Agios Pharmaceuticals (AGIO)


Market Price (10/20/2026): $34.79 | Market Cap: $2.1 BilSector: Health Care | Industry: Biotechnology

Agios Pharmaceuticals (AGIO)


Market Price (10/20/2026): $34.79
Market Cap: $2.1 Bil
Sector: Health Care
Industry: Biotechnology

Investment Highlights Why It Matters Detailed financial logic regarding cash flow yields vs trend-riding momentum.

0

Cash is significant % of market cap
Net D/ENet Debt/Equity. Debt net of cash. Negative indicates net cash. Equity is taken as the Market Capitalization is -28%

Strong revenue growth
Rev Chg LTMRevenue Change % Last Twelve Months (LTM) is 141%

Valuation becoming less expensive
P/S 6M Chg %Price/Sales change over 6 months. Declining P/S indicates valuation has become less expensive. is -36%

Megatrend and thematic drivers
Megatrends include Precision Medicine. Themes include Targeted Therapies, Biopharmaceutical R&D, and Personalized Diagnostics.

Weak multi-year price returns
2Y Excs Rtn is -46%, 3Y Excs Rtn is -24%

Meaningful short interest
Short Interest % of Basic SharesShort Interest % of Basic Shares = (Short Interest Quantity) / (Basic Shares Outstanding). A high fraction of short interest can indicate potential risk of a short squeeze. is 12%

Not profitable at operating income level
Op Inc LTMOperating Income, Last Twelve Months is -459 Mil, Op Mgn LTMOperating Margin = Operating Income / Revenue Reflects profitability before taxes and before impact of capital structure (interest payments). is -467%

Significant share based compensation
SBC/Rev LTMShare Based Compensation / Revenue (Sales), Last Twelve Months (LTM) is 59%

Not cash flow generative
CFO/Rev LTMCash Flow from Operations / Revenue (Sales), Last Twelve Months (LTM) is -367%, FCF/Rev LTMFree Cash Flow / Revenue (Sales), Last Twelve Months (LTM) is -397%

Yield minus risk free rate is negative
ERPEquity Risk Premium (ERP) = Total Yield - Risk Free Rate, Reflects the premium above risk free assets offered by the investment. is -25%

Key risks
AGIO key risks include [1] make-or-break regulatory and clinical outcomes for its lead drug PYRUKYND, Show more.

0 Cash is significant % of market cap
Net D/ENet Debt/Equity. Debt net of cash. Negative indicates net cash. Equity is taken as the Market Capitalization is -28%
1 Strong revenue growth
Rev Chg LTMRevenue Change % Last Twelve Months (LTM) is 141%
2 Valuation becoming less expensive
P/S 6M Chg %Price/Sales change over 6 months. Declining P/S indicates valuation has become less expensive. is -36%
3 Megatrend and thematic drivers
Megatrends include Precision Medicine. Themes include Targeted Therapies, Biopharmaceutical R&D, and Personalized Diagnostics.
4 Weak multi-year price returns
2Y Excs Rtn is -46%, 3Y Excs Rtn is -24%
5 Meaningful short interest
Short Interest % of Basic SharesShort Interest % of Basic Shares = (Short Interest Quantity) / (Basic Shares Outstanding). A high fraction of short interest can indicate potential risk of a short squeeze. is 12%
6 Not profitable at operating income level
Op Inc LTMOperating Income, Last Twelve Months is -459 Mil, Op Mgn LTMOperating Margin = Operating Income / Revenue Reflects profitability before taxes and before impact of capital structure (interest payments). is -467%
7 Significant share based compensation
SBC/Rev LTMShare Based Compensation / Revenue (Sales), Last Twelve Months (LTM) is 59%
8 Not cash flow generative
CFO/Rev LTMCash Flow from Operations / Revenue (Sales), Last Twelve Months (LTM) is -367%, FCF/Rev LTMFree Cash Flow / Revenue (Sales), Last Twelve Months (LTM) is -397%
9 Yield minus risk free rate is negative
ERPEquity Risk Premium (ERP) = Total Yield - Risk Free Rate, Reflects the premium above risk free assets offered by the investment. is -25%
10 Key risks
AGIO key risks include [1] make-or-break regulatory and clinical outcomes for its lead drug PYRUKYND, Show more.

AGIO in ETFs

Weight = AGIO's share of each fund

VTI0.00%
ITOT0.00%
IWM0.06%
VB0.02%
XBI0.54%
IBB0.13%
VTWO0.06%
VBK0.06%
+10 more covered ETFs

Valuation & Metrics

Price Chart

Why The Stock Moved

Qualitative Assessment

AI Analysis | Feedback

Updated on 10/19/2026

Agios Pharmaceuticals (AGIO) stock has lost about 5% since 6/30/2026 because of the following key factors:

1. Discontinuation of Tebapivat Program in Sickle Cell Disease (SCD)

Agios Pharmaceuticals announced the discontinuation of its tebapivat program in sickle cell disease after Phase 2 data did not demonstrate a differentiated profile compared to mitapivat. This decision narrowed the company's clinical pipeline and increased its dependence on the success of mitapivat, leading to concerns about future growth drivers.

2. Heightened Reliance on Mitapivat and Associated Pipeline Risks

Following the setback with tebapivat, Agios's pipeline became more concentrated on mitapivat. While mitapivat has shown positive developments, such as the U.S. Food and Drug Administration (FDA) granting Priority Review for its supplemental New Drug Application (sNDA) in sickle cell disease with a Prescription Drug User Fee Act (PDUFA) goal date of November 1, 2026, this increased reliance magnifies the company's exposure to regulatory, clinical execution, and competitive risks associated with a less diversified pipeline.

Show more
Updated on 10/19/2026

Agios Pharmaceuticals (AGIO) stock has lost about 5% since 6/30/2026 because of the following key factors:

1. Discontinuation of Tebapivat Program in Sickle Cell Disease (SCD)

Agios Pharmaceuticals announced the discontinuation of its tebapivat program in sickle cell disease after Phase 2 data did not demonstrate a differentiated profile compared to mitapivat. This decision narrowed the company's clinical pipeline and increased its dependence on the success of mitapivat, leading to concerns about future growth drivers.

