Ironwood Pharmaceuticals, Inc.

Ironwood Pharmaceuticals, Inc. (IRWD) Market Cap

Ironwood Pharmaceuticals, Inc. has a market capitalization of $544.9M.

Price: $3.31

-0.09 (-2.65%)

Market Cap: 544.87M

NASDAQ · time unavailable

CEO: Thomas A. McCourt

Sector: Healthcare

Industry: Drug Manufacturers - Specialty & Generic

IPO Date: 2010-02-03

Website: https://www.ironwoodpharma.com

Ironwood Pharmaceuticals, Inc. (IRWD) - Company Information

Market Cap: 544.87M|Sector: Healthcare

Company Profile

Ironwood Pharmaceuticals, Inc., a healthcare company, focuses on the development and commercialization of gastrointestinal (GI) products. It markets linaclotide, a guanylate cyclase type-C agonist for the treatment of adults suffering from irritable bowel syndrome with constipation (IBS-C) or chronic idiopathic constipation (CIC) under the LINZESS name in the United States and Mexico, as well as under the CONSTELLA name in the Canada and European Union. The company is also developing IW-3300, a GC-C agonist for the treatment of visceral pain conditions, including interstitial cystitis/bladder pain syndrome and endometriosis; and CNP-104, an immune nanoparticle for the treatment of biliary cholangitis. The company has strategic partnerships with AbbVie Inc., AstraZeneca AB, and Astellas Pharma Inc. for the development and commercialization of linaclotide. The company was formerly known as Microbia, Inc. and changed its name to Ironwood Pharmaceuticals, Inc. in April 2008. Ironwood Pharmaceuticals, Inc. was incorporated in 1998 and is headquartered in Boston, Massachusetts.

Analyst Sentiment

81%
Strong Buy

From 4 Active Polls

1Y Forecast: $4.80

▲ +45.0% Potential Upside

Consensus Target Metrics

Low Bound

$4

Median

$5

High Bound

$6

Average

$5

Price & Moving Averages

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🎯 Wall Street Analyst Intelligence Report

1-Year structural target targets, chart projections, and sentiment maps.

Average 1Y Target
$4.80
▲ +45.02% Upside
Low Target
$3.70
12% Risk
Median Target
$5.00
51% Mid
High Target
$5.70
72% Max
Consensus
Hold
11 / 30 Buys

Consensus Trend Projection

Trailing closures vs. 12-month metrics map.

Analyst Vote Distribution

Aggregate institutional coverage sentiment weights.

📊 Historical Valuation Multiples

Real-time Trailing Twelve Month (TTM) momentum side-by-side with discrete quarterly metrics.

Fiscal QuarterTTMQ1 2026Q4 2025Q3 2025Q2 2025Q1 2025Q4 2024Q3 2024Q2 2024
Period EndingTrailing 12MMar 31, 2026Dec 31, 2025Sep 30, 2025Jun 30, 2025Mar 31, 2025Dec 31, 2024Sep 30, 2024Jun 30, 2024
Market Cap ($M)5455745472131162377086581,037
Enterprise Value ($M)9229519296706227271,2191,1851,572
Price to Earnings Ratio (P/E)5.303.52-60.051.331.23-1.5878.4945.12-301.39
Price/Earnings-to-Growth Ratio (PEG)0.030.030.01-11.56
Price to Sales Ratio (P/S)1.515.3911.461.741.365.757.827.1810.98
Price to Book Ratio (P/B)-2.49-2.64-2.09-0.80-0.38-0.71-2.35-2.11-3.22
Price to Free Cash Flow Ratio (P/FCF)4.86112.037.334.47-7.7011.8846.5666.6731.03
Enterprise Value to Sales (EV/Sales)8.9319.475.497.2917.6813.4712.9316.65
Enterprise Value to EBITDA (EV/EBITDA)4.4913.03105.568.5813.65-72.2236.5143.4058.52
Debt to Equity Ratio1.83-2.75-2.28-2.26-1.94-1.79-1.99-1.97-1.99

IRWD Growth Runway Model

Standard long term linear growth fade

Multi-Stage Discounted Cash Flow Sandbox

Market Price$3.31
Intrinsic Value$3.30
Market Alignment
Overvalued by 0.2%relative to calculated intrinsic value
9.00%
Exp: -7%-7%
i

Growth runway slowdown

This value provides a time window for the growth rate to decline beyond Stage 1 toward the terminal rate. Longer windows are most useful for companies with high growth starting conditions or strong competitive advantages. This option stretches out the growth rate slowdown across 5, 10, or 15-year steps. A high-growth starting condition (exceeding a 25% initial growth rate) automatically applies a curve decay to simulate realistic, rapid market saturation.
i

Terminal growth rate

With long-term inflation between 3-5%, revenue must grow by that baseline to maintain flat real-world market share. This value sets the permanent terminal growth rate to factor into the valuation beyond the growth slowdown runway toward maturity.

