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Rhythm Pharmaceuticals Inc (RYTM)
NASDAQ:RYTM

Rhythm Pharmaceuticals (RYTM) AI Stock Analysis

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RYTM

Rhythm Pharmaceuticals

(NASDAQ:RYTM)

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Neutral 53 (OpenAI - 5.2)
Rating:53Neutral
Price Target:
$115.00
▲(8.43% Upside)
The score is held back primarily by weak financial fundamentals (ongoing losses/negative ROE and negative operating cash flow) and bearish technicals (below major moving averages with negative MACD). These are partially offset by positive earnings-call guidance and sentiment around sales growth and upcoming regulatory/clinical catalysts, plus supportive recent corporate updates.
Positive Factors
Strong revenue growth and high gross margin
Sustained revenue growth alongside an unusually high gross margin indicates the core product, IMCIVREE, benefits from strong pricing power and low COGS. This supports durable cash generation potential from sales, enabling reinvestment into trials and commercialization as uptake expands.
Regulatory progress and pipeline breadth
Acceptance of filings and a defined PDUFA timeline for acquired hypothalamic obesity, plus planned Phase 3 programs and oral-agent development, materially deepen the company’s addressable patient populations. Successful approvals would sustainably expand the rare-obesity franchise.
Improved liquidity and operational runway
A sizeable equity raise meaningfully reduces near-term financing risk, allowing the company to fund ongoing Phase 3 trials and commercial expansion without immediate dependence on external debt. This preserves strategic optionality to advance indications and launches.
Negative Factors
Persistent unprofitability and negative operating cash flow
Ongoing losses and negative operating cash flow constrain the firm’s ability to self-fund growth and increase dependence on capital markets. Over multiple quarters, this can pressure strategic flexibility, raise dilution risk, and force prioritization among costly late-stage programs.
International reimbursement variability
Reimbursement complexities and one-time pricing charges in international markets demonstrate execution risk expanding beyond the U.S. Long-term revenue scaling depends on securing stable payer terms; variability and negotiated discounts can limit realized revenue and margin overseas.
Rising R&D burden amid multiple late-stage programs
Advancing multiple Phase 3 programs and formulation work raises structural R&D spend and cash burn. Persistent higher R&D outlays will weigh on operating margins and funding needs through pivotal readouts, requiring continued capital or rapid product revenue ramps to avoid dilution.

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

Rhythm Pharmaceuticals Business Overview & Revenue Model

Company DescriptionRhythm 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 potent melanocortin-4 receptor for the treatment of pro-opiomelanocortin (POMC), proprotein convertase subtilisin/kexin type 1, leptin receptor (LEPR) deficiency obesity, and Bardet-Biedl and Alström syndrome. It is also developing setmelanotide, which is in Phase II clinical trials for treating POMC or LEPR heterozygous deficiency obesities, steroid receptor coactivator 1 deficiency obesity, SH2B1 deficiency obesity, MC4 receptor deficiency obesity, Smith-Magenis syndrome obesity, POMC epigenetic disorders, and other MC4R disorders. Rhythm Pharmaceuticals, Inc. has a collaborative research agreement with the Clinical Registry Investigating Bardet-Biedl Syndrome. The company was formerly known as Rhythm Metabolic, Inc. and changed its name to Rhythm Pharmaceuticals, Inc. in October 2015. Rhythm Pharmaceuticals, Inc. was founded in 2008 and is headquartered in Boston, Massachusetts.
How the Company Makes MoneyRhythm Pharmaceuticals generates revenue primarily through the commercialization of its lead product, setmelanotide, which is marketed under the brand name Imcivree. The company earns income from product sales to healthcare providers and patients. Additionally, Rhythm may engage in collaborations or licensing agreements with other pharmaceutical companies to expand its reach and share in the development of new therapies or indications. Research grants and funding from government or non-profit organizations focused on obesity and metabolic disorders also contribute to its financial resources. The company's revenue model is heavily influenced by the successful uptake of its product in the market, reimbursement policies, and the growing awareness of genetic obesity disorders.

