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Maurice Riario

Research Analyst at Guggenheim Securities

Maurice Riario's questions to IONIS PHARMACEUTICALS (IONS) leadership

Question · Q4 2025

Maurice Riario, on behalf of Debjit, asked if the previously stated $20,000 net price for TRYNGOLZA in sHTG remains the base case assumption. He also requested an update on Ionis's blood-brain barrier (BBB) penetrating platforms, specifically VHH and Bicycle delivery systems, and when updates can be expected.

Answer

Kyle Jenne, Chief Global Product Strategy Officer, confirmed that the $20,000 net price was assumed in the greater than $2 billion peak sales estimate, but the final pricing is pending payer research. Brett Monia, CEO, reported excellent progress on BBB work, with the first wholly-owned VHH molecule in manufacturing and IND-supporting toxicology studies anticipated later this year. He expects an update on the BBB strategy in the second half of this year.

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Question · Q4 2025

Maurice Riario followed up on TRYNGOLZA sHTG pricing, asking if the previously assumed $20,000 net price remains the base case. He also inquired about updates on Ionis's blood-brain barrier (BBB) penetrating platforms, specifically VHH and Bicycle delivery systems, and the expected timeline for updates.

Answer

CEO Brett Monia confirmed that the $20,000 net price is still consistent with the greater than $2 billion peak sales estimate, with final pricing details to be provided after payer research. He also stated that the BBB work is progressing well, with the first wholly-owned VHH molecule in manufacturing and IND-supporting toxicology studies anticipated later this year. Updates on the BBB strategy are expected in the second half of this year.

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