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2Q26 Earnings: Expect Momentum to Build as SHTG Launch Ramps and Additional Catalysts Ahead
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2Q26 Earnings: Expect Momentum to Build as SHTG Launch Ramps and Additional Catalysts Ahead
f >$3B. Overall, we continue to view the
SHTG launch as the key value driver for Ionis and believe it remains an
underappreciated, multi-billion-dollar opportunity supportive of multiple players
(INSIGHT note here).
Multiple updates expected at the European Society of Cardiology (ESC; Munich,
Aug. 28-31). On eplontersen, Ionis and partner AstraZeneca (covered by Sarita
Kapila) plan to present detailed data from the Ph3 CARDIO-TTRansform study in
TTR-CM (topline note here), including analyses of the overall population, the
prespecified baseline-monotherapy population, and the subgroup receiving
background stabilizer therapy. In addition, an independent academic group
conducted a meta-analysis comparing outcomes across the TTR-silencer class as
monotherapy and in combination with stabilizers that it plans to present at the
conference. Mgt. expects the analysis will be consistent with findings from the
CARDIO-TTRansfiorm study but noted the analysis is being conducted independent
of industry. Turning to Tryngolza, Ionis plans to share data from the CORE/CORE2
open-label-extension (OLE) study which could provide additional evidence on the
durability of TG lowering as well as longer-term safety and mgt. noted there were
no emerging adverse-event signals in the ongoing extension. Finally, Ionis will
present one-year data from the Ph1 study of ION775, its next-generation APOC3
targeting agent, including safety, tolerability, and the magnitude and durability of
APOC3 and TG reductions. We expect the key focus to be whether the data support
Q6M or potentially less frequent dosing, which could provide a meaningful
convenience advantage relative to monthly Tryngolza.
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