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IONS — Ionis Pharmaceuticals Inc.

IONS (Ionis Pharmaceuticals Inc.) stock: $39.42, $6.55B market cap, $2.05B cash, $6.31B EV, $6.63B fully diluted market cap. Lead program: zilganersen (Alexander Disease), Phase 3. Data from Fully Diluted's biotech stocks database.

What they do

We currently have seven marketed medicines to treat serious diseases: TRYNGOLZA (olezarsen), DAWNZERA (donidalorsen), WAINUA (eplontersen), SPINRAZA (nusinersen), QALSODY (tofersen), TEGSEDI (inotersen) and WAYLIVRA (volanesorsen). Marketed Medicines ● TRYNGOLZA is approved in the United States, or U.S., as an adjunct to diet to reduce triglycerides in adults with familial chylomicronemia syndrome, or FCS, and is approved in the European Union, or EU, for patients with genetically confirmed FCS.

Source: 10-K FY2025 via SEC EDGAR

Share price
$39.42
Market cap
$6,551.0M
Cash
$2,054.6M
Enterprise value
$6,308.8M

Balance sheet

Cash$2,054.6M
Debt$1,812.4M
Net cash$242.2M
Enterprise value$6,308.8M
Basic shares166.2M shares
Fully diluted shares168.2M shares
Fully diluted market cap$6,631.8M
Cash per share$12.36
Quarterly burn+$565.5M generated

Cash figures as of 2026-06-30. Database snapshot: 2026-11-07.

Share structure

Common
166.2M
Pre-funded warrants
0.0M
Options
0.0M
RSUs
0.0M
Warrants
0.0M
Converts
2.0M
Conv preferred
0.0M
ESPP reserve
—
FDSO
168.2M

Cap table as of 2026-06-30.

Price history

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Next catalyst

Donidalorsen · Jan 12 - Feb 23 in 9 wks · Phase 3 · Hereditary Angioedema

Recently reported

Olezarsen Phase 3 Positive · 2026-10-16
CORE · CORE2 · severe hypertriglyceridemia
Primary: Placebo-adjusted mean reduction in fasting triglycerides in the Phase 3 CORE (NCT05079919) and CORE2 (NCT05552326) studies in severe hypertriglyceridemia — Met the primary endpoint, with a placebo-adjusted mean reduction in fasting triglycerides of up to 72% at six months, sustained through 12 months
· CORE n=617 and CORE2 n=446, randomized to 50 mg or 80 mg olezarsen or placebo every four weeks for 12 months
· 85% reduction in adjudicated acute pancreatitis events over 12 months in a pooled analysis
· At baseline, fasting triglycerides >=880 mg/dL in 47% of CORE participants and 37% of CORE2 participants
· CHMP positive opinion for an indication extension in adults with fasting triglycerides >=880 mg/dL (>=10 mmol/L)
· European Commission decision expected in Q4 2026
Safety: Favorable safety and tolerability profile stated; most common adverse reactions in sHTG were injection site reactions and liver enzyme increases
Source release →
sefaxersen Phase 3 Positive · 2026-09-23
IMAgINATION · primary iga nephropathy
Source release →
ulefnersen Phase 3 Positive · 2026-09-22
FUS-ALS · amyotrophic lateral sclerosis
Source release →
Eplontersen Phase 3 Missed primary · 2026-07-09
CARDIO-TTRansform · transthyretin-mediated amyloid cardiomyopathy
Source release →
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