IONS

IONS Earnings Preview

Ionis Pharmaceuticals, Inc. · Healthcare · $12B

8d until earnings

IONS Earnings

Wednesday, Apr 29 2026
EPS Estimate
$-0.78
$-0.96 – $-0.42
Revenue Estimate
$197M
Current Price
$74.87

Our Position

bullish · high

Three drug launches in 2026 kick off triglyceride expansion

structured data est. revisions stable (-0.7pp / 30d)

This is a pivot from biotech volatility to near-term revenue inflection. The TRYNGOLZA traction ($108M in year one) proves market demand for triglyceride-lowering therapies exists and scales fast. Olezarsen targets severe hypertriglyceridemia, a subset of the same patient population—essentially letting Ionis double its addressable market with a single indication. The company's raised peak sales guidance to over $2 billion for the combined FCS/sHTG opportunity isn't just optimism; it's grounded in live commercial execution and a 200-rep launch team. Three approvals in one year moves Ionis from single-product risk to portfolio diversification.

Watch: The June 30 PDUFA decision for olezarsen is the near-term catalyst—a binary that could unlock peak sales ramp and validate the $2 billion market thesis. Watch the Q3 2026 earnings call for olezarsen launch uptake and revised revenue guidance; that readout will determine whether this pivot is execution-driven or optimistic.

Data Signal Summary

0 bullish
4 bearish
Estimates down -30% Insider selling cluster Put/call 23.2 (bearish skew) Price downtrend

Key Context

Insider Activity
selling
Price Trend
downtrend
From 52w High
-1.4%
Est. Revisions (30d)
-30.3% 0up/2dn
Analyst Target (mean)
$97 $47–$120 +29%
Options P/C Ratio
23.23
Est. Dispersion
69% 6 analysts
Insider Cluster
strong sell
Fund Convergence
strong D.E. Shaw, Two Sigma, Citadel, Renaissance, Bridgewater

