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Alnylam's Amvuttra Poised to Become First-Line ATTR-CM Treatment

• Alnylam Pharmaceuticals aims to establish Amvuttra as the preferred first-line treatment for ATTR amyloidosis with cardiomyopathy (ATTR-CM). • The company's strategy leverages positive HELIOS-B trial data and Amvuttra's convenient dosing regimen to gain market share. • Alnylam submitted a supplemental New Drug Application (sNDA) to the FDA with potential for faster review, anticipating mid-2025 launches. • BofA Securities reiterates a Buy rating on Alnylam, projecting Amvuttra's risk-adjusted peak sales to reach approximately $7.9 billion.

Alnylam Pharmaceuticals (NASDAQ:ALNY) is strategically positioning Amvuttra as the first-line treatment for ATTR amyloidosis with cardiomyopathy (ATTR-CM), capitalizing on encouraging data from the HELIOS-B trial and a more convenient dosing schedule. The company's commercial strategy, recently presented during their TTR Day, aims to leverage their expertise in the ATTR-PN market to drive Amvuttra's adoption.

Commercial Strategy and Market Positioning

Alnylam is confident in its ability to make Amvuttra the standard of care for ATTR-CM, drawing from its success in leading the global market for ATTR-PN, even in regions where competitors like tafamidis are approved. The company is expanding its sales force to target approximately 5,000 cardiologists who are currently prescribing Vyndamax.

Regulatory Pathway

Alnylam has submitted a supplemental New Drug Application (sNDA) to the FDA using a Priority Review Voucher (PRV), potentially accelerating the review process. Management does not anticipate the need for an Advisory Committee (AdCom) meeting, which could further streamline the path to approval. Launches are projected for mid-2025, pending regulatory approvals.

Analyst Perspective

An analyst from BofA Securities has expressed optimism regarding Alnylam's commercial launch strategy and remains confident in Amvuttra's significant commercial potential in treating ATTR-CM. The risk-adjusted peak sales for Amvuttra are projected to reach approximately $7.9 billion. BofA Securities has reiterated a Buy rating with a $307 price target for Alnylam Pharmaceuticals' stock.

Financial Highlights

Alnylam's Q2 earnings report surpassed expectations in both revenue and profit, leading the company to update its 2024 revenue guidance to between $1.575 billion and $1.65 billion. InvestingPro data reveals a 107% increase in quarterly revenue as of Q2 2024 and a gross profit margin of 87%.
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Reference News

[1]
BofA Securities reiterates buy rating on Alnylam stock, highlights Amvuttra launch strategy
investing.com · Oct 10, 2024

BofA Securities maintains Buy rating on Alnylam Pharmaceuticals with $307 price target, confident in Amvuttra's commerci...

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