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Agios Pharmaceuticals, Inc.
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NASDAQ: AGIO Healthcare Pharma 🔎 Screen
$1.8B
Market Cap
—
P/E
—
PEG
-44.2%
ROCE
-34.3%
ROE
0.03
D/E
-466.8%
OPM
-32.8%
% from 52W High
30
α RS
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About

Agios Pharmaceuticals, Inc., a biopharmaceutical company, discovers and develops medicines in the field of cellular metabolism in the United States. Its lead product includes PYRUKYND (mitapivat), an activator of wild-type and mutant pyruvate kinase (PK), enzymes used for the treatment of hemolytic anemias in adults with PK deficiency. The company’s PYRUKYND product is also used for the treatment of sickle cell disease that is in phase 3 clinical trial; for the treatment of PK deficiency in pediatric patients; and AQVESME for the treatment of adult patients with non-transfusion dependent and transfusion-dependent alpha- or beta-thalassemia. In addition, it developed tebapivat, a PK activator for the treatment of lower-risk myelodysplastic syndrome and sickle cell disease; AG-181, a phenylalanine hydroxylase stabilizer for the treatment of phenylketonuria (PKU); and AG-236, an siRNA in-licensed from Alnylam, targeting the transmembrane serine protease 6 (TMPRSS6) gene for the treatment of polycythemia vera. Agios Pharmaceuticals, Inc. was incorporated in 2007 and is headquartered in Cambridge, Massachusetts.

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📊 MIXED Agios reports Q1 2026 net revenue of $20.7M, 138% growth, with strong AQVESME launch of 242 prescriptions.
Revenue & Profitability
First quarter 2026 worldwide net revenues were $20.7 million, representing 138% year-over-year growth. U.S. net revenues were $18.8 million, driven by the AQVESME launch, and ex-U.S. revenues were $1.9 million. R&D expense was $81 million, up roughly $8 million year-over-year due to workforce and process development efforts. SG&A expense was $48 million, up about $7 million year-over-year due to launch activities and stock compensation. Net income or operating income were not disclosed. The company ended the quarter with over $1 billion in cash and marketable securities.
Outlook
Management views the industry as having significant unmet need in rare hematology, particularly in thalassemia and sickle cell disease. They expect strong demand for AQVESME but caution that early prescription volumes do not translate into a steady run rate due to eventual movement into less motivated patient segments. The company anticipates average initiation timelines of approximately 10-12 weeks in coming quarters. For sickle cell disease, they see room for multiple treatment options and are confident in the mitapivat data set.
Growth Drivers
Key growth drivers include the U.S. commercial launch of AQVESME in thalassemia, with 242 prescriptions written in Q1 2026 by REMS-certified physicians. The upcoming sNDA filing for mitapivat in sickle cell disease under the Accelerated Approval pathway is a major catalyst. Additionally, top-line phase II data for tebapivat in lower-risk MDS (first half 2026) and sickle cell disease (second half 2026) are expected to drive growth. Expansion into non-transfusion-dependent thalassemia patients and deepening payer access are near-term priorities.
Balance Sheet & CapEx
Not discussed in this earnings call.
Margins
Not discussed in this earnings call. Management guided that 2026 operating expenses are expected to be approximately flat compared to 2025, but no specific margin targets or profit figures were provided.
Key Risks
Management highlighted potential risks including quarterly revenue variability due to ordering patterns, inventory dynamics, and gross-to-net adjustments. Early launch demand may not translate into a steady run rate; as adoption moves to non-transfusion-dependent patients with less frequent clinical engagement, time from prescription to initiation may lengthen to the expected 10-12 weeks. Payer policy formation takes about 6 months, which could affect access. The REMS was not seen as a hurdle but could present challenges if adoption broadens rapidly.
Generated by AI · Q1 2026 results · Not investment advice
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✓ 📞 Earnings Call Transcripts (5 quarters) submit a missing quarter
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📞 Earnings Call Transcripts (5)
Q1 2026 Q1 2026 2026-04-29
Q1 2026 saw 138% revenue growth to $20.7M, driven by a strong AQVESME launch in thalassemia and robust U.S. demand. Mitapivat sNDA for sickle cell disease is on track for Q2, and the pipeline remains catalyst-rich with key data readouts expected this year.
Q4 2025 Q4 2025 2026-02-12
Q4 and full-year 2025 saw robust revenue growth, highlighted by the US launch of ACTIVASE for thalassemia and strong PYRUKYND performance. The company ended 2025 with $1.2B in cash, supporting a catalyst-rich 2026 focused on pipeline expansion and disciplined investment.
Q3 2025 Q3 2025 2025-10-30
Q3 2025 net revenue grew 44% year-over-year to $12.9 million, driven by PYRUKYND's commercial momentum and global regulatory progress. Strong cash reserves support upcoming U.S. launches and pipeline advancement, with key data readouts and regulatory milestones expected by year end.
Q2 2025 Q2 2025 2025-07-31
Q2 2025 net revenue grew 45% year-over-year to $12.5M, driven by PYRUKYND, with U.S. Thalassemia launch pending FDA approval and ex-U.S. expansion progressing via partnerships. Cash reserves remain strong at $1.3B, supporting continued pipeline and commercial investment.
Q1 2025 Q1 2025 2025-05-01
Q1 2025 saw 6% year-over-year revenue growth for Pyrukynd, with strong progress toward a potential thalassemia launch in September and a pivotal sickle cell disease readout by year-end. The company maintains a robust $1.4B cash position and disciplined capital allocation.
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Financial Model
Projections are built from each company's audited annual financials (Income Statement, Balance Sheet, Cash Flow) over the last 5 fiscal years. Forward assumptions — revenue growth %, EBITDA margin, D&A (USD millions), interest expense, tax rate, and capex — are AI-generated using historical context and refreshed twice a year: after the December results season and after the September/Q4 results season.

DCF Valuation
Fair Value = Σ(FCFt / (1+WACC)t) + Terminal Value. Terminal Value uses the Gordon Growth Model: FCF5 × (1+g) / (WACC−g). Default WACC: 10% (US risk-free ~4.5%, equity risk premium ~5.5%). Default terminal growth: 3% (long-run US nominal GDP proxy).

CAGR Tracker
Expected 5-year CAGR = (DCF Fair Value / Current Price)1/5 − 1. Assumes fair value is reached in exactly 5 years — a mechanical estimate only.

Data Sources & Limitations
Financial statements sourced from public filings. Prices updated daily. Forward assumptions are AI-generated. All monetary values in USD millions. Non-US ADR companies may have currency conversion inaccuracies. Models are point-in-time and do not update intra-quarter or account for M&A, macro shocks, or extraordinary items.

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Investment Risk:
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