2. Heightened Reliance on Mitapivat and Associated Pipeline Risks

Following the setback with tebapivat, Agios's pipeline became more concentrated on mitapivat. While mitapivat has shown positive developments, such as the U.S. Food and Drug Administration (FDA) granting Priority Review for its supplemental New Drug Application (sNDA) in sickle cell disease with a Prescription Drug User Fee Act (PDUFA) goal date of November 1, 2026, this increased reliance magnifies the company's exposure to regulatory, clinical execution, and competitive risks associated with a less diversified pipeline.

3. Anticipation of Expected Negative Fiscal Q3 2026 Earnings

The period saw market anticipation build for Agios's fiscal Q3 2026 financial results, which were scheduled to be reported on November 5, 2026. Analysts had a consensus estimate for Q3 2026 earnings per share (EPS) at -$1.24. The expectation of continued negative earnings likely contributed to the downward pressure on the stock as investors evaluated the company's financial outlook.

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Stock Movement Drivers

Fundamental Drivers

The -6.0% change in AGIO stock from 6/30/2026 to 10/19/2026 was primarily driven by a -36.1% change in the company's P/S Multiple.
(LTM values as of)630202610192026Change
Stock Price ($)37.1134.90-6.0%
Change Contribution By: 
Total Revenues ($ Mil)669848.9%
P/S Multiple33.021.1-36.1%
Shares Outstanding (Mil)5959-1.2%
Cumulative Contribution-6.0%

LTM = Last Twelve Months as of date shown

Market Drivers

6/30/2026 to 10/19/2026
ReturnCorrelation
AGIO-6.0% 
Market (SPY)2.6%-5.5%
Sector (XLV)10.7%24.5%

Fundamental Drivers

The 3.2% change in AGIO stock from 3/31/2026 to 10/19/2026 was primarily driven by a 82.0% change in the company's Total Revenues ($ Mil).
(LTM values as of)331202610192026Change
Stock Price ($)33.8334.903.2%
Change Contribution By: 
Total Revenues ($ Mil)549882.0%
P/S Multiple36.521.1-42.2%
Shares Outstanding (Mil)5859-1.9%
Cumulative Contribution3.2%

LTM = Last Twelve Months as of date shown

Market Drivers

3/31/2026 to 10/19/2026
ReturnCorrelation
AGIO3.2% 
Market (SPY)18.2%-0.4%
Sector (XLV)20.3%21.7%

Fundamental Drivers

The -13.1% change in AGIO stock from 9/30/2025 to 10/19/2026 was primarily driven by a -62.9% change in the company's P/S Multiple.
(LTM values as of)930202510192026Change
Stock Price ($)40.1434.90-13.1%
Change Contribution By: 
Total Revenues ($ Mil)4198140.6%
P/S Multiple56.921.1-62.9%
Shares Outstanding (Mil)5859-2.6%
Cumulative Contribution-13.1%

LTM = Last Twelve Months as of date shown

Market Drivers

9/30/2025 to 10/19/2026
ReturnCorrelation
AGIO-13.1% 
Market (SPY)16.0%9.2%
Sector (XLV)27.8%22.8%

Fundamental Drivers

The 41.0% change in AGIO stock from 9/30/2023 to 10/19/2026 was primarily driven by a 388.1% change in the company's Total Revenues ($ Mil).
(LTM values as of)930202310192026Change
Stock Price ($)24.7534.9041.0%
Change Contribution By: 
Total Revenues ($ Mil)2098388.1%
P/S Multiple68.321.1-69.1%
Shares Outstanding (Mil)5659-6.5%
Cumulative Contribution41.0%

LTM = Last Twelve Months as of date shown

Market Drivers

9/30/2023 to 10/19/2026
ReturnCorrelation
AGIO41.0% 
Market (SPY)85.5%24.5%
Sector (XLV)42.9%26.4%

Return vs. Risk

Price Returns Compared

 202120222023202420252026Total [1]
Returns
AGIO Return-24%-15%-21%48%-17%15%-28%
Peers Return-12%14%10%-11%31%-24%-3%
S&P 500 Return27%-19%24%23%16%12%104%

Monthly Win Rates [3]
AGIO Win Rate50%42%50%58%75%60% 
Peers Win Rate42%55%48%37%63%38% 
S&P 500 Win Rate75%42%67%75%67%50% 

Max Drawdowns [4]
AGIO Max Drawdown-52%-51%-35%-47%-51%-32% 
Peers Max Drawdown-38%-32%-28%-31%-33%-41% 
S&P 500 Max Drawdown-5%-25%-10%-8%-19%-9% 


[1] Cumulative total returns since the beginning of 2021
[2] Peers: VRTX, BMRN, ALNY, IONS, RARE.
[3] Win Rate = % of calendar months in which monthly returns were positive
[4] Max drawdown represents maximum peak-to-trough decline within a year
[5] 2026 data is for the year up to 10/19/2026 (YTD)

How Low Can It Go

EventAGIOS&P 500
2025 US Tariff Shock
  % Loss-27.9%-18.8%
  % Gain to Breakeven38.7%23.1%
  Time to Breakeven57 days79 days
Summer-Fall 2023 Five Percent Yield Shock
  % Loss-23.9%-9.5%
  % Gain to Breakeven31.4%10.5%
  Time to Breakeven111 days24 days
2023 SVB Regional Banking Crisis
  % Loss-26.0%-6.7%
  % Gain to Breakeven35.2%7.1%
  Time to Breakeven77 days31 days
2022 Inflation Shock & Fed Tightening
  % Loss-51.0%-24.5%
  % Gain to Breakeven104.0%32.4%
  Time to Breakeven623 days427 days
2020 COVID-19 Crash
  % Loss-40.6%-33.7%
  % Gain to Breakeven68.3%50.9%
  Time to Breakeven70 days140 days
2016-2017 Trump Reflation Bond Selloff
  % Loss-25.3%-3.7%
  % Gain to Breakeven33.8%3.9%
  Time to Breakeven44 days6 days

Compare to VRTX, BMRN, ALNY, IONS, RARE

In The Past

Agios Pharmaceuticals's stock fell -27.9% during the 2025 US Tariff Shock. Such a loss loss requires a 38.7% gain to breakeven.

Preserve Wealth

Limiting losses and compounding gains is essential to preserving wealth.