3-Stage Financial Runway Horizon

🧠 Perpetuity Horizon Engine (Stage 3: Post-2035)

Terminal FCF Base$0.05B
Perpetuity TV Value$1.00B
Discounted TV (PV)$0.42B
TV Weighting %52.4%
⚠️
Financial Model Disclaimer & Risk Disclosure: This interactive scenario simulator is an educational sandbox provided strictly for informational and analytical research purposes. Core historical financial statements and consensus estimates are sourced directly via Financial Modeling Prep (FMP). All downstream outputs are entirely deterministic, hypothetical projections generated by combining automated mathematical formulas (including linear interpolation and Gaussian bell-curve decay models) with user-selected variables and third-party financial data inputs. Users assume all liability for trading decisions executed based on these sandbox calculations.

📘 Full Research Report

ℹ️

AI-Generated Research: This report is for informational purposes only.

📘 IRONWOOD PHARMA INC CLASS A (IRWD) — Investment Overview

🧩 Business Model Overview

Ironwood Pharma operates as a specialized biopharmaceutical company focused on gastroenterology. The value chain centers on (1) internal discovery and clinical development of gut-motility and intestinal signaling therapies, (2) securing regulatory approvals that translate into prescriber access and payer coverage, (3) commercializing approved products through targeted sales and medical affairs, and (4) extending product value via indication expansion and lifecycle management (new populations, dosing approaches, or formulation/brand-franchise refinements).

Because the products are prescription therapies for chronic gastrointestinal conditions, the commercial model benefits from formulary inclusion and clinician familiarity. Once patients are stabilized on an effective therapy, switching can be constrained by clinical history, payer restrictions, and the time required to establish tolerability and response.

💰 Revenue Streams & Monetisation Model

Revenue is primarily driven by net product sales of Ironwood’s gastrointestinal franchise, supplemented by collaboration-derived income such as royalties and development/commercial milestones where applicable. The monetisation profile is best understood as:

  • Recurring revenue characteristic: Chronic-disease usage patterns support a baseline of repeat demand tied to ongoing prescriptions.
  • Margin drivers: High incremental margins once a product is established, with commercial economics influenced by (i) payer rebates and contracting terms, (ii) competitive dynamics within drug classes, and (iii) manufacturing and distribution efficiency.
  • Non-linear upside: Pipeline success and label expansion can create step-changes in revenue trajectories, while development setbacks can impair the outlook.

🧠 Competitive Advantages & Market Positioning

Ironwood’s moat is rooted less in scale distribution and more in regulatory exclusivity, intellectual property, and clinically differentiated GI biology. Key durable advantages:

  • Patent protection and regulatory exclusivity: Approved therapies in gastroenterology can enjoy meaningful periods of market protection from generic entry, depending on patent life and regulatory exclusivity.
  • FDA approval as a high barrier to entry: Competitors must replicate not only efficacy but also tolerability and manufacturing/label requirements across relevant indications.
  • Clinical and payer “stickiness”: Patients with chronic GI disorders often remain on a therapy that works; formularies and prior authorizations can slow switching, creating inertia that favors established products.
  • Focused GI execution: A narrower therapeutic focus supports deeper evidence generation, prescriber relationships, and lifecycle management within a specific mechanism area.

Competitive benchmarking (primary competitors):

  • Takeda Pharmaceutical Company (e.g., constipation/IBS-related GI therapies such as lubiprostone offerings in the broader competitive landscape)
  • AbbVie (notably IBS-D and related symptom management options in gastroenterology portfolios)
  • Bausch Health / Salix (e.g., rifaximin-based approaches for IBS-D in the gastroenterology competitive set)

Positioning contrast: Large diversified pharma competitors often market broader gastroenterology franchises spanning multiple symptom mechanisms, while Ironwood’s positioning emphasizes specialized GI biology and lifecycle execution in areas where prescriber familiarity and label strength matter. This concentration can create strategic depth when the mechanism and indication strategy are coherent, though it also means competitive risk is concentrated within gastroenterology drug classes.

