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IONSIonis Pharmaceuticals, Inc.
$43.93$7.3B
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IONS logo

Ionis Pharmaceuticals, Inc.

IONS
NASDAQ · Biotechnology
$43.93
At close - Sep 23, 4:00 PM EDT - USD
Market Cap$7.3B
P/E-18.5x
52W High$86.74
Volume3.52M
OverviewTerminalAnalysisFinancialsValuationEarningsBreakoutsOwnership
VCP Research Verdict2026Q2

Episodic Milestone Revenue Masks Persistent Cash Burn

Ionis Pharmaceuticals operates a high-margin, capital-light RNA-targeting platform, with gross margins consistently above 96% and a 99.0% gross margin in 2026Q2. However, the company's financial profile is dominated by extreme revenue volatility—quarterly reve...

GrowthMixed
ProfitabilityWeak
ValuationReview
TechnicalsWeak
Explore valuation models
MARKET ACTION

IONS price & volume

Price trend, volume and key moving averages

Launch Terminal
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Decision Checklist4 Core Signals

What matters now

The signals most likely to change the investment case.

01

Earnings momentum

11/12 Beats

EPS beat 11 of last 12 quarters

02

Valuation risk

-172% Peers

P/E is 172% below peer median

03

Market leadership

RS 12 · Lag

Laggard (Underperforming 88% of market)

04

Weak Trend

Below 200DMA

Price < 200DMA

Next CatalystEstimated earnings · Oct 29
01

Build the investment case

Start with the evidence for owning the stock and the risks that can break the thesis.

EXECUTIVE THESIS

The Investment Case

Full Analysis
Fundamental Trajectory

Revenue is highly episodic, with a 40.7% year-over-year decline in 2026Q2 to $267.9M, while gross margins remain exceptionally high at 99.0%, yet operating losses persist at -$102.3M due to R&D and SG&A costs that have outpaced revenue growth.

Analyst Consensus+96.3% target
Buy(33 analysts)
19 Buy14 Hold0 Sell

The Bull Case

Upside Catalysts

Antisense therapy specialization

Ionis Pharmaceuticals specializes in discovering and developing antisense therapy, as well as RNA interference and CRISPR therapeutics, positioning it as a leader in innovative biotechnology.

Investor relations focus

The company maintains a dedicated Investor Relations website, providing detailed business information for stockholders, potential investors, and financial analysts, indicating transparency and engagement with the investment community.

Stock analysis availability

Latest stock analysis, price targets, earnings estimates, and headlines for Ionis Pharmaceuticals are readily available, facilitating informed investment decisions and market interest.

The Bear Case

Key Downside Risks

Market performance

Price History →

Trailing total returns as of 9/24/2026, which may include dividends or other distributions. Benchmark is S&P 500 (^GSPC).

YTD Return
IONS-44.86%
S&P 500 (^GSPC)+12.39%
1-Year Return
IONS-29.79%
S&P 500 (^GSPC)+15.77%
3-Year Return
IONS+2.98%
S&P 500 (^GSPC)+71.83%
5-Year Return
IONS+18.09%
S&P 500 (^GSPC)+64.10%

Growth & profitability

Annual revenue & EPS trend
Revenue
$944M+33.9% YoY
Net income
-$381M+16.1% YoY
Free cash flow
-$320M+41.4% YoY
Operating margin
-40.5%+26.9 pts YoY
ROIC (TTM)-12.8%
Avg ROIC 5Y-
ROE (TTM)-70.7%
Piotroski Score3 / 9
Financial Statements →
03

Monitor what changed

Recent results and news deserve attention only when they alter the forward view.

OPERATING RESULTS

Recent Earnings

Earnings History
EPS Beat Rate11/12 (92%)
Revenue Beat Rate8/12 (73%)
QuarterEPS (Act vs Est)Revenue (Act vs Est)
Q3 2026Latest
Jul 29, 2026
-$0.69+36.7%
vs -$1.09
$268M+41.7%
vs $189M
Q2 2026
Apr 29, 2026
-$0.56+34.1%
vs -$0.85
$246M+25.8%
vs $196M
Q1 2026
Feb 25, 2026
-$1.41-14.0%
vs -$1.24
$203M+30.1%
vs $156M
Q4 2025
Oct 29, 2025
-$0.61+47.0%
vs -$1.15
$157M+2.1%
vs $154M
Historical baseline: 12 quarters analyzedGAAP / Adjusted
MARKET COVERAGE

Latest News

5 Stories
Reuters·1d ago
Otsuka, Ionis' experimental ALS drug meets main goal in late-stage study

Otsuka Pharmaceutical and Ionis Pharmaceuticals said on Tuesday their experimental drug met the main ​goal of a late-stage study in patients ‌with a rare inherited form of amyotrophic lateral sclerosis, or ALS.

