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Rhythm Pharmaceuticals Inc (RYTM)
NASDAQ:RYTM
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Rhythm Pharmaceuticals (RYTM) AI Stock Analysis

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RYTM

Rhythm Pharmaceuticals

(NASDAQ:RYTM)

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Neutral 52 (OpenAI - 5.2)
Rating:52Neutral
Price Target:
$95.00
▲(7.11% Upside)
Action:Reiterated
Date:05/09/26
The score is held back primarily by weak financial quality—ongoing losses, sustained cash burn, and reduced balance-sheet flexibility from higher leverage and shrinking equity. Offsetting this, technical momentum is moderately positive and the latest earnings update shows strong commercial/regulatory execution with a solid cash runway, while valuation support is limited due to negative earnings and no dividend.
Positive Factors
Revenue scaling & gross margins
Sustained top-line expansion alongside very high gross margins indicates strong product-market fit and attractive unit economics for IMCIVREE. Durable recurring revenue from chronic therapy and high per-unit margin support long-term profitability potential if Rhythm converts scale into operating leverage and controls opex growth.
Negative Factors
Persistent cash burn
Meaningful negative operating and free cash flow persistent over multiple years means Rhythm must rely on external capital unless operating losses narrow. Chronic cash burn constrains flexibility, increases dilution or refinancing risk, and raises the bar for commercial execution to sustainably convert high gross margins into net cash profitability.
Read all positive and negative factors
Positive Factors
Negative Factors
Revenue scaling & gross margins
Sustained top-line expansion alongside very high gross margins indicates strong product-market fit and attractive unit economics for IMCIVREE. Durable recurring revenue from chronic therapy and high per-unit margin support long-term profitability potential if Rhythm converts scale into operating leverage and controls opex growth.
Read all positive factors

Rhythm Pharmaceuticals Key Performance Indicators (KPIs)

Any
Any
Revenue by Segment
Revenue by Segment
Breaks revenue into sources such as product sales, partnerships, milestones, and royalties to show whether the company relies on a single drug, partner agreements, or recurring product income. A business skewed toward one-time milestones or a single product carries higher execution and commercialization risk, while diversified or recurring revenue points to more sustainable cash flow and clearer paths to profitability.
Chart InsightsProduct revenue is the clear and growing revenue engine, roughly doubling over the period as IMCIVREE adoption expands domestically and internationally. The isolated -$5.0M 'License' print in Q1'25 looks like a one‑off accounting adjustment rather than a demand signal. Management cites continued patient growth, geographic expansion and an imminent AHO regulatory catalyst, but inventory build and a planned ~35% OpEx increase for 2026 plus reimbursement timing mean near‑term top‑line volatility and margin pressure even as commercial momentum continues.
Data provided by:The Fly

Rhythm Pharmaceuticals (RYTM) vs. SPDR S&P 500 ETF (SPY)

Rhythm Pharmaceuticals Business Overview & Revenue Model

Company Description
Rhythm Pharmaceuticals, Inc., a commercial-stage biopharmaceutical company, focuses on the development and commercialization of therapeutics for the treatment of rare genetic diseases of obesity. The company's lead product candidate is IMCIVREE, a...
How the Company Makes Money
Rhythm primarily makes money by selling IMCIVREE (setmelanotide). Revenue is generated from product sales to specialty distributors/wholesalers and other customers in the markets where IMCIVREE is commercialized; the net amount recognized is affec...