Asset Allocation

Actively managed asset allocation strategies protect wealth. Learn more.

EventAGIOS&P 500
2025 US Tariff Shock
  % Loss-27.9%-18.8%
  % Gain to Breakeven38.7%23.1%
  Time to Breakeven57 days79 days
Summer-Fall 2023 Five Percent Yield Shock
  % Loss-23.9%-9.5%
  % Gain to Breakeven31.4%10.5%
  Time to Breakeven111 days24 days
2023 SVB Regional Banking Crisis
  % Loss-26.0%-6.7%
  % Gain to Breakeven35.2%7.1%
  Time to Breakeven77 days31 days
2022 Inflation Shock & Fed Tightening
  % Loss-51.0%-24.5%
  % Gain to Breakeven104.0%32.4%
  Time to Breakeven623 days427 days
2020 COVID-19 Crash
  % Loss-40.6%-33.7%
  % Gain to Breakeven68.3%50.9%
  Time to Breakeven70 days140 days
2016-2017 Trump Reflation Bond Selloff
  % Loss-25.3%-3.7%
  % Gain to Breakeven33.8%3.9%
  Time to Breakeven44 days6 days
2015-2016 China Devaluation / Global Growth Scare
  % Loss-62.8%-12.2%
  % Gain to Breakeven168.8%13.9%
  Time to Breakeven841 days62 days
2014-2016 Oil Price Collapse
  % Loss-22.6%-6.8%
  % Gain to Breakeven29.3%7.3%
  Time to Breakeven25 days15 days
2013 Taper Tantrum
  % Loss-48.7%-0.2%
  % Gain to Breakeven94.8%0.2%
  Time to Breakeven50 days1 days

Compare to VRTX, BMRN, ALNY, IONS, RARE

In The Past

Agios Pharmaceuticals's stock fell -27.9% during the 2025 US Tariff Shock. Such a loss loss requires a 38.7% gain to breakeven.

Preserve Wealth

Limiting losses and compounding gains is essential to preserving wealth.

Asset Allocation

Actively managed asset allocation strategies protect wealth. Learn more.

About Agios Pharmaceuticals (AGIO)

Agios Pharmaceuticals is a biopharmaceutical company dedicated to the discovery and development of innovative medicines. The company specializes in the field of cellular metabolism and adjacent areas of biology, leveraging its expertise to create novel therapeutic solutions for various diseases.

Agios's main commercial product is PYRUKYND (mitapivat), a drug designed to activate pyruvate kinase (PK) enzymes. This product is specifically approved for and targets patients suffering from hemolytic anemias, conditions characterized by the accelerated destruction of red blood cells. In addition to PYRUKYND, Agios is also advancing AG-946, which is currently in Phase I clinical studies for treating hemolytic anemias and other indications, broadening its pipeline for this patient population.

AI Analysis | Feedback

Here are 1-2 brief analogies for Agios Pharmaceuticals (AGIO):

  • Like Alexion Pharmaceuticals, but dedicated to developing drugs for inherited metabolic blood disorders.
  • A BioMarin Pharmaceutical, but specializing in medicines for rare blood disorders linked to cellular metabolism.

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  • PYRUKYND (mitapivat): An activator of pyruvate kinase (PK) enzymes for the treatment of hemolytic anemias.
  • AG-946: A product currently in Phase I clinical study for treating hemolytic anemias and other indications.

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Agios Pharmaceuticals (AGIO), as a biopharmaceutical company developing and selling prescription medicines, primarily sells its products through major pharmaceutical wholesalers. These wholesalers then distribute the medicines to hospitals, pharmacies, and other healthcare providers.

The major customers of Agios Pharmaceuticals, Inc. are typically the three largest pharmaceutical wholesale distributors in the United States:

  • AmerisourceBergen Corporation (NYSE: ABC)
  • Cardinal Health, Inc. (NYSE: CAH)
  • McKesson Corporation (NYSE: MCK)

These companies act as intermediaries, purchasing the medicines directly from Agios and distributing them to the ultimate healthcare providers and patients.

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Brian Goff

Chief Executive Officer

Brian Goff joined Agios as Chief Executive Officer and a member of its board of directors in August 2022. He has over 30 years of experience in the biopharmaceutical industry, with the last decade focused on rare diseases. Prior to Agios, he was Executive Vice President, Chief Commercial and Global Operations Officer of Alexion Pharmaceuticals until its acquisition by AstraZeneca in 2021. He also served as Chief Operating Officer and a board member of Neurovance, a venture-backed company that was acquired by Otsuka Pharmaceuticals in 2017. Before Neurovance, Mr. Goff was Executive Vice President and President of the hematology division at Baxalta until its acquisition by Shire Pharmaceuticals in 2016. His earlier career included roles at Baxter Healthcare Corporation, Novartis Pharmaceuticals, and nearly 14 years in the pharmaceutical division of Johnson & Johnson.

Cecilia Jones

Chief Financial Officer

Cecilia Jones was appointed Chief Financial Officer of Agios in September 2022. She brings over 20 years of financial experience in the biopharmaceutical industry, with a focus on rare diseases. Before joining Agios, Ms. Jones served as Chief Financial Officer at LogicBio Therapeutics, where she was responsible for the company's financial strategy, including evaluating financing alternatives, analyzing business development opportunities, and managing corporate financial planning, accounting, corporate communications, and investor relations. Prior to LogicBio, she spent over a decade at Biogen, holding various finance leadership roles, including Vice President of R&D, worldwide medical and business development finance, and Senior Director of Corporate Finance, where she led global long-range planning and financial assessments of business development and M&A opportunities. Earlier in her career, she was Director of International Finance at Genzyme.

Sarah Gheuens, M.D., Ph.D.

Chief Medical Officer, Head of Research & Development

Dr. Sarah Gheuens joined Agios in December 2019, becoming Chief Medical Officer in September 2021, and taking on the additional role of Head of Research & Development in August 2022. She has been instrumental in the completion of the pivotal Phase 3 program for pyruvate kinase deficiency, leading regulatory submissions to the FDA and EMA, and designing pivotal programs for thalassemia, sickle cell disease, and pediatric indications. Before Agios, Dr. Gheuens worked at Biogen in roles of increasing responsibility in safety, medical affairs, and clinical development, contributing to the approval of SPINRA®. Her prior experience includes working at Beth Israel Deaconess Medical Center (BIDMC) with HIV patients and conducting research on progressive multifocal leukoencephalopathy.

