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Intellia Therapeutics, Inc. (NTLA)·Q3 2025 Earnings Summary
Executive Summary
- Q3 revenue was $13.8M and diluted EPS was $(0.92); revenue modestly missed Wall Street consensus while EPS beat: Revenue actual $13.82M vs consensus $14.13M; EPS actual $(0.92) vs consensus $(1.00). Bold miss/beat: Revenue miss, EPS beat [*S&P Global].
- FDA placed a clinical hold on Phase 3 MAGNITUDE and MAGNITUDE-2 trials of nex-z following a Grade 4 liver event; Intellia disclosed the dosed patient died on Nov 5, intensifying regulatory and safety overhangs .
- Lonvo-z (NTLA-2002) execution remained strong: Phase 3 HAELO enrollment completed in Sept; pooled Phase 1/2 50mg data showed 97% attack-free and LTP-free status with up to three years’ follow-up; topline mid-2026 guidance maintained; BLA planned for 2H26, potential U.S. launch 1H27 .
- Cash, cash equivalents and marketable securities were $669.9M; runway into mid-2027, buttressed by $114.5M ATM issuance in Q3 .
- Stock reaction: shares fell ~42% on Oct 27 after the trial pause and later dropped ~23% on Nov 7 after the death disclosure, with further analyst downgrades; regulatory resolution and safety narrative are primary trading catalysts .
What Went Well and What Went Wrong
What Went Well
- Lonvo-z durability and efficacy: pooled 50mg data showed deep kallikrein reductions (mean 89% at month 24) with 97% of patients attack-free and LTP-free; safety profile remained well-tolerated up to three years .
- Phase 3 HAELO execution: enrollment completed in September 2025; company reaffirmed topline mid-2026, BLA 2H26, and U.S. commercial launch target in 1H27 .
- Management tone on ATTR Phase 1 longer-term data: “It’s remarkable that even in patients with advanced heart failure… disease stabilization or improvement was observed out to 24 months” (John Leonard, M.D.) .
What Went Wrong
- FDA clinical hold on MAGNITUDE/MAGNITUDE-2 after Grade 4 liver transaminase/bilirubin elevations; subsequent patient death intensified regulatory scrutiny and raised questions about commercial viability .
- Milestone guidance for nex-z suspended pending regulatory alignment; uncertainty on timelines and risk mitigation plans weighs on estimates and investor confidence .
- Q3 revenue modestly missed consensus, reflecting timing of collaboration reimbursements; while EPS beat on lower OpEx and other income, topline miss amid a safety hold challenges near-term sentiment [*S&P Global].
Financial Results
Note: Asterisked EPS actuals for Q1/Q2 reflect SPGI values due to limited EPS disclosure in company press; Values retrieved from S&P Global.
Q3 vs Estimates (Wall Street Consensus):
Note: Values retrieved from S&P Global.
KPIs and Balance Sheet
Guidance Changes
Earnings Call Themes & Trends
Management Commentary
- “We were deeply saddened to learn that the patient… passed away last night… we are working with clinical investigators and external experts to better understand the liver-related events… and to develop our risk mitigation plan.” — John M. Leonard, M.D., CEO .
- “We continue to believe in nex-z’s potential to address important unmet needs for patients with ATTR amyloidosis.” — John M. Leonard, M.D. .
- “Today’s data further support our belief that lonvo-z could completely redefine the HAE treatment landscape… We are looking forward to our approaching topline readout… by mid-2026.” — John M. Leonard, M.D. .
- “These longer-term [nex-z] data showed a consistent and durable reduction in TTR and stability or improvement in multiple markers of cardiomyopathy… out to 24 months.” — John M. Leonard, M.D. .
Q&A Highlights
- Safety signal details: Management discussed elevated ALT (~3x ULN) and bilirubin (~2x ULN) in the deceased patient (early 80s), underscoring Hy’s Law concerns and focus on enhanced early post-dose lab monitoring and patient exclusion criteria development .
- Regulatory timeline: Company awaiting formal FDA hold letter; plans to respond expeditiously and align on risk mitigation to resume Phase 3 dosing/screening .
- Lonvo-z path: reaffirmed HAELO topline mid-2026, BLA 2H26; pooled Phase 1/2 data supports one-time treatment potential and favorable benefit-risk .
- Analyst tone shifts: Multiple downgrades and lowered targets following hold and death disclosure, highlighting market skepticism and the importance of mechanistic clarity and mitigation strategy .
Estimates Context
- Q3 2025 vs consensus: Revenue $13.82M vs $14.13M (miss); EPS $(0.92) vs $(1.00) (beat). Prior quarters: Q2 revenue beat ($14.25M vs $12.16M) and EPS beat ($(0.98) vs $(1.01)); Q1 revenue beat ($16.63M vs $11.99M) and EPS beat ($(1.10) vs $(1.27)) [*S&P Global] .
- Estimate revisions likely: near-term consensus for nex-z timelines and probability of success should move lower pending FDA feedback; lonvo-z assumptions (timeline/launch) appear intact given positive execution/data .
Note: Values retrieved from S&P Global.
Key Takeaways for Investors
- Safety overhang dominates: the FDA clinical hold and disclosed death are the central drivers of NTLA’s near-term risk/reward; resolution and a credible risk mitigation/exclusion plan are necessary catalysts for recovery .
- Lonvo-z is the counterbalance: Phase 3 HAELO remains on track; durability and attack-free rates support a one-time treatment profile → preserves value despite nex-z uncertainty .
- Financial runway supports optionality: $669.9M cash and ATM proceeds extend funding into mid-2027, enabling regulatory workstreams and lonvo-z commercialization preparations .
- Trading setup: headline risk (FDA letter, additional safety disclosures, analyst downgrades) remains high; expect elevated volatility into regulatory updates; any positive FDA alignment could be a relief rally catalyst .
- Estimates recalibration: consensus should cut nex-z timelines/PoS; lonvo-z assumptions maintained; model for lower collaboration revenue variability and tighter OpEx near term .
- Strategic focus intact: management reiterated belief in nex-z’s potential and is advancing mitigation strategies; longer-term Phase 1 ATTR-CM data remain supportive despite the Phase 3 safety signal .
- Actionable: monitor FDA formal hold letter and subsequent company response; track upcoming scientific presentations (AHA/ACAAI) and HAELO milestones; use weakness to reassess risk-adjusted lonvo-z value while applying higher discount to nex-z pending clarity .
Non-GAAP: Company primarily reports GAAP metrics; no separate non-GAAP adjustments disclosed in Q3 press materials **[1652130_0001193125-25-269479_d53244dex991.htm:2]** **[1652130_0001193125-25-269479_d53244dex991.htm:4]**.
Sources: Q3 2025 8-K press release and exhibits ; other Q3 press releases ; Oct 27 update ; FDA hold and coverage ; patient death and call details ; stock reaction . Values retrieved from S&P Global for estimates and certain EPS actuals.