Rhythm Pharmaceuticals Earnings Call Summary

Earnings Call Date:May 05, 2026
(Q1-2026)
|
% Change Since: |
Next Earnings Date:Aug 11, 2026
Earnings Call Sentiment Positive
The call presented a largely positive commercial and regulatory picture: sequential revenue growth (5%), strong international acceleration (27% QoQ outside U.S.), an encouraging early HO launch (150+ start forms, broad prescriber base), EU marketing authorization and a progressing Japan filing, supported by a solid cash runway (~$341M). Offsetting these positives are meaningful increases in operating expenses (notably SG&A up ~62.7% YoY), ongoing GAAP losses (Q1 EPS -$0.83) and near-term variability and uncertainty tied to payer policy timing, inventory effects and the pace of clinical-to-commercial conversions. Overall, the operational momentum and regulatory wins outweigh the financial and execution risks highlighted for the near term.
Positive Updates
Quarterly Revenue Growth
Global net revenues of $60.1M in Q1 2026, representing 5% sequential growth from $57M in Q4 2025. 61% of Q1 revenue was generated in the United States.
Negative Updates
GAAP Loss and Cash Burn
GAAP net loss per share of $0.83 in Q1 2026 and cash used in operations of approximately $44.2M during the quarter.
Read all updates
Q1-2026 Updates
Negative
Quarterly Revenue Growth
Global net revenues of $60.1M in Q1 2026, representing 5% sequential growth from $57M in Q4 2025. 61% of Q1 revenue was generated in the United States.
Read all positive updates
Company Guidance
Rhythm reiterated full‑year 2026 non‑GAAP operating expense guidance of $385–415 million (comprised of non‑GAAP R&D ~$197–213M and non‑GAAP SG&A ~$188–202M) and said non‑GAAP operating expenses are expected to rise through 2026 due to CMC and clinical supply investments; Q1 results included $60.1M global net revenue (+5% sequential from $57M) with 61% U.S. contribution and non‑U.S. revenue $23.2M (+27% Q/Q from $18.3M), gross‑to‑net (U.S.) 84%, COGS 11.9% of product revenue, R&D $41.7M (vs $37.0M a year ago), SG&A $63.6M (vs $39.1M a year ago; +$6.1M QoQ), total operating expenses ≈$105.3M (including $23.1M stock‑based comp), non‑GAAP op exp Q1 $82.2M, GAAP loss per share $0.83 (weighted avg shares 68M), cash used in operations ~$44.2M, and cash, cash equivalents and short‑term investments ~$341M (expected runway ≥24 months); commercial/timing guidance included an 8% QoQ increase in patients on reimbursed therapy, >150 HO start forms in six weeks (≈110 unique prescribers; ~80% new prescribers; ~40 from trial conversions), expectation that HO‑specific payer policies will take ~3–9 months, G‑BA process ~6–9 months with EU launches planned in 2027, anticipated Japan approval/launch by end‑2026, and a target to begin a Phase III trial of bivamelagon in HO by end‑2026 with clinical data updates (Dr. Miller PWS 6‑month data at Endo in June, 718 midyear, Part C HO on the Q2 call).

Rhythm Pharmaceuticals Financial Statement Overview

Summary
Strong revenue scaling and very high gross margins are positives, but the business remains deeply unprofitable with persistent cash burn. Balance sheet flexibility is pressured by rising leverage (debt-to-equity ~1.85x) and declining equity, while TTM operating and free cash flow are meaningfully negative.
Income Statement
44
Neutral
Balance Sheet
38
Negative
Cash Flow
32
Negative
BreakdownTTMDec 2025Dec 2024Dec 2023Dec 2022Dec 2021
Income Statement
Total Revenue217.16M189.76M130.13M77.43M23.64M3.15M
Gross Profit194.16M170.26M116.76M68.13M21.50M2.56M
EBITDA-182.86M-174.12M-238.09M-168.46M-174.25M-68.45M
Net Income-202.68M-196.54M-260.60M-184.68M-181.12M-69.61M
Balance Sheet
Total Assets442.32M481.19M392.27M332.75M382.48M329.52M
Cash, Cash Equivalents and Short-Term Investments340.63M388.95M320.56M275.85M333.29M294.86M
Total Debt227.02M246.47M3.94M1.26M1.94M2.55M
Total Liabilities319.41M342.13M227.72M162.99M118.22M45.37M
Stockholders Equity122.91M139.07M164.55M169.76M264.26M284.15M
Cash Flow
Free Cash Flow-120.46M-116.63M-113.88M-136.20M-177.71M-151.44M
Operating Cash Flow-119.51M-115.67M-113.88M-136.16M-173.43M-146.00M
Investing Cash Flow-104.91M-137.15M-48.17M-5.67M28.03M-62.16M
Financing Cash Flow180.06M217.96M191.24M74.37M213.83M166.48M

Rhythm Pharmaceuticals Technical Analysis

Technical Analysis Sentiment
Neutral
Last Price88.69
Price Trends
50DMA
91.44
Negative
100DMA
99.06
Negative
200DMA
98.20
Negative
Market Momentum
MACD
-0.81
Negative
RSI
51.91
Neutral
STOCH
68.96
Neutral
Evaluating momentum and price trends is crucial in stock analysis to make informed investment decisions. For RYTM, the sentiment is Neutral. The current price of 88.69 is above the 20-day moving average (MA) of 85.20, below the 50-day MA of 91.44, and below the 200-day MA of 98.20, indicating a neutral trend. The MACD of -0.81 indicates Negative momentum. The RSI at 51.91 is Neutral, neither overbought nor oversold. The STOCH value of 68.96 is Neutral, not indicating any strong overbought or oversold conditions. Overall, these indicators collectively point to a Neutral sentiment for RYTM.