Jim Burns

Chief Legal Officer

Jim Burns serves as the Chief Legal Officer at Agios Pharmaceuticals. Previously, he held the position of Vice President, Commercial Healthcare Law & Chief Compliance Officer at the company.

Clive Patience, Ph.D.

Chief Technical Operations Officer

Dr. Clive Patience is the Chief Technical Operations Officer at Agios Pharmaceuticals. He previously held the role of Senior Vice President at Agios, which he joined in June 2017.

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Key Business Risks for Agios Pharmaceuticals (AGIO)

Agios Pharmaceuticals (AGIO) faces several significant risks inherent to the biopharmaceutical industry, particularly concerning regulatory hurdles, reliance on its lead product, and financial sustainability.

The most significant risk to Agios Pharmaceuticals is its **regulatory and clinical development risk**. The company's lead product, PYRUKYND (mitapivat), is undergoing regulatory review for additional indications, such as thalassemia, and has experienced delays, including an extended Prescription Drug User Fee Act (PDUFA) goal date and a missed target date by the FDA due to a request for a Risk Evaluation and Mitigation Strategy (REMS) to address safety concerns like hepatocellular injury (HCI). Any failure to secure approval or further delays for these expanded indications could significantly impact investor confidence and the company's market valuation. Additionally, there have been reports of deaths in PYRUKYND patients in the FDA's Adverse Events Reporting System (FAERS), raising safety concerns and potentially affecting market perception. Furthermore, pipeline candidates, such as AG-946, are in early-stage clinical development (Phase 1, advancing to Phase 2b for myelodysplastic syndromes), which inherently carry high failure rates and require successful trial outcomes and subsequent regulatory approvals for future growth. The Phase 3 RISE UP trial for PYRUKYND in sickle cell disease also yielded mixed results, meeting one primary endpoint but failing to significantly reduce annual pain crises, introducing uncertainty for that potential label expansion. General regulatory timing risks, including potential slowdowns from funding cuts or staff reductions at regulatory agencies, also pose a threat to clinical development timelines and revenues.

A second key risk is the company's **product concentration and heavy reliance on PYRUKYND**. PYRUKYND is considered the "centerpiece" of Agios's product pipeline and a "cornerstone" of its near-term growth strategy. The company's investment narrative heavily depends on PYRUKYND achieving commercial success across multiple rare blood disorders. This strong dependence on a single approved product means that any unforeseen challenges, such as unexpected adverse events, increased competition, or intellectual property disputes, could severely impact the company's financial performance and future growth prospects.

Finally, **ongoing operating losses and high research & development costs** present a significant financial risk. Despite showing consistent revenue growth, Agios has faced persistent operating losses and substantial costs associated with its clinical trials and general research and development efforts. The company exhibits negative EBITDA and EBIT margins, indicating challenges in cost management. While Agios maintains a strong financial position in terms of liquidity and low debt, continued operating losses and high expenses pose a challenge to achieving sustained profitability and long-term financial stability.

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Agios Pharmaceuticals' main product, PYRUKYND (mitapivat), targets several distinct addressable markets within hemolytic anemias.

  • For the treatment of hemolytic anemia in adults with pyruvate kinase (PK) deficiency, the addressable market in the U.S. is estimated to be just less than 10,000 individuals.
  • For adult patients with thalassemia in the U.S., Agios Pharmaceuticals targets a population of approximately 6,000 patients, with about 4,000 expected to be addressable at launch.

The company also states that its PYRUKYND franchise, which includes potential future indications like sickle cell disease and pediatric PK deficiency, is poised for multi-billion-dollar potential.

Agios Pharmaceuticals' other product, AG-946 (tebapivat), is in clinical development for indications such as lower-risk myelodysplastic syndromes (LR-MDS) and sickle cell disease. While these represent future market opportunities, specific addressable market sizes for AG-946 are not explicitly detailed in the provided information. Therefore, the addressable market size for AG-946 cannot be quantified at this time.

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Expected Drivers of Future Revenue Growth for Agios Pharmaceuticals (AGIO)

  • Continued Growth in Pyruvate Kinase (PK) Deficiency: Agios Pharmaceuticals expects sustained revenue growth from PYRUKYND (mitapivat) for the treatment of PK deficiency. The company projected U.S. PK deficiency revenues in the range of $45 million to $50 million for 2026. PYRUKYND generated $20 million in net revenue in Q4 2025, an 86% increase compared to Q4 2024, and $54 million for the full year 2025, reflecting robust year-on-year growth.
  • U.S. Launch and Expansion of AQVESME (mitapivat) for Thalassemia: The recent FDA approval of AQVESME (mitapivat) for thalassemia in December 2025 is a significant new revenue driver. The U.S. launch is underway, with management focused on executing a high-impact launch and reporting strong early recognition and 44 prescriptions as of January 30, 2026. This expansion into thalassemia significantly broadens the addressable market for mitapivat.
  • Potential Approval and Launch of Mitapivat in Sickle Cell Disease: Agios is actively pursuing the expansion of its PK activation franchise into sickle cell disease. The company completed enrollment in its Phase 3 RISE UP study for sickle cell disease in 2024 and is scheduled to meet with the FDA in Q1 2026 for a pre-sNDA meeting to determine the regulatory path forward, with a potential U.S. commercial launch anticipated in 2026.
  • Advancement of PK Activation Franchise into Lower-Risk Myelodysplastic Syndromes (LR-MDS): Agios aims to expand its PK activation franchise into additional high-value indications, including lower-risk myelodysplastic syndromes. The company achieved clinical proof-of-concept in the Phase 2a portion of a study of investigational pyruvate kinase activator AG-946 for anemia in adults with LR-MDS, with plans to initiate the placebo-controlled Phase 2b portion of the study. Furthermore, a Phase 2 tebapivat trial in sickle cell disease is fully enrolled, with topline results expected in the second half of 2026.

