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Agios' Q4 Loss Wider Than Expected, Pyrukynd Drives Revenues

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Agios Pharmaceuticals AGIO incurred a loss of $1.74 per share in the fourth quarter of 2024, wider than the Zacks Consensus Estimate of a loss of $1.73. In the year-ago quarter, the company had reported a loss per share of $1.72.

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AGIO reported revenues of $10.7 million for the fourth quarter, which marginally beat the Zacks Consensus Estimate of $10 million. Revenues increased 51% from the year-ago quarter’s figure of $7.1 million.

In the past year, shares of Agios have rallied 24.2% against the industry’s decline of 3.6%.

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More on AGIO's Q4 Earnings

In the fourth quarter, revenues were generated entirely from product revenues of Agios’ only marketed drug, Pyrukynd (mitapivat), which was approved for treating hemolytic anemia in adults with pyruvate kinase (PK) deficiency in the United States and the EU in 2022.

Pyrukynd revenues were up 20% sequentially, driven by year-end stocking and adjustments to certain revenue reserves. Per management, a total of 130 patients are on Pyrukynd therapy, up 2.4% from third-quarter 2024 levels.

Research & development expenses increased 6.8% year over year to $82.8 million, owing to higher workforce-related expenses.

Selling, general and administrative expenses increased 46.5% year over year to $51.7 million. The increase was due to the company’s commercial preparations for a potential launch of Pyrukynd in the thalassemia indication.

As of Dec. 31, 2024, cash, cash equivalents and marketable securities totaled $1.5 billion compared with $1.7 billion as of Sept. 30, 2024.

AGIO's Full-Year Results

For 2024, Agios generated revenues of $36.5 million, which reflected a 36.1% increase year over year.

For the same period, the company reported earnings of $11.64 per share against a loss of $6.33 per share in the year-ago period.

AGIO's Recent Pipeline Development Activities

Agios’ lead PK activator, Pyrukynd, is the first disease-modifying therapy approved to treat adults with PK deficiency, a rare and debilitating blood disorder.

Apart from PK deficiency, Pyrukynd is also being developed for other hemolytic anemias, including sickle cell disease (SCD) and thalassemia, in several label expansion studies.

The FDA accepted AGIO’s supplemental new drug application (sNDA) seeking label expansion for Pyrukynd for treating adult patients with non-transfusion-dependent and transfusion-dependent alpha- or beta-thalassemia in January 2025.

A final decision is expected by Sept. 7, 2025. If approved, Pyrukynd will become the first oral therapy for use in all thalassemia subtypes.