Alnylam slips after Q1 results despite $1.04B product revenue and guidance reiteration

ALNYALNY

Alnylam shares fell 3.08% to $300.94 as investors digested the company’s April 30, 2026 Q1 results and updates. Despite 121% net product revenue growth to $1.036 billion and reiterated 2026 revenue guidance of $4.9–$5.3 billion, the stock pulled back after the release.

1. What’s moving the stock

Alnylam Pharmaceuticals (ALNY) traded lower Friday, May 1, 2026, with shares down about 3% to $300.94, as the market reacted to the company’s first-quarter 2026 earnings release filed and furnished via an SEC Form 8-K dated April 30, 2026. The move appears tied to post-results repositioning, with investors weighing strong growth metrics against elevated expectations embedded in the stock’s valuation.

2. Key Q1 numbers investors are reacting to

For the quarter ended March 31, 2026, Alnylam reported total revenues of about $1.167 billion and global net product revenues of $1.036 billion, representing 96% and 121% growth, respectively, versus Q1 2025. The company also reported GAAP net income of about $206.0 million (GAAP diluted EPS $1.51) and non-GAAP net income of about $273.0 million (non-GAAP diluted EPS $1.99), highlighting the operating leverage from its expanding commercial portfolio.

3. Guidance and franchise commentary in focus

Alnylam reiterated 2026 financial guidance, including combined net product revenues of $4.9 billion to $5.3 billion and total TTR net product revenues of $4.4 billion to $4.7 billion. Management emphasized growth in its TTR franchise, led by AMVUTTRA (vutrisiran), which posted Q1 AMVUTTRA net product revenues of about $889.9 million, while ONPATTRO contributed about $20.5 million.

4. Pipeline update that could shape sentiment

In addition to the financial print, Alnylam disclosed an update to the TRITON-CM Phase 3 study of nucresiran in ATTR-CM, stating enrollment is proceeding faster than anticipated and that it will use a pre-specified protocol option to expand target enrollment from 1,250 to approximately 1,750 patients. While the company said it still expects to launch nucresiran in ATTR-CM by 2030 assuming positive data and regulatory approval, the enrollment expansion can draw added investor scrutiny around trial timelines, cost, and the risk/reward profile as the company scales multiple late-stage programs.