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Share Repurchases

  • Agios announced plans in April 2021 to repurchase 7.1 million shares from Bristol Myers Squibb Co. for approximately $344.5 million.
  • The company also indicated intentions to repurchase up to $1.2 billion in outstanding shares over the subsequent 12-18 months from April 2021.
  • As of December 31, 2025, the reported share buyback amount was $0.

Share Issuance

  • Agios Pharmaceuticals filed a Form S-8 on June 18, 2025, to register additional shares under its 2023 Stock Incentive Plan, enabling the continued issuance of equity-based compensation to employees, directors, and consultants.
  • Insiders have engaged in share transactions to cover tax withholding obligations related to restricted stock unit (RSU) vesting, as seen in December 2025 and March 2026.

Inbound Investments

  • In May 2025 (reported June 2024), Agios announced an agreement with Royalty Pharma to sell 15% of its royalties from Vorasidenib, resulting in a $905 million upfront payment contingent on FDA approval of Vorasidenib.
  • Agios sold its oncology portfolio, including Vorasidenib, to Servier in 2021, retaining rights to a $200 million payment upon FDA approval and 15% royalties on US net sales.
  • Agios Pharmaceuticals concluded fiscal year 2025 with approximately $1.2 billion in cash and marketable securities on its balance sheet.

Capital Expenditures

  • Agios's capital expenditures were $5.74 million in 2021, $3.92 million in 2022, -$0.33 million in 2023, $1.65 million in 2024, and $4.32 million in 2025.
  • In the fourth quarter of 2025, the company invested $1.1 million in capital expenditures.
  • For the last 12 months, capital expenditures were -$4.32 million.
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Better Bets vs. Agios Pharmaceuticals (AGIO)

Peer Outperformance in Biotechnology

AGIO has outperformed 72% of its 363 Biotechnology peers over 5Y. Among the peers that beat it are MIRM and INSM. Biotechnology ranks 9th of 10 industries in Health Care by median 5Y return. The sector’s gains have largely come from elsewhere.
Share of Biotechnology constituents that AGIO has outperformed, by holding period. Peers without a full price history over a given window are excluded from that window.
1Y
54%
of 452 industry peers · -17.6% return
3Y
71%
of 398 industry peers · 63.2% return
5Y
72%
of 363 industry peers · -23.8% return
Biotechnology peers with revenue growth within 4pp of AGIO's that beat it on at least 2 of 3 windows, and by at least 20pp over 5Y. Growth is matched by construction, so the gap is largely a re-rating gap. The multiple column is the context for it.
Ticker Name Rev Growth 3Y Avg P/E 1Y3Y5Y 5Y Gap
AGIO Agios Pharmaceuticals 75.5% -5.0x -17.6%63.2%-23.8% —
MIRM Mirum Pharmaceuticals 78.2% -6.1x 11.8%184.6%399.0% +423pp
INSM Insmed 76.3% -23.7x -42.5%279.9%257.7% +282pp
Price returns, excluding dividends. P/E shown for context only and not used for matching.
Median price return by industry across the Health Care sector, ranked by 5Y. Biotechnology is AGIO's own industry. Use this to see which corners of the sector have carried the returns.
Industry Names 1Y med3Y med5Y med Top 3 by 5Y
Health Care Distributors 6 17.3%53.8%104.1% CAH 475% · MCK 411% · COR 199%
Health Care Services 20 17.9%38.1%10.3% HIMS 241% · RDNT 138% · DGX 78%
Managed Health Care 8 39.2%-2.4%5.5% OSCR 111% · HQY 42% · ELV 18%
Health Care Facilities 24 2.2%14.6%2.5% THC 313% · NHC 286% · EHC 137%
Health Care Equipment 50 -2.9%2.7%-12.1% UFPT 363% · GKOS 264% · TMDX 164%
Pharmaceuticals 61 -10.6%2.1%-33.0% LQDA 878% · KNSA 625% · CORT 471%
Health Care Supplies 11 14.2%-8.8%-41.7% LNTH 332% · HAE 71% · MMSI 29%
Life Sciences Tools & Services 109 -12.6%-13.8%-66.8% NTRA 251% · MEDP 234% · IRTC 55%
Biotechnology ← 364 -24.5%-25.6%-81.9% DNTH 1068% · ELVN 940% · ADMA 897%
Health Care Technology 22 -32.8%-62.7%-83.8% VEEV -1% · DOCS -56%
Median of constituents with a full price history over each window. Top names are limited to companies above $2B market cap.

Latest Trefis Analyses

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Peer Comparisons

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Financials

AGIOVRTXBMRNALNYIONSRAREMedian
NameAgios Ph.Vertex P.BioMarin.Alnylam .Ionis Ph.Ultragen. 
Mkt Price34.79503.0454.55233.1844.3815.0149.47
Mkt Cap2.1127.610.631.27.31.58.9
Rev LTM9812,5873,4074,8048747172,140
Op Inc LTM-4594,7771491,000-594-528-155
FCF LTM-3903,796725820-568-494167
FCF 3Y Avg-3781,957543354-410-476-12
CFO LTM-3614,293857912-496-485248
CFO 3Y Avg-3582,398651414-358-45928

Growth & Margins

AGIOVRTXBMRNALNYIONSRAREMedian
NameAgios Ph.Vertex P.BioMarin.Alnylam .Ionis Ph.Ultragen. 
Rev Chg LTM140.6%10.2%11.2%95.1%-7.4%17.5%14.4%
Rev Chg 3Y Avg75.5%9.8%15.1%63.2%12.5%21.3%18.2%
Rev Chg Q259.3%12.5%19.9%66.9%-40.7%28.1%24.0%
QoQ Delta Rev Chg LTM48.9%3.0%5.1%12.1%-17.4%7.0%6.0%
Op Inc Chg LTM0.5%2,497.9%-80.8%654.9%-123.0%-4.5%-2.0%
Op Inc Chg 3Y Avg-7.2%792.2%80.3%163.9%-24.5%7.3%43.8%
Op Mgn LTM-466.8%37.9%4.4%20.8%-68.0%-73.6%-31.8%
Op Mgn 3Y Avg-963.3%23.9%13.8%6.0%-47.0%-90.2%-20.5%
QoQ Delta Op Mgn LTM253.2%-0.2%-5.3%3.3%-34.7%10.1%1.5%
CFO/Rev LTM-366.7%34.1%25.2%19.0%-56.8%-67.6%-18.9%
CFO/Rev 3Y Avg-779.8%19.6%21.0%11.1%-41.2%-78.1%-15.1%
FCF/Rev LTM-396.8%30.2%21.3%17.1%-64.9%-68.9%-23.9%
FCF/Rev 3Y Avg-820.0%15.7%17.4%9.2%-47.1%-81.3%-19.0%