Rhythm Pharmaceuticals Earnings Call Summary

Earnings Call Date:Nov 04, 2025
(Q3-2025)
|
% Change Since: |
Next Earnings Date:Mar 04, 2026
Earnings Call Sentiment Positive
Rhythm Pharmaceuticals demonstrated strong revenue growth and regulatory progress, particularly for IMCIVREE in hypothalamic obesity. While international revenue faced challenges, the company's successful equity offering and promising data in BBS highlight a positive outlook. R&D costs are rising, but the overall sentiment remains optimistic.
Q3-2025 Updates
Positive Updates
Strong Revenue Growth
Rhythm Pharmaceuticals reported Q3 2025 revenue of $51.3 million, a 6% sequential increase from Q2 2025. The U.S. accounted for $38.2 million (74%) and international sales contributed $13.1 million (26%).
Successful Equity Offering
The company strengthened its balance sheet with a $189 million equity offering in July 2025.
Regulatory Progress for IMCIVREE
IMCIVREE's regulatory filings for acquired hypothalamic obesity were accepted by both the FDA and EMEA, with a PDUFA date set for December 20, 2025.
Promising Data in Bardet-Biedl Syndrome
A German study showed that 80% of patients with BBS experienced improvement in steatotic liver disease or stabilization at the lowest grade after 6 months of setmelanotide therapy.
Negative Updates
International Revenue Decrease
Quarter-over-quarter international revenue decreased by $3.4 million, affected by variability in named patient sales ordering patterns and a $3.2 million charge related to pricing agreements in France.
Research and Development Costs
R&D expenses increased by $3.7 million or approximately 9% over Q2 2025, primarily due to CMC work related to improving the formulation of bivamelagon.
Company Guidance
During the Rhythm Pharmaceuticals Q3 2025 earnings call, the company provided comprehensive guidance on various metrics and strategic initiatives. Rhythm reported $51.3 million in global IMCIVREE sales for the quarter, marking a 6% sequential growth, driven by a 10% increase in the number of patients on reimbursed therapy. The U.S. contributed $38.2 million to this revenue with an 84% gross-to-net ratio. Internationally, revenue was $13.1 million, though impacted by a $3.2 million one-time charge due to reimbursement agreements in France. The company highlighted its robust balance sheet, bolstered by a $189 million equity offering in July, ensuring at least 24 months of operational runway. Rhythm is preparing for the potential U.S. launch of IMCIVREE in acquired hypothalamic obesity, with a PDUFA date set for December 20, 2025, and a European launch anticipated in the second half of 2026. The company also plans to report preliminary results from its Phase II trial in Prader-Willi syndrome by year-end, with a target for a 5% BMI decrease at 52 weeks in the Phase III trial.

Rhythm Pharmaceuticals Financial Statement Overview

Summary
Revenue is growing (TTM revenue growth 11.55%) with strong gross margin (89.40%), and free cash flow growth improved (61.14%). However, profitability remains weak with negative net/EBIT margins and negative ROE, and operating cash flow is still negative.
Income Statement
45
Neutral
Rhythm Pharmaceuticals shows a positive revenue growth trend with a TTM revenue growth rate of 11.55%. However, the company is struggling with profitability, as indicated by negative net profit margins and EBIT margins. The gross profit margin remains strong at 89.40% TTM, suggesting efficient cost management, but the overall profitability is hindered by high operating expenses.
Balance Sheet
40
Negative
The balance sheet reveals a high debt-to-equity ratio of 1.56 in the previous year, which has improved to 0.00 in the TTM, indicating reduced leverage. However, the return on equity remains negative, reflecting ongoing losses. The equity ratio is not explicitly calculated, but the company's equity position appears stable relative to its assets.
Cash Flow
50
Neutral
The cash flow statement shows a significant improvement in free cash flow growth at 61.14% TTM. The operating cash flow to net income ratio is positive, suggesting some operational efficiency. However, the company still faces challenges with negative operating cash flow, indicating a need for better cash management.
BreakdownTTMDec 2024Dec 2023Dec 2022Dec 2021Dec 2020
Income Statement
Total Revenue174.33M130.13M77.43M23.64M3.15M0.00
Gross Profit155.86M116.76M68.13M21.50M2.56M-690.00K
EBITDA-169.02M-238.09M-168.46M-174.25M-68.45M-135.88M
Net Income-192.33M-260.60M-184.68M-181.12M-69.61M-130.73M
Balance Sheet
Total Assets506.87M392.27M332.75M382.48M329.52M187.07M
Cash, Cash Equivalents and Short-Term Investments416.05M320.56M275.85M333.29M294.86M172.79M
Total Debt151.00M3.94M1.26M1.94M2.55M3.09M
Total Liabilities358.06M227.72M162.99M118.22M45.37M20.55M
Stockholders Equity148.82M164.55M169.76M264.26M284.15M166.53M
Cash Flow
Free Cash Flow-109.13M-113.88M-136.20M-177.71M-151.44M-122.19M
Operating Cash Flow-109.13M-113.88M-136.16M-173.43M-146.00M-121.98M
Investing Cash Flow-146.34M-48.17M-5.67M28.03M-62.16M158.53M
Financing Cash Flow259.24M191.24M74.37M213.83M166.48M2.01M

Rhythm Pharmaceuticals Technical Analysis

Technical Analysis Sentiment
Positive
Last Price106.06
Price Trends
50DMA
105.38
Positive
100DMA
104.22
Positive
200DMA
87.83
Positive
Market Momentum
MACD
-0.38
Negative
RSI
49.52
Neutral
STOCH
82.29
Negative
Evaluating momentum and price trends is crucial in stock analysis to make informed investment decisions. For RYTM, the sentiment is Positive. The current price of 106.06 is below the 20-day moving average (MA) of 107.40, above the 50-day MA of 105.38, and above the 200-day MA of 87.83, indicating a neutral trend. The MACD of -0.38 indicates Negative momentum. The RSI at 49.52 is Neutral, neither overbought nor oversold. The STOCH value of 82.29 is Negative, not indicating any strong overbought or oversold conditions. Overall, these indicators collectively point to a Positive sentiment for RYTM.

