Stock Analysis

Agios Pharmaceuticals (AGIO): Reassessing Valuation After FDA Delays Thalassemia Decision for PYRUKYND Expansion

Agios Pharmaceuticals (AGIO) is back in focus after the FDA missed its December 7 decision date on the mitapivat thalassemia sNDA, leaving the filing under active review and investors recalibrating timing expectations.

See our latest analysis for Agios Pharmaceuticals.

The missed PDUFA date seems to have cooled near term enthusiasm, with a roughly 35 percent 1 month share price return decline and a 1 year total shareholder return of about negative 38 percent. This signals fading momentum despite PYRUKYND growth potential.

If this regulatory pause has you rethinking your biotech exposure, it could be a good moment to scan other healthcare stocks and compare how the market is pricing their risk and reward profiles.

With shares now trading well below analyst targets, but the thalassemia decision still in limbo, are investors being offered a mispriced entry into PYRUKYND’s next growth leg, or is the market already discounting future approvals?

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Most Popular Narrative Narrative: 16.4% Undervalued

With Agios Pharmaceuticals last closing at $26.85 versus a narrative fair value of $32.13, the spread suggests a sizable upside if the thesis plays out.

Upcoming potential FDA approval and commercial launch of PYRUKYND for thalassemia in the U.S. is set to significantly expand Agios' addressable market, driven by the high rate of disease diagnosis through newborn screening and well-defined patient populations, which should lift revenue growth in coming years.

Read the complete narrative.

Want to see how rapid revenue expansion, rising margins, and a richer future multiple all combine into that upside view? The full narrative unpacks the aggressive growth curve, the delayed path to profitability, and the bold valuation bridge that links today’s losses to tomorrow’s projected earnings power.

Result: Fair Value of $32.13 (UNDERVALUED)

Have a read of the narrative in full and understand what's behind the forecasts.

However, lingering safety questions around liver toxicity and the heavy dependence on PYRUKYND’s label expansion could still derail that upbeat growth trajectory.

Find out about the key risks to this Agios Pharmaceuticals narrative.

Another Take on Valuation

While the narrative fair value points to upside, our SWS DCF model is far more aggressive, suggesting Agios could be deeply undervalued at current levels. If that long term cash flow outlook is even half right, is the recent sell off more noise than signal?

Look into how the SWS DCF model arrives at its fair value.

AGIO Discounted Cash Flow as at Dec 2025
AGIO Discounted Cash Flow as at Dec 2025

Build Your Own Agios Pharmaceuticals Narrative

If you see the story differently or want to dive into the numbers yourself, you can craft a complete view in just a few minutes: Do it your way.

A great starting point for your Agios Pharmaceuticals research is our analysis highlighting 2 key rewards and 2 important warning signs that could impact your investment decision.

Looking for your next smart move?

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This article by Simply Wall St is general in nature. We provide commentary based on historical data and analyst forecasts only using an unbiased methodology and our articles are not intended to be financial advice. It does not constitute a recommendation to buy or sell any stock, and does not take account of your objectives, or your financial situation. We aim to bring you long-term focused analysis driven by fundamental data. Note that our analysis may not factor in the latest price-sensitive company announcements or qualitative material. Simply Wall St has no position in any stocks mentioned.

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Have feedback on this article? Concerned about the content? Get in touch with us directly. Alternatively, email editorial-team@simplywallst.com

About NasdaqGS:AGIO

Agios Pharmaceuticals

A biopharmaceutical company, discovers and develops medicines in the field of cellular metabolism in the United States.

Excellent balance sheet and slightly overvalued.

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