Valuation

AGIOVRTXBMRNALNYIONSRAREMedian
NameAgios Ph.Vertex P.BioMarin.Alnylam .Ionis Ph.Ultragen. 
Mkt Cap2.1127.610.631.27.31.58.9
P/S21.010.13.16.58.42.17.4
P/Op Inc-4.526.770.731.2-12.4-2.911.9
P/EBIT-4.525.345.327.7-15.3-3.011.1
P/E-5.029.0144.638.6-13.0-2.613.2
P/CFO-5.729.712.334.2-14.8-3.24.6
Total Yield-19.8%3.5%0.7%2.6%-7.7%-38.2%-3.5%
Dividend Yield0.0%0.0%0.0%0.0%0.0%0.0%0.0%
FCF Yield 3Y Avg-16.9%1.6%4.8%1.1%-4.8%-13.6%-1.8%
D/E0.00.00.40.00.20.00.0
Net D/E-0.3-0.00.3-0.1-0.1-0.2-0.1

Returns

AGIOVRTXBMRNALNYIONSRAREMedian
NameAgios Ph.Vertex P.BioMarin.Alnylam .Ionis Ph.Ultragen. 
1M Rtn5.2%-1.0%-14.7%-2.7%-0.1%3.4%-0.6%
3M Rtn-13.2%4.7%-7.7%-14.5%-16.2%-47.4%-13.8%
6M Rtn28.5%14.5%-0.6%-25.0%-40.7%-40.1%-12.8%
12M Rtn-17.8%20.7%2.4%-51.6%-39.3%-54.0%-28.5%
3Y Rtn62.7%39.0%-33.6%44.1%-3.9%-54.7%17.6%
1M Excs Rtn5.1%-1.2%-14.8%-2.8%-0.3%3.3%-0.7%
3M Excs Rtn-8.9%2.4%-9.9%-16.1%-18.9%-49.5%-13.0%
6M Excs Rtn20.8%6.8%-8.3%-32.7%-48.5%-47.8%-20.5%
12M Excs Rtn-31.7%7.5%-12.5%-67.1%-54.8%-71.3%-43.3%
3Y Excs Rtn-24.4%-39.6%-112.9%-35.0%-79.8%-129.8%-59.7%

FDA Approved Drugs Data

Expand for More
Post-Approval Fwd Returns
FDA
App #
Brand
Name
Generic
Name
Dosage
Form
FDA
Approval
3M
Rtn
6M
Rtn
1Y
Rtn
2Y
Rtn
Total
Rtn
NDA216196  PYRUKYNDmitapivat sulfatetablet2172022-30.0%-11.2%-6.0%-10.0%18.5%
Collapse to Preview
Post-Approval Fwd Returns
FDA
App #
Brand
Name
Generic
Name
Dosage
Form
FDA
Approval
3M
Rtn
6M
Rtn
1Y
Rtn
2Y
Rtn
Total
Rtn
NDA216196  PYRUKYNDmitapivat sulfatetablet2172022-30.0%-11.2%-6.0%-10.0%18.5%

Clinical Pipeline

Drug CandidateIndicationPhase 3 TrialsEst. Primary Completion
Mitapivat (AG-348)Thalassemia, sickle cell disease, pyruvate kinase deficiency8Mar 2029
Active Phase 3 studies led by the company. Source: ClinicalTrials.gov · Updated 8/28/2026

Financials

Segment Financials

Revenue by Segment
$ Mil20252024202320222021
Product revenue, net543627120
Milestone revenue   20
Total543627140


Assets by Segment
$ Mil20212020
Single segment1,438853
Total1,438853


Price Behavior

Price Behavior
Market Price$34.90 
Market Cap ($ Bil)2.1 
First Trading Date07/24/2013 
Distance from 52W High-23.3% 
   50 Days200 Days
DMA Price$33.11$31.31
DMA Trenddownup
Distance from DMA5.4%11.5%
 3M1YR
Volatility46.0%77.1%
Downside Capture81.6930.87
Upside Capture-26.33-7.71
Correlation (S&P 500)0.6%7.7%
AGIO Betas & Captures as of 9/30/2026

 1M2M3M6M1Y3Y
Beta0.200.80-0.46-0.070.540.99
Up Beta2.660.57-0.500.301.800.93
Down Beta-1.070.370.220.020.180.79
Up Capture5%120%-68%-12%-0%109%
Bmk +ve Days6162766132424
Stock +ve Days9243269132379
Down Capture8%41%-26%-23%30%104%
Bmk -ve Days16263760120328
Stock -ve Days13183256119368

[1] Upside and downside betas calculated using positive and negative benchmark daily returns respectively
Based On 1-Year Data
Annualized
Return
Annualized
Volatility
Sharpe
Ratio
Correlation
with AGIO
AGIO-16.0%77.1%0.20-
Sector ETF (XLV)25.1%16.1%1.1922.9%
Equity (SPY)17.1%12.7%0.957.8%
Gold (GLD)-4.2%29.3%-0.155.0%
Commodities (DBC)52.6%20.7%1.93-5.9%
Real Estate (VNQ)3.9%13.7%0.0314.8%
Bitcoin (BTCUSD)-24.8%43.7%-0.536.1%

Smart multi-asset allocation framework can stack odds in your favor. Learn How
Based On 5-Year Data
Annualized
Return
Annualized
Volatility
Sharpe
Ratio
Correlation
with AGIO
AGIO-4.6%59.9%0.18-
Sector ETF (XLV)8.6%15.2%0.3632.2%
Equity (SPY)13.5%17.1%0.6034.1%
Gold (GLD)18.3%18.9%0.785.5%
Commodities (DBC)9.8%19.5%0.38-0.0%
Real Estate (VNQ)1.3%18.8%-0.0429.1%
Bitcoin (BTCUSD)7.2%51.8%0.3219.6%