Recent Activity

insider trades 156 transactions
Sell · DEVERS SHANNON L (Officer) ·6,193 shares ·$458,613
Sell · KLEIN JOSEPH S III (Director) ·22,321 shares ·$1,686,302
Exercise · KLEIN JOSEPH S III (Director) ·22,321 shares ·$880,707
Sell · SCHNEIDER EUGENE (Officer) ·5,812 shares ·$412,486
Sell · HOUGEN ELIZABETH L (Chief Financial Officer) ·225,220 shares ·$16,313,676
151 more
Exercise · HOUGEN ELIZABETH L ·174,999 shr ·$8,989,092
Sell · MONIA BRETT P ·160,773 shr ·$12,114,155
Exercise · MONIA BRETT P ·148,454 shr ·$9,039,364
Sell · JENNE KYLE ·37,277 shr ·$2,827,325
Exercise · JENNE KYLE ·37,277 shr ·$1,665,128
Sell · O'NEIL PATRICK R ·10,148 shr ·$763,662
Sell · LOSCALZO JOSEPH ·1,032 shr ·$82,833
Exercise · LOSCALZO JOSEPH ·1,032 shr ·$39,278
Sell · BAROLDI JOSEPH ·6,659 shr ·$530,987
Exercise · BAROLDI JOSEPH ·2,138 shr ·$95,281
Sell · DEVERS SHANNON L ·20,106 shr ·$1,596,433
Exercise · DEVERS SHANNON L ·20,106 shr ·$723,254
Sell · KLEIN JOSEPH S III ·21,332 shr ·$1,696,181
Exercise · KLEIN JOSEPH S III ·16,000 shr ·$652,120
Sell · BENNETT C FRANK ·85,089 shr ·$6,741,669
Exercise · BENNETT C FRANK ·65,089 shr ·$3,497,531
Sell · DIAZ ALLENE M. ·54,878 shr ·$4,354,428
Exercise · DIAZ ALLENE M. ·40,321 shr ·$1,601,607
Sell · SWAYZE ERIC E ·15,642 shr ·$1,278,914
Sell · PARSHALL B LYNNE ·5,000 shr ·$413,588
Sell · MONIA BRETT P ·29,430 shr ·$2,524,820
Sell · BENNETT C FRANK ·85,089 shr ·$7,056,216
Sell · SCHNEIDER EUGENE ·6,179 shr ·$515,630
Sell · BIRCHLER BRIAN ·6,179 shr ·$513,048
Sell · MONIA BRETT P ·62,970 shr ·$5,208,979
Sell · BENNETT C FRANK ·5,885 shr ·$488,141
Sell · HOUGEN ELIZABETH L ·6,988 shr ·$581,702
Sell · O'NEIL PATRICK R ·6,179 shr ·$516,153
Sell · SWAYZE ERIC E ·6,179 shr ·$512,446
Sell · BAROLDI JOSEPH ·5,296 shr ·$439,364
Award · SCHNEIDER EUGENE ·11,991 shr
Award · BIRCHLER BRIAN ·11,991 shr
Award · MONIA BRETT P ·122,214 shr
Award · BENNETT C FRANK ·11,421 shr
Award · HOUGEN ELIZABETH L ·13,562 shr
Award · O'NEIL PATRICK R ·11,991 shr
Award · SWAYZE ERIC E ·11,991 shr
Award · BAROLDI JOSEPH ·10,278 shr
Sell · DEVERS SHANNON L ·3,977 shr ·$323,490
Sell · SCHNEIDER EUGENE ·9,302 shr ·$703,138
Sell · BIRCHLER BRIAN ·8,480 shr ·$636,933
Sell · DEVERS SHANNON L ·8,353 shr ·$634,410
Sell · KORDASIEWICZ HOLLY B ·4,141 shr ·$313,308
Sell · MONIA BRETT P ·44,034 shr ·$3,294,624
Sell · BENNETT C FRANK ·8,977 shr ·$674,622
Sell · HOUGEN ELIZABETH L ·12,922 shr ·$971,993
Sell · O'NEIL PATRICK R ·9,191 shr ·$697,045
Sell · JENNE KYLE ·1,823 shr ·$138,475
Sell · SWAYZE ERIC E ·9,933 shr ·$748,383
Sell · BAROLDI JOSEPH ·8,056 shr ·$610,276
Other · SCHNEIDER EUGENE ·21,685 shr
Other · BIRCHLER BRIAN ·20,089 shr
Other · DEVERS SHANNON L ·17,377 shr
Other · KORDASIEWICZ HOLLY B ·11,119 shr
Other · MONIA BRETT P ·89,145 shr
Other · YANG MICHAEL J. ·1,930 shr
Other · BENNETT C FRANK ·21,055 shr
Other · HOUGEN ELIZABETH L ·28,729 shr
Other · O'NEIL PATRICK R ·21,473 shr
Other · JENNE KYLE ·7,013 shr
Other · SWAYZE ERIC E ·21,477 shr
Other · BAROLDI JOSEPH ·19,887 shr
Sell · DEVERS SHANNON L ·44,199 shr ·$3,760,577
Exercise · DEVERS SHANNON L ·44,199 shr ·$2,265,415
Sell · SWAYZE ERIC E ·23,463 shr ·$1,856,325
Exercise · SWAYZE ERIC E ·23,463 shr ·$1,428,662
Sell · WENDER JOSEPH H. ·28,000 shr ·$2,262,848
Sell · DEVERS SHANNON L ·16,777 shr ·$1,357,442
Exercise · DEVERS SHANNON L ·16,777 shr ·$902,099
Sell · KLEIN JOSEPH S III ·12,000 shr ·$960,000
Other · KLEIN JOSEPH S III ·12,000 shr
Sell · HERMAN JOAN E ·44,000 shr ·$3,173,830
Exercise · HERMAN JOAN E ·44,000 shr ·$2,525,400
Exercise · WENDER JOSEPH H. ·16,000 shr ·$390,720
