phase 3 development. Already in the second quarter, the Company earned $16 million in a milestone payment from Biogen when QALSODY
was approved in the U.S.
Ionis' operating expenses increased in the first quarter of 2023 compared to the same period in 2022, consistent with expectations. As Ionis advanced its robust
pipeline, study costs increased as most of the Company's Phase 3 studies were either fully enrolled or approaching full enrollment resulting in higher R&D expenses year over year. Additionally, as Ionis prepares to launch eplontersen, olezarsen
and donidalorsen, the Company's SG&A expenses also increased year over year.
As of March 31, 2023, Ionis' cash, cash equivalents and short-term investments increased to $2.3 billion compared to $2.0 billion at
December 31, 2022 primarily due to the $500 million Ionis received from Royalty Pharma in January 2023. Ionis' working capital also increased over the same period primarily due to the Company's higher cash and short-term investments balance.
Additionally, the Company recorded a long-term liability for future royalties due to Royalty Pharma in the first quarter of 2023.
Management will host a conference call and webcast to discuss Ionis' first quarter 2023 results at 11:30 a.m. Eastern time on Wednesday, May 3, 2023. Interested
parties may access the webcast here. A webcast replay will be available for a limited time at the same address. To access the Company's first quarter 2023 earnings slides click here.
About Ionis Pharmaceuticals, Inc.
For more than 30 years, Ionis has been a leader in RNA-targeted therapy, pioneering new markets and changing standards of care. Ionis currently has four marketed
medicines and a promising late-stage pipeline highlighted by cardiovascular and neurological franchises. Our scientific innovation began and continues with the knowledge that sick people depend on us, which fuels our vision to become the leader in
genetic medicine, utilizing a multi-platform approach to discover, develop and deliver life-transforming therapies.
Ionis' Forward-looking Statement
This press release includes forward-looking statements regarding Ionis' business, financial guidance and the therapeutic and commercial potential of QALSODY
(tofersen), SPINRAZA (nusinersen), TEGSEDI (inotersen), WAYLIVRA (volanesorsen), eplontersen, olezarsen, donidalorsen, ION363, pelacarsen, bepirovirsen, Ionis' technologies and Ionis' other products in development. Any statement describing Ionis'
goals, expectations, financial or other projections, intentions or beliefs is a forward-looking statement and should be considered an at-risk statement. Such statements are subject to certain risks and uncertainties including those inherent in the
process of discovering, developing and commercializing medicines that are safe and effective for use as human therapeutics, and in the endeavor of building a business around such medicines. Ionis' forward-looking statements also involve assumptions
that, if they never materialize or prove correct, could cause its results to differ materially from those expressed or implied by such forward-looking statements. Although Ionis' forward-looking statements reflect the good faith judgment of its
management, these statements are based only on facts and factors currently known by Ionis. As a result, you are cautioned not to rely on these forward-looking statements. These and other risks concerning Ionis' programs are described in additional
detail in Ionis' annual report on Form 10-K for the year ended December 31, 2022, which is on file with the Securities and Exchange Commission. Copies of this and other documents are available from the Company.
In this press release, unless the context requires otherwise, "Ionis," "Company," "we," "our" and "us" all refer to Ionis Pharmaceuticals and its subsidiaries.
Ionis Pharmaceuticals is a registered trademark of Ionis Pharmaceuticals, Inc. Akcea Therapeutics is a registered trademark of Akcea
Therapeutics, Inc. TEGSEDI is a registered trademark of Akcea Therapeutics, Inc. WAYLIVRA is a registered trademark of Akcea Therapeutics, Inc. QALSODYTM is a trademark of Biogen. SPINRAZA is a
registered trademark of Biogen.
Ionis Investor Contact:
D. Wade Walke, Ph.D.
info@ionisph.com 760-603-2331
Ionis Media Contact:
IONIS PHARMACEUTICALS, INC.
SELECTED FINANCIAL INFORMATION
Condensed Consolidated Statements of Operations
(In Millions, Except Per Share Data)
Three months ended, March 31,
2023 2022
(unaudited)
Revenue:
Commercial revenue:
SPINRAZA royalties $ 50 $ 54
TEGSEDI and WAYLIVRA revenue, net 7 6
Licensing and royalty revenue 11 12
Total commercial revenue 68 72
Research and development revenue:
Collaborative agreement revenue 39 50
Eplontersen joint development revenue 24 20