Rhythm Pharmaceuticals Risk Analysis

Rhythm Pharmaceuticals disclosed 71 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
62
Neutral
$4.69B11.05111.96%100.88%
62
Neutral
$10.94B-17.41-32.44%106.27%-43.90%
57
Neutral
$7.90B-10.052609.26%-17.08%
53
Neutral
$7.56B-34.18-240.36%54.92%28.47%
51
Neutral
$7.86B-0.30-43.30%2.27%22.53%-2.21%
46
Neutral
$4.30B-16.93-22.60%74.91%31.54%
44
Neutral
$9.83B-38.6318.47%
* Healthcare Sector Average
Performance Comparison
Ticker
Company Name
Price
Change
% Change
RYTM
Rhythm Pharmaceuticals
106.06
51.40
94.04%
CYTK
Cytokinetics
63.44
16.45
35.00%
TGTX
TG Therapeutics
30.71
1.57
5.39%
LEGN
Legend Biotech
22.11
-9.32
-29.65%
RNA
Avidity Biosciences
72.60
44.31
156.63%
ABVX
Abivax SA Sponsored ADR
116.80
110.57
1774.80%

Rhythm Pharmaceuticals Corporate Events

Business Operations and StrategyFinancial Disclosures
Rhythm Pharmaceuticals Reports Strong Preliminary 2025 IMCIVREE Revenue
Positive
Jan 9, 2026

On January 9, 2026, Rhythm Pharmaceuticals reported preliminary, unaudited net product revenues from global sales of IMCIVREE of about $57 million for the fourth quarter of 2025, up 11% sequentially from the third quarter, and approximately $194 million for full-year 2025, a roughly 50% increase over 2024, with U.S. sales accounting for about two-thirds of the total; the company plans to release final fourth-quarter and full-year results in late February 2026. Rhythm also outlined a packed 2026 clinical and regulatory agenda centered on expanding setmelanotide into acquired and congenital hypothalamic obesity and genetically caused MC4R pathway diseases, advancing programs in Prader-Willi syndrome, and progressing its oral MC4R agonist bivamelagon and next-generation candidate RM-718, underscoring its bid to deepen its rare obesity franchise and sustain growth, although all financial figures remain preliminary and unaudited.

The most recent analyst rating on (RYTM) stock is a Buy with a $129.00 price target. To see the full list of analyst forecasts on Rhythm Pharmaceuticals stock, see the RYTM Stock Forecast page.

Executive/Board Changes
Rhythm Pharmaceuticals Announces Resignation of Board Member Bedrosian
Neutral
Dec 19, 2025

On December 16, 2025, Rhythm Pharmaceuticals announced that board member Camille L. Bedrosian, M.D. resigned from the company’s Board of Directors, effective immediately. Bedrosian, who served on the Compensation & Management Development Committee and the Governance and Nominating Committee, left her roles without any disagreement related to the company’s operations, policies or practices, suggesting the departure is not expected to signal governance or strategic conflict for stakeholders.

The most recent analyst rating on (RYTM) stock is a Buy with a $140.00 price target. To see the full list of analyst forecasts on Rhythm Pharmaceuticals stock, see the RYTM Stock Forecast page.

Business Operations and StrategyProduct-Related Announcements
Rhythm Pharmaceuticals Announces Positive Phase 2 Trial Results
Positive
Dec 11, 2025

On December 11, 2025, Rhythm Pharmaceuticals announced positive preliminary results from its exploratory Phase 2 trial of setmelanotide in patients with Prader-Willi syndrome (PWS). The trial, which enrolled 18 patients, showed potential therapeutic benefits with reductions in BMI and hyperphagia at Months 3 and 6. Encouraged by these results, Rhythm plans to advance setmelanotide into a Phase 3 trial and has initiated a Phase 1 study of another MC4R agonist, RM-718, in PWS patients. The announcement underscores the company’s commitment to addressing the unmet needs of the PWS patient population, which faces significant health challenges due to severe obesity and hyperphagia.

The most recent analyst rating on (RYTM) stock is a Buy with a $136.00 price target. To see the full list of analyst forecasts on Rhythm Pharmaceuticals stock, see the RYTM Stock Forecast page.

Product-Related AnnouncementsRegulatory Filings and Compliance
Rhythm Pharmaceuticals Faces FDA Review Extension
Neutral
Nov 7, 2025

On November 7, 2025, Rhythm Pharmaceuticals announced that the FDA extended the review period for the supplemental New Drug Application for IMCIVREE® (setmelanotide) for acquired hypothalamic obesity by three months, moving the PDUFA goal date to March 20, 2026. This extension follows the FDA’s request for additional sensitivity analyses of clinical efficacy data, which were considered a major amendment. The company remains confident in the drug’s potential and is preparing to deliver it to a patient community with no approved treatment options.

The most recent analyst rating on (RYTM) stock is a Hold with a $106.00 price target. To see the full list of analyst forecasts on Rhythm Pharmaceuticals stock, see the RYTM Stock Forecast page.

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: Jan 09, 2026