Sell · BIRCHLER BRIAN ·8,000 shr ·$609,379
Sell · GEARY RICHARD S ·34,639 shr ·$2,621,816
Exercise · GEARY RICHARD S ·34,639 shr ·$2,045,308
Sell · GEARY RICHARD S ·90,929 shr ·$6,829,431
Exercise · GEARY RICHARD S ·70,929 shr ·$4,172,678
Sell · LOSCALZO JOSEPH ·16,000 shr ·$1,201,669
Exercise · LOSCALZO JOSEPH ·16,000 shr ·$835,520
Sell · WENDER JOSEPH H. ·28,000 shr ·$2,072,578
Sell · DEVERS SHANNON L ·7,263 shr ·$530,638
Sell · SWAYZE ERIC E ·53 shr ·$3,902
Sell · BIRCHLER BRIAN ·23,900 shr ·$1,723,987
Exercise · BIRCHLER BRIAN ·23,900 shr ·$1,285,103
Exercise · DEVERS SHANNON L ·8,820 shr ·$291,060
Other · SWAYZE ERIC E ·125 shr
Sell · PARSHALL B LYNNE ·5,000 shr ·$358,722
Sell · MONIA BRETT P ·437 shr ·$30,268
Sell · O'NEIL PATRICK R ·13,441 shr ·$937,338
Exercise · O'NEIL PATRICK R ·10,200 shr ·$539,274
Sell · SWAYZE ERIC E ·6,849 shr ·$472,718
Sell · BAROLDI JOSEPH ·1,625 shr ·$112,725
Sell · O'NEIL PATRICK R ·64,664 shr ·$4,377,054
Exercise · O'NEIL PATRICK R ·64,664 shr ·$3,813,257
Sell · SWAYZE ERIC E ·27,114 shr ·$1,793,744
Exercise · SWAYZE ERIC E ·27,114 shr ·$1,457,920
Sell · BAROLDI JOSEPH ·15,000 shr ·$1,020,210
Exercise · BAROLDI JOSEPH ·15,000 shr ·$477,000
Sell · WENDER JOSEPH H. ·16,800 shr ·$1,100,385
Exercise · GEARY RICHARD S ·57,900 shr ·$3,113,283
Sell · HOUGEN ELIZABETH L ·49,800 shr ·$3,249,734
Exercise · HOUGEN ELIZABETH L ·49,800 shr ·$2,677,746
Sell · GEARY RICHARD S ·57,900 shr ·$3,777,668
Sell · O'NEIL PATRICK R ·25,300 shr ·$1,634,921
Exercise · O'NEIL PATRICK R ·25,300 shr ·$1,436,534
Sell · O'NEIL PATRICK R ·1,700 shr ·$109,787
Exercise · O'NEIL PATRICK R ·1,700 shr ·$96,526
Sell · O'NEIL PATRICK R ·21,000 shr ·$1,355,661
Exercise · O'NEIL PATRICK R ·21,000 shr ·$1,274,580
Sell · BAROLDI JOSEPH ·11,950 shr ·$742,838
Exercise · BAROLDI JOSEPH ·11,950 shr ·$380,010
Sell · BENNETT C FRANK ·6,000 shr ·$357,581
Sell · BAROLDI JOSEPH ·250 shr ·$15,500
Exercise · BAROLDI JOSEPH ·250 shr ·$7,950
Sell · SCHNEIDER EUGENE ·19,658 shr ·$1,195,421
Exercise · SCHNEIDER EUGENE ·19,658 shr ·$1,057,011
Sell · DEVERS SHANNON L ·3,162 shr ·$192,943
Exercise · DEVERS SHANNON L ·3,162 shr ·$114,207
Sell · MONIA BRETT P ·203,814 shr ·$12,294,703
Exercise · MONIA BRETT P ·203,814 shr ·$9,032,039
Exercise · KLEIN JOSEPH S III ·28,000 shr ·$1,312,720
Sell · KLEIN JOSEPH S III ·28,000 shr ·$1,680,000
Exercise · KLEIN JOSEPH S III ·28,000 shr ·$1,350,080
Sell · BENNETT C FRANK ·51,800 shr ·$3,094,060
Exercise · BENNETT C FRANK ·46,800 shr ·$2,516,436
Sell · LOSCALZO JOSEPH ·16,000 shr ·$962,371
Exercise · LOSCALZO JOSEPH ·16,000 shr ·$390,720
Sell · O'NEIL PATRICK R ·89,900 shr ·$5,396,843
Exercise · O'NEIL PATRICK R ·89,900 shr ·$4,054,726
Sell · BAROLDI JOSEPH ·32,800 shr ·$1,946,220
Exercise · BAROLDI JOSEPH ·32,800 shr ·$1,043,040
Sell · WENDER JOSEPH H. ·28,000 shr ·$1,612,155
Sell · GEARY RICHARD S ·10,000 shr ·$503,671
Sell · SWAYZE ERIC E ·11,130 shr ·$552,862
Sell · PARSHALL B LYNNE ·20,000 shr ·$1,018,298
Sell · DIAZ ALLENE M. ·1,427 shr ·$60,687
Sell · BENNETT C FRANK ·10,000 shr ·$439,776
Exercise · BENNETT C FRANK ·10,000 shr ·$326,000
Sell · PARSHALL B LYNNE ·5,000 shr ·$209,646
Sell · GEARY RICHARD S ·10,000 shr ·$428,593
Sell · SCHNEIDER EUGENE ·9,549 shr ·$408,701
Sell · MONIA BRETT P ·2,432 shr ·$109,440
Sell · BAROLDI JOSEPH ·5,619 shr ·$418,953
Sell · BIRCHLER BRIAN ·973 shr ·$73,016
Sell · JENNE KYLE ·4,902 shr ·$368,488
Other · BAROLDI JOSEPH ·10,837 shr
Other · BIRCHLER BRIAN ·1,875 shr
Other · JENNE KYLE ·12,226 shr
Sell · PARSHALL B LYNNE ·5,000 shr ·$381,367