Pharma BD Deal Intelligence

AstraZeneca PLC / Ionis Pharmaceuticals, Inc.

2021 · Co-Development · $3.6B · Complete

Outcome grade pending — assessed 5 years post-close.

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The coverage arc

Jan 17, 2017 JACC — Maurer et al. ATTR-CM Epidemiology Neutral

Wild-type and hereditary ATTR cardiomyopathy is increasingly recognized as a significant cause of heart failure with preserved ejection fraction in older…

Jul 13, 2023 NEJM — NEURO-TTRansform Bullish

In the NEURO-TTRansform Phase 3 trial of patients with hereditary transthyretin-mediated amyloidosis with polyneuropathy, eplontersen 45 mg subcutaneously…

Feb 25, 2026 Ionis Q4/FY2025 results Bullish

WAINUA (eplontersen) generated global net sales of $212 million in full-year 2025 (Q4 2025 $69M), yielding Ionis royalty revenue of $49 million for the year.…

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AstraZeneca and Ionis entered a global strategic collaboration to develop and commercialize eplontersen for transthyretin amyloidosis. AstraZeneca paid $200M upfront, up to $485M in conditional regulatory payments, plus up to $2.9B in sales-related milestones, totaling ~$3.585B. AZ leads ex-US (excluding Latin America); jointly developed/commercialized in US.

Key facts

Related deals — scored

DealYearValueOutcome
AstraZeneca PLC / Ionis Pharmaceuticals, Inc. (this deal)2021$3.6B
AstraZeneca PLC / Daiichi Sankyo Company, Limited2019$6.9B100
AstraZeneca PLC / KuDOS Pharmaceuticals Limited2005$210M98
AstraZeneca PLC / Alexion Pharmaceuticals Inc.2020$39.0B86
AstraZeneca PLC / Acerta Pharma2015$4.0B86
AstraZeneca PLC / Amgen Inc.2020$2.3B84
AstraZeneca PLC / MedImmune Inc.2007$15.6B82

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