Business Wire·1d ago
Otsuka Announces Transformative Phase 3 FUSION Results for Ulefnersen, Bringing the FUS-ALS Community Closer to a Potential Targeted Treatment

PRINCETON, N.J. & TOKYO--(BUSINESS WIRE)--Otsuka Pharmaceutical Development & Commercialization, Inc., Otsuka Pharmaceutical Co., Ltd. (Otsuka) and Ionis Pharmaceuticals, Inc. today announced positive topline results from the Phase 3 FUSION trial evaluating ulefnersen, an investigational RNA-targeted medicine, in people living with a genetic subtype of amyotrophic lateral sclerosis (ALS) known as FUS-ALS, caused by mutations in the fused in sarcoma (FUS) gene1. The study met its primary end.

The Motley Fool·3d ago
Investors Dumped Ionis Pharmaceuticals Stock -- But Wall Street Hasn't Budged From Its Bullish Outlook

Ionis has six commercial therapies, mostly focused on rare diseases. Zanvastro treats Alexander disease, a brain disorder.

MarketBeat·4d ago
Ionis Pharmaceuticals Eyes TRYNGOLZA Growth as Pipeline Faces Cardio Setbacks

Ionis Pharmaceuticals NASDAQ: IONS CEO Brett Monia outlined recent regulatory wins, commercial-launch progress and several pipeline updates at the Morgan Stanley Global Healthcare Conference, while acknowledging setbacks in late-stage cardiovascular studies.

Filtered for Ionis Pharmaceuticals, Inc.More Headlines
04

Compare before deciding

Benchmark IONS against direct peers instead of judging its metrics in isolation.

Peers Comparison

Key metrics vs top competitors for Ionis Pharmaceuticals, Inc. (IONS)

Full Screener →
CompanyPriceMarket CapP/E RatioRev Growth (1Y)Net MarginROEDiv Yield
IONS logoIONSIonis Pharmaceuticals, Inc.Current
$43.93$7.3B-18.4633.87%-40.36%-70.72%—
ALNY logoALNYAlnylam Pharmaceuticals, Inc.
$246.51$32.91B105.8065.19%16.82%93.61%—
SRPT logoSRPTSarepta Therapeutics, Inc.
$18.95$2B-2.6615.58%-6.93%-9.96%—
BMRN logoBMRNBioMarin Pharmaceutical Inc.
$62.21$12.02B34.5612.87%2.14%1.18%—
RARE logoRAREUltragenyx Pharmaceutical Inc.
$14.88$1.47B-2.5520.13%-81.79%——
AKRO logoAKROAkero Therapeutics, Inc.
$54.65$4.5B-14.57——-30.58%—

Compare IONS vs Peers

Ionis Pharmaceuticals, Inc. (IONS) vs competitors — business, growth, and fundamentals comparison against the closest industry rivals.

Closest Rival

vs ALNY

Most directly comparable listed peer for IONS.

Scale Benchmark

vs LLY

Larger-name benchmark to compare IONS against a more recognizable public peer.

Peer Set

Compare Top 5

vs ALNY, SRPT, BMRN, RARE

05

Keep researching

Verify the primary filings, follow material updates, and answer the remaining questions.

IONS SEC Filings & Documents

Ionis Pharmaceuticals, Inc. (IONS) SEC filings — annual & quarterly reports (10-K, 10-Q)

8-K Announcements

6
Material company update

Jul 29, 2026·SEC

Material company update

Jul 10, 2026·SEC

Material company update

Jul 9, 2026·SEC

10-K Annual Reports

2
FY 2026

Feb 26, 2026·SEC

FY 2025

Feb 19, 2025·SEC

10-Q Quarterly Reports

5
FY 2026

Jul 29, 2026·SEC

FY 2026

Apr 29, 2026·SEC

FY 2025

Oct 29, 2025·SEC

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IONS Frequently Asked Questions

Ionis Pharmaceuticals, Inc. (IONS) stock FAQ — growth, dividends, profitability & financials explained

Growth & Financials
What is Ionis Pharmaceuticals, Inc.'s revenue?

Ionis Pharmaceuticals, Inc. (IONS) reported $873.8M in revenue for fiscal year 2025. This represents a 3749% increase from $22.7M in 1996.

How fast is Ionis Pharmaceuticals, Inc. growing?

Ionis Pharmaceuticals, Inc. (IONS) grew revenue by 33.9% over the past year. This is strong growth.

Is IONS profitable?

Ionis Pharmaceuticals, Inc. (IONS) reported a net loss of $564.8M for fiscal year 2025.

Dividend & Returns
What is IONS's return on equity?

Ionis Pharmaceuticals, Inc. (IONS) has a return on equity (ROE) of -70.7%. Negative ROE indicates the company is unprofitable.

What is Ionis Pharmaceuticals, Inc.'s free cash flow?

Ionis Pharmaceuticals, Inc. (IONS) had negative free cash flow of $558.9M in fiscal year 2025, likely due to heavy capital investments.

What if you invested $1,000 in IONS back in 1996?

Total return calculator · dividends reinvested · 30+ years of data

See returns →