Stock Analysis

Ionis Pharmaceuticals (IONS) Is Up 8.6% After Groundbreaking Study Results in Alexander Disease Therapy - What’s Changed

  • Ionis Pharmaceuticals recently announced positive topline results from its pivotal study of zilganersen in children and adults with Alexander disease, a rare and progressive neurological condition without approved disease-modifying treatments.
  • This marks the first time an investigational medicine has shown clinically meaningful disease-modifying effects in Alexander disease, highlighting a potential new treatment path for patients with high unmet need.
  • We'll explore how these landmark clinical results in a rare neurological disease could influence Ionis Pharmaceuticals' broader investment outlook.

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Ionis Pharmaceuticals Investment Narrative Recap

To be a shareholder in Ionis Pharmaceuticals, you need conviction in its ability to convert innovative clinical advances, like the recent pivotal results for zilganersen in Alexander disease, into sustainable revenue growth and regulatory approvals. While this breakthrough may help build confidence around the pipeline’s disease-modifying promise, shorter-term catalysts and risks still hinge most on upcoming FDA decisions and market launches for broader indications such as Olezarsen in severe hypertriglyceridemia, as these will more materially drive revenue and margin trends in the near future.

The September 2 announcement of positive Phase 3 results for Olezarsen in severe hypertriglyceridemia remains particularly relevant as Ionis seeks to expand beyond rare diseases. This program’s planned supplemental FDA submission by year-end is seen as a near-term driver of financial results, while also carrying risks of price negotiations and reimbursement complexity if the patient population broadens, making it crucial in the context of sustained top-line momentum for the business.

However, despite the clinical wins, investors should be aware that potential revenue compression from price declines on expanded indications still looms as...

Read the full narrative on Ionis Pharmaceuticals (it's free!)

Ionis Pharmaceuticals' narrative projects $1.5 billion revenue and $241.3 million earnings by 2028. This requires 16.7% yearly revenue growth and a $509.5 million increase in earnings from -$268.2 million currently.

Uncover how Ionis Pharmaceuticals' forecasts yield a $69.48 fair value, in line with its current price.

Exploring Other Perspectives

IONS Community Fair Values as at Oct 2025
IONS Community Fair Values as at Oct 2025

Four fair value estimates from the Simply Wall St Community span from US$36.19 to US$158.10, reflecting broad differences in conviction about Ionis’s future. As future pricing and reimbursement for new launches remain uncertain, consider how these contrasting outlooks might shape your own view on Ionis’s long-term prospects.

Explore 4 other fair value estimates on Ionis Pharmaceuticals - why the stock might be worth over 2x more than the current price!

Build Your Own Ionis Pharmaceuticals Narrative

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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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