Rhythm Pharmaceuticals Risk Analysis

Rhythm Pharmaceuticals disclosed 72 risk factors in its most recent earnings report. Rhythm Pharmaceuticals reported the most risks in the "Tech & Innovation" category.
Finance & Corporate - Financial and accounting risks. Risks related to the execution of corporate activity and strategy
Latest Risks Added 0 New Risks

Rhythm Pharmaceuticals Peers Comparison

Overall Rating
UnderperformOutperform
Sector (51)
Financial Indicators
Name
Overall Rating
Market Cap
P/E Ratio
ROE
Dividend Yield
Revenue Growth
EPS Growth
73
Outperform
$6.51B60.6587.36%81.26%1079.73%
61
Neutral
$5.23B-32.35-29.22%64.66%-66.81%
56
Neutral
$9.31B-9.86139.66%450.60%-28.90%
54
Neutral
$224.88M-2.17-36.99%
52
Neutral
$6.26B-26.56-203.25%58.67%-11.45%
51
Neutral
$7.86B-0.30-43.30%2.27%22.53%-2.21%
46
Neutral
$9.70B-8.98-165.19%
* Healthcare Sector Average
Performance Comparison
Ticker
Company Name
Price
Change
% Change
RYTM
Rhythm Pharmaceuticals
93.72
36.44
63.62%
CYTK
Cytokinetics
77.22
47.22
157.40%
TGTX
TG Therapeutics
42.65
9.25
27.69%
LEGN
Legend Biotech
28.67
0.87
3.13%
RNA
Atrium Therapeutics, Inc.
13.30
-1.45
-9.83%
ABVX
Abivax SA Sponsored ADR
121.91
115.81
1898.52%

Rhythm Pharmaceuticals Corporate Events

Business Operations and StrategyProduct-Related AnnouncementsRegulatory Filings and Compliance
Rhythm Pharmaceuticals Gains EMA Backing for IMCIVREE Expansion
Positive
Mar 26, 2026
On March 26, 2026, Rhythm Pharmaceuticals reported that the EMA’s Committee for Medicinal Products for Human Use issued a positive opinion backing an expansion of IMCIVREE’s marketing authorization. The proposed label would cover treat...
Business Operations and StrategyProduct-Related Announcements
Rhythm Wins FDA Nod for Hypothalamic Obesity Therapy
Positive
Mar 20, 2026
On March 19, 2026, Rhythm Pharmaceuticals reported that the U.S. Food and Drug Administration approved an expanded indication for its MC4R agonist IMCIVREE (setmelanotide) to treat acquired hypothalamic obesity in adults and children aged four and...
Business Operations and Strategy
Rhythm Pharmaceuticals Reports Mixed Phase 3 EMANATE Results
Negative
Mar 16, 2026
On March 16, 2026, Rhythm Pharmaceuticals reported topline data from EMANATE, a global Phase 3 trial of setmelanotide in four rare, genetically driven obesity subgroups, showing that none of the substudies met the pre-specified primary endpoint of...
Business Operations and StrategyProduct-Related AnnouncementsRegulatory Filings and Compliance
Rhythm Highlights Positive Phase 3 Data in Hypothalamic Obesity
Positive
Mar 2, 2026
On March 1, 2026, Rhythm Pharmaceuticals reported additional 52-week data from its global Phase 3 TRANSCEND trial of setmelanotide in acquired hypothalamic obesity, expanding the pivotal dataset to 142 patients, including 12 from Japan and 10 supp...
Glossary
BuyA stock rated as a "Buy" is expected to perform better than the overall market or a specific benchmark over the near-to-medium term. This rating suggests the stock is likely to deliver higher returns compared to other stocks in the same sector or market index. Note: This is not investment advice; please consult a financial advisor before making investment decisions.
HoldA stock rated as a "Hold" is expected to perform in line with the overall market or a specific benchmark. This rating indicates that the stock is neither particularly compelling nor unfavorable for investment. Note: This is not investment advice; please consult a financial advisor before making investment decisions.
SellA stock rated as a "Sell" is expected to perform worse than the overall market or a specific benchmark over the near-to-medium term. This rating suggests the stock may deliver lower returns compared to other stocks in the same sector or market index. Note: This is not investment advice; please consult a financial advisor before making investment decisions.

Disclaimer

This AI Analyst Stock Report is automatically generated by our AI systems using advanced algorithms and publicly available financial, technical, and market data. While the information provided aims to be accurate and insightful, it is intended for informational purposes only and should not be considered financial advice. Any content created by an AI (Artificial Intelligence) system may contain inaccuracies and/or contain errors. Investing in stocks carries inherent risks, and past performance is not indicative of future results. This report does not account for your personal financial circumstances, objectives, or risk tolerance. Always conduct your own research or consult with a qualified financial advisor before making investment decisions. The analysis and recommendations provided are based on historical and current data and may not fully reflect future market conditions or unexpected developments. Neither the creators of this report nor its affiliated entities guarantee the accuracy, completeness, or reliability of the information presented. Use this report at your own discretion and risk.Date of analysis: May 09, 2026