Smart multi-asset allocation framework can stack odds in your favor. Learn How
Based On 10-Year Data
Annualized
Return
Annualized
Volatility
Sharpe
Ratio
Correlation
with AGIO
AGIO-4.0%56.3%0.17-
Sector ETF (XLV)11.2%16.7%0.5536.3%
Equity (SPY)15.3%17.9%0.7236.4%
Gold (GLD)12.2%16.4%0.614.7%
Commodities (DBC)8.3%18.1%0.378.1%
Real Estate (VNQ)5.1%20.7%0.2125.4%
Bitcoin (BTCUSD)63.0%66.2%1.0310.1%

Smart multi-asset allocation framework can stack odds in your favor. Learn How

Short Interest

Short Interest: As Of Date9302026
Short Interest: Shares Quantity7.0 Mil
Short Interest: % Change Since 9152026-7.2%
Average Daily Volume1.1 Mil
Days-to-Cover Short Interest6.4 days
Basic Shares Quantity59.5 Mil
Short % of Basic Shares11.8%

Earnings Returns History

Updated 9/1/2026
Expand for More
 Forward Returns
Earnings Date1D Returns5D Returns21D Returns
7/30/2026-6.5%-9.4%-2.1%
4/29/202613.1%9.7%22.7%
2/12/20261.3%3.1%0.5%
10/30/20252.9%-3.5%-33.7%
7/31/2025-0.9%0.5%1.7%
5/1/20254.2%-5.0%8.1%
2/13/20251.5%2.9%-5.7%
10/31/2024-4.0%11.4%28.3%
...
SUMMARY STATS   
# Positive121215
# Negative12129
Median Positive3.2%7.7%8.0%
Median Negative-2.9%-6.3%-12.1%
Max Positive14.7%17.1%28.3%
Max Negative-6.5%-15.1%-33.7%
Collapse to Preview
 Forward Returns
Earnings Date1D Returns5D Returns21D Returns
7/30/2026-6.5%-9.4%-2.1%
4/29/202613.1%9.7%22.7%
2/12/20261.3%3.1%0.5%
10/30/20252.9%-3.5%-33.7%
7/31/2025-0.9%0.5%1.7%
5/1/20254.2%-5.0%8.1%
2/13/20251.5%2.9%-5.7%
10/31/2024-4.0%11.4%28.3%
8/1/2024-4.1%-8.3%-1.2%
5/2/20242.7%-3.6%8.0%
2/15/20243.5%15.0%15.6%
11/2/2023-1.4%5.6%7.5%
8/3/2023-0.2%0.3%5.6%
5/4/20237.7%12.8%13.9%
2/23/2023-1.7%-5.7%-17.1%
11/3/2022-5.2%-5.4%13.3%
8/4/202214.7%13.1%22.6%
5/5/2022-4.7%-15.1%-18.5%
2/24/20225.7%17.1%8.0%
11/3/2021-0.3%-12.6%-30.0%
7/29/2021-0.3%-6.9%-12.1%
4/29/20210.6%-3.9%3.0%
2/25/2021-4.9%-12.8%-6.6%
11/5/20201.3%0.2%7.7%
SUMMARY STATS   
# Positive121215
# Negative12129
Median Positive3.2%7.7%8.0%
Median Negative-2.9%-6.3%-12.1%
Max Positive14.7%17.1%28.3%
Max Negative-6.5%-15.1%-33.7%

SEC Filings

Expand for More
Report DateFiling DateFiling
06/30/202607/30/202610-Q
03/31/202604/29/202610-Q
12/31/202502/12/202610-K
09/30/202510/30/202510-Q
06/30/202507/31/202510-Q
03/31/202505/01/202510-Q
12/31/202402/13/202510-K
09/30/202410/31/202410-Q
06/30/202408/01/202410-Q
03/31/202405/02/202410-Q
12/31/202302/15/202410-K
09/30/202311/02/202310-Q
06/30/202308/03/202310-Q
03/31/202305/04/202310-Q
12/31/202202/23/202310-K
09/30/202211/03/202210-Q
Collapse to Preview
Report DateFiling DateFiling
06/30/202607/30/202610-Q
03/31/202604/29/202610-Q
12/31/202502/12/202610-K
09/30/202510/30/202510-Q
06/30/202507/31/202510-Q
03/31/202505/01/202510-Q
12/31/202402/13/202510-K
09/30/202410/31/202410-Q
06/30/202408/01/202410-Q
03/31/202405/02/202410-Q
12/31/202302/15/202410-K
09/30/202311/02/202310-Q
06/30/202308/03/202310-Q
03/31/202305/04/202310-Q
12/31/202202/23/202310-K
09/30/202211/03/202210-Q
06/30/202208/04/202210-Q
03/31/202205/05/202210-Q
12/31/202102/24/202210-K
09/30/202111/03/202110-Q
06/30/202107/29/202110-Q
03/31/202104/29/202110-Q
12/31/202002/25/202110-K
09/30/202011/05/202010-Q
06/30/202007/30/202010-Q
03/31/202004/30/202010-Q
12/31/201902/19/202010-K
09/30/201910/31/201910-Q

Recent Forward Guidance

Updated 10/4/2026

Latest: Q2 2026 Earnings Reported 7/30/2026

Forward GuidanceGuidance Change
MetricSourceLowMidHigh% Chg% DeltaChangePrior
2026 PDUFA goal date for sNDAReported      
2026 Initiation of Phase 2 portion of AG-236Reported      
2026 Data from Phase 1b trial of AG-181Reported      
2028 Advance cevidoplenib into Phase 3 developmentReported      


Prior: Q1 2026 Earnings Reported 4/29/2026

Forward GuidanceGuidance Change
MetricSourceLowMidHigh% Chg% DeltaChangePrior
Q2 2026 Submit sNDA for mitapivat in sickle cell diseaseReported      
2026 Report topline results from Phase 2b trial for tebapivat in LR-MDSReported      
2026 Report topline results from Phase 2 trial for tebapivat in sickle cell diseaseReported     AffirmedGuidance: 0 for 2026

Q4 2025 Earnings Reported 2/12/2026

Forward GuidanceGuidance Change
MetricSourceLowMidHigh% Chg% DeltaChangePrior
Q1 2026 Pre-sNDA meeting with FDA for mitapivat in sickle cell diseaseReported      
2026 Topline results for Phase 2 tebapivat trial in sickle cell diseaseReported      