Total research and development revenue 63 70
Total revenue 131 142
Expenses:
Cost of sales 1 4
Research, development and patent 198 161
Selling, general and administrative 46 34
Total operating expenses 245 199
Loss from operations (114 ) (57 )
Other income (expense):
Interest expense related to sale of future royalties (16 ) -
Other income (expense), net 17 (7 )
Loss before income tax expense (113 ) (64 )
Income tax expense (11 ) (1 )
Net loss $ (124 ) $ (65 )
Basic and diluted net loss per share $ (0.87 ) $ (0.46 )
Shares used in computing basic and diluted net loss per share 143 142
IONIS PHARMACEUTICALS, INC.
Reconciliation of GAAP to Non-GAAP Basis:
Condensed Consolidated Operating Expenses, Loss From Operations, and Net Loss
Three months ended March 31 ,
2023 2022
(unaudited)
As reported research, development and patent expenses according to GAAP $ 198 $ 161
Excluding compensation expense related to equity awards (20 ) (19 )
Non-GAAP research, development and patent expenses $ 178 $ 142
As reported selling, general and administrative expenses according to GAAP $ 46 $ 34
Excluding compensation expense related to equity awards (7 ) (7 )
Non-GAAP selling, general and administrative expenses $ 39 $ 27
As reported operating expenses according to GAAP $ 245 $ 199
Excluding compensation expense related to equity awards (27 ) (26 )
Non-GAAP operating expenses $ 218 $ 173
As reported loss from operations according to GAAP $ (114 ) $ (57 )
Excluding compensation expense related to equity awards (27 ) (26 )
Non-GAAP loss from operations $ (87 ) $ (31 )
As reported net loss according to GAAP $ (124 ) $ (65 )
Excluding compensation expense related to equity awards and related tax effects (27 ) (26 )
Non-GAAP net loss $ (97 ) $ (39 )
Reconciliation of GAAP to Non-GAAP Basis
As illustrated in the Selected Financial Information in this press release, non-GAAP operating expenses, non-GAAP loss from operations, and non-GAAP net loss were
adjusted from GAAP to exclude compensation expense related to equity awards and the related tax effects. Compensation expense related to equity awards are non-cash. These measures are provided as supplementary information and are not a substitute
for financial measures calculated in accordance with GAAP. Ionis reports these non-GAAP results to better enable financial statement users to assess and compare its historical performance and project its future operating results and cash flows.
Further, the presentation of Ionis' non-GAAP results is consistent with how Ionis' management internally evaluates the performance of its operations.
IONIS PHARMACEUTICALS, INC.
Condensed Consolidated Balance Sheets
March 31, 2023 December 31, 2022
(unaudited)
Assets:
Cash, cash equivalents and short-term investments $ 2,347 $ 1,987
Contracts receivable 14 26
Other current assets 182 190
Property, plant and equipment, net 85 74
Right-of-use assets 179 182
Other assets 78 75
Total assets $ 2,885 $ 2,534
Liabilities and stockholders' equity:
Other current liabilities $ 167 $ 221
Current portion of deferred contract revenue 92 91
0% convertible senior notes, net 623 622
0.125% convertible senior notes, net 545 545
Liability related to sale of future royalties, net 505 -
Long-term lease liabilities 177 178
Long-term obligations, less current portion 16 16
Long-term deferred contract revenue 273 288
Total stockholders' equity 487 573
Total liabilities and stockholders' equity $ 2,885 $ 2,534
2023 Key Value Driving Events(1)
Regulatory Actions
Program Indication Regulatory Action
QALSODY SOD1-ALS NDA approval (achieved)
EU approval 2
Eplontersen (TTR) ATTRv polyneuropathy NDA approval
OUS filings
Key Clinical Achievements
Program Indication Event
Eplontersen (TTR) ATTRv polyneuropathy Phase 3 data (week 35 & 66) (achieved)
Olezarsen FCS Phase 3 data
Eplontersen (TTR) ATTR cardiomyopathy Phase 3 full enrollment
Donidalorsen (PKK) HAE Phase 3 full enrollment
Phase 3 Initiations
Program Indication Timing
Bepirovirsen (HBV) Hepatitis B virus infection H1:23 (achieved)
IONIS-FB-L Rx Immunoglobulin A nephropathy H1:23

Frequently Asked Questions

What financial results did Ionis report for Q1 2023?

Ionis reported total revenue of $131 million and a loss from operations of $114 million.

What is the significance of QALSODY's approval?

QALSODY's approval validates Ionis' RNA-targeting platform and treats SOD1-ALS.

When is the PDUFA date for eplontersen?

The PDUFA date for eplontersen is December 22, 2023.

How much cash did Ionis have as of March 31, 2023?

Ionis had $2.3 billion in cash, cash equivalents, and short-term investments.

What revenue sources contributed to Ionis' Q1 earnings?

Ionis' revenue included $50 million in SPINRAZA royalties and $63 million in R&D revenue.

Last updated: May 3, 2023