Strong Quarter Revenue Growth
Total Q1 revenue of $246 million, up 87% year-over-year, driven by commercial sales and ~ $95 million in milestone/R&D revenue from partners.
Commercial Revenue Expansion
Commercial revenue increased over 42% year-over-year in Q1, supported by Tryngolza and DAWNZERA growth; Tryngolza product sales > $27 million and DAWNZERA product sales $16 million in Q1.
Improved 2026 Financial Guidance
Raised 2026 total revenue guidance to $875 million–$900 million (a $75 million increase vs prior guidance); non-GAAP operating loss now expected at $425 million–$475 million (a $75 million improvement vs prior guidance).
Cash and Balance Sheet Strength
Ended Q1 with approximately $1.9 billion in cash; repaid $633 million of 0% convertible notes and project year-end 2026 cash > $1.6 billion, supporting ongoing launches and investments.
Multiple Independent Launches and Approvals
Two independent launches underway (Tryngolza and DAWNZERA) and two additional independent launches anticipated in 2026 (olezarsen for SHTG with FDA PDUFA June 30, and zilganersen for Alexander disease with PDUFA Sept 22); Tryngolza and DAWNZERA also launching in Europe via partners (Sobi and Otsuka).
Increased Peak Sales Expectation for Olezarsen/Tryngolza
Based on HCP and payer research and priority review, annual peak sales estimate for olezarsen increased from > $2 billion to > $3 billion.
Partner Pipeline and Upcoming Catalysts
Robust partner pipeline with bepirovirsen (GSK) granted Breakthrough Therapy and priority review (PDUFA Oct 26), and two major CV outcome trials (pelacarsen HORIZON and eplontersen CARDIO-TRANSFORM) expected data this year; company expects ~5 partner-led launches by end of next year.
Commercial Execution and Go-to-Market Readiness
Full U.S. field organization deployed and trained; patient-finding initiatives yielding the strongest quarter-to-date for Tryngolza demand; company positioned to engage ~20,000 high-volume SHTG prescribers.
Product-Level 2026 Guidance Provided
For the first time, company provided product guidance: Tryngolza product sales $100 million–$110 million (full year) and DAWNZERA product sales $110 million–$120 million (full year).
Positive Clinical and Safety Narratives
CORE and CORE 2 data for olezarsen showed 72% triglyceride reduction and ~85% reduction in acute pancreatitis; long-term open-label extension data show liver fat trends returning toward baseline with no clinical sequelae reported and low discontinuation rates.