Q3 2025 Earnings Reported 10/30/2025

Forward GuidanceGuidance Change
MetricSourceLowMidHigh% Chg% DeltaChangePrior
2025 RISE UP Phase 3 trial topline resultsReported     AffirmedGuidance: 0 for 2025
2026 European Commission decision on PYRUKYNDReported      
2026 Phase 2b tebapivat trial topline resultsReported      

Insider Activity

Updated 8/6/2026
Expand for More
#OwnerTitleHoldingActionFiling DatePriceSharesTransacted
Value
Value of
Held Shares
Form
1Gheuens, SarahChief Medical OfficerDirectSell806202630.4830,000914,4001,665,580Form
2Gheuens, SarahChief Medical OfficerDirectSell702202637.564,007150,5033,179,266Form
3Burns, James WilliamChief Legal OfficerDirectSell406202634.713,280113,8491,711,411Form
4Gheuens, SarahChief Medical OfficerDirectSell406202634.712,940102,0472,786,415Form
5Jones, CeciliaChief Financial OfficerDirectSell406202634.713,141109,0241,908,981Form
Collapse to Preview
#OwnerTitleHoldingActionFiling DatePriceSharesTransacted
Value
Value of
Held Shares
Form
1Gheuens, SarahChief Medical OfficerDirectSell806202630.4830,000914,4001,665,580Form
2Gheuens, SarahChief Medical OfficerDirectSell702202637.564,007150,5033,179,266Form
3Burns, James WilliamChief Legal OfficerDirectSell406202634.713,280113,8491,711,411Form
4Gheuens, SarahChief Medical OfficerDirectSell406202634.712,940102,0472,786,415Form
5Jones, CeciliaChief Financial OfficerDirectSell406202634.713,141109,0241,908,981Form
6Milanova, TsvetaChief Commercial OfficerDirectSell406202634.713,262113,2241,625,435Form
7Viswanadhan, KrishnanChief Corp Dev & StrategyDirectSell406202634.712,959102,707356,888Form
8Goff, BrianChief Executive OfficerDirectSell406202634.7119,068661,8506,164,635Form
9Viswanadhan, KrishnanChief Corp Dev & StrategyDirectSell309202627.802,95982,260142,920Form
10Washburn, Theodore James JRPrincipal Accounting OfficerDirectSell305202628.885,272152,25525,068Form
11Goff, BrianChief Executive OfficerDirectSell303202628.9618,055522,8734,278,348Form
12Burns, James WilliamChief Legal OfficerDirectSell303202628.965,218151,1131,000,018Form
13Gheuens, SarahChief Medical OfficerDirectSell303202628.964,055117,4331,957,928Form
14Jones, CeciliaChief Financial OfficerDirectSell303202628.965,035145,8141,123,648Form
15Milanova, TsvetaChief Commercial OfficerDirectSell303202628.962,86883,0571,123,011Form
16Washburn, Theodore James JRPrincipal Accounting OfficerDirectSell303202628.962,22364,37875,151Form
17Burns, James WilliamChief Legal OfficerDirectSell102202627.092,93279,428859,241Form
18Goff, BrianChief Executive OfficerDirectSell102202627.0918,703506,6643,700,033Form
19Gheuens, SarahChief Medical OfficerDirectSell102202627.092,93279,4281,755,297Form
20Milanova, TsvetaChief Commercial OfficerDirectSell102202627.092,93279,428790,757Form
21Jones, CeciliaChief Financial OfficerDirectSell102202627.092,93279,4281,013,003Form
22Scadden, David DirectSell1114202543.842008,768771,716Form
23Gheuens, SarahChief Medical OfficerDirectSell1113202543.782,454107,4362,702,408Form
24Gheuens, SarahChief Medical OfficerDirectSell1103202543.812008,7622,704,260Form
25Gheuens, SarahChief Medical OfficerDirectSell1029202543.923,302145,0242,711,050Form
26Scadden, David DirectSell1010202541.002008,200721,723Form
27Scadden, David DirectSell1002202540.002008,000704,120Form
28Jones, CeciliaChief Financial OfficerDirectSell930202536.773,651134,2471,245,400Form
29Washburn, Theodore James JRPrincipal Accounting OfficerDirectSell909202536.878,546315,09132,003Form
30Scadden, David DirectSell829202540.002008,000704,120Form
31Goff, BrianChief Executive OfficerDirectSell812202536.6711,085406,4874,529,772Form

Investor Activity (13F)

Updated Oct 20, 2026
13F holdings as of Mar 31, 2026 (Q1 2026)

Active managers (13F portfolio over $250M, at least 3 holdings) with a position over $5M that is either over 10% of their portfolio or held in a concentrated book of 50 or fewer total positions. Index/ETF, sovereign, bank, community-bank and charitable/donor-advised filers are excluded.

Active ManagerValue% of PortfolioTotal PositionsQoQFiling
Lynx1 Capital Management LP$88.3 Mil14.0%23ADD +3179.9%13F
Foresite Capital Management VI LLC$17.8 Mil3.9%17Hold13F
MPM Bioimpact LLC$44.2 Mil3.4%41Hold13F
Tetragon Partners GP Ltd$5.6 Mil1.1%38Hold13F
Frazier Life Sciences Management, L.P.$42.5 Mil1.1%38Hold13F
Active ManagerValue% of PortfolioTotal PositionsQoQFiling
Lynx1 Capital Management LP$88.3 Mil14.0%23ADD +3179.9%13F
Active ManagerValue% of PortfolioTotal PositionsQoQFiling
TCG Crossover Management, LLC$32.2 Mil1.1%43Exited13F
Active ManagerValue% of PortfolioTotal PositionsQoQFiling
Lynx1 Capital Management LP$88.3 Mil14.0%23ADD +3179.9%13F
MPM Bioimpact LLC$44.2 Mil3.4%41Hold13F
Frazier Life Sciences Management, L.P.$42.5 Mil1.1%38Hold13F
Foresite Capital Management VI LLC$17.8 Mil3.9%17Hold13F
Tetragon Partners GP Ltd$5.6 Mil1.1%38Hold13F
Core Cache Last Updated: 10/19/2026