🚀 Multi-Year Growth Drivers

Over a 5–10 year horizon, the growth framework is driven by several compounding levers:

  • Indication expansion and lifecycle management: Expanding usage within approved disease segments can increase addressable demand without requiring wholly new platforms.
  • Pipeline progression in GI: New clinical readouts that reinforce or broaden the mechanism platform can extend revenue duration and diversify risk across programs.
  • Contracting and formulary penetration: Continued improvement in payer access—through evidence generation, real-world outcomes, and contracting strategy—can support durable prescription volume.
  • Global opportunity where applicable: Where commercialization partnerships or geographic expansion are enabled, incremental markets can add volume while spreading development amortization.

⚠ Risk Factors to Monitor

  • Patent cliffs and exclusivity erosion: Loss of exclusivity can accelerate pricing pressure and generic competition, impairing revenue durability.
  • Clinical and regulatory risk: Pipeline programs face attrition risk from efficacy, safety, and regulatory interpretation across endpoints and patient subgroups.
  • Competitive substitution within GI classes: Alternative drug mechanisms can limit incremental growth even when the category expands.
  • Payer pressure and contracting dynamics: Rebate levels, prior authorization policies, and formulary management can compress net pricing.
  • Manufacturing and supply continuity: Biopharmaceutical commercialization depends on reliable supply chains and quality systems; disruptions can impact revenue.
  • Concentration risk: A gastroenterology-heavy portfolio can be more exposed to category-level demand shifts and competitive changes.

📊 Valuation & Market View

Markets typically value biopharmaceutical companies like Ironwood using a blend of risk-adjusted expectations rather than purely current earnings power. Common approaches include:

  • EV-to-sales / forward revenue multiples: Often used for companies with meaningful commercial products, with discounting for risk and pricing pressure.
  • Sum-of-the-parts (SOTP) / probability-weighted pipeline valuation: Pipeline contributions are frequently modeled through scenario analysis tied to probability of success and expected time to market.
  • Catalyst sensitivity: Valuation can be highly responsive to clinical readouts, regulatory outcomes, and payer coverage decisions.

Key valuation drivers moving the needle include sustained net pricing, evidence supporting formulary behavior, pipeline success that extends duration of exclusivity, and the credibility of regulatory strategy.

🔍 Investment Takeaway

Ironwood’s long-term investment appeal rests on healthcare moats built from regulatory exclusivity, patent protection, and physician/payer stickiness in chronic gastroenterology conditions. The fundamental question for shareholders is whether the company can maintain the durability of its existing GI franchise while advancing pipeline programs that extend revenue longevity and mitigate exclusivity-related downside. For investors seeking an institutional-quality GI operator with defensible barriers to entry, Ironwood’s thesis is strongest when evidenced by consistent access, resilient net revenue economics, and credible pipeline execution.


⚠ AI-generated — informational only. Validate using filings before investing.

📰 Market News & Coverage

15 Stories Available

Real-time institutional reporting and market updates for IRWD.

businesswire.com2026-05-28

Ironwood Pharmaceuticals to Participate in the Jefferies Global Healthcare Conference

BOSTON--(BUSINESS WIRE)--Ironwood Pharmaceuticals, Inc. (Nasdaq: IRWD), today announced that management will participate in a fireside chat at the Jefferies Global Healthcare Conference on Thursday, June 4th at 11:05 a.m. ET. A live webcast of Ironwood's fireside chat will be accessible through the Investors & Media section of the company's website at www.ironwoodpharma.com. A replay of the webcast will be available on Ironwood's website following the conference. About Ironwood Pharmaceutic.

zacks.com2026-05-28

IRWD's Linzess Wins FDA Nod for Expanded Pediatric Constipation Use

Ironwood gains FDA approval to expand Linzess use to children aged two to five years with functional constipation.

gurufocus.com2026-05-27

FDA Approves Use of LINZESS® (linaclotide) in Pediatric Patients Two Years of Age and Older with Functional Constipation (FC)

[url="]Ironwood Pharmaceuticals, Inc.[/url] (Nasdaq: IRWD), a biotechnology company developing and commercializing life changing therapies for people living wi

businesswire.com2026-05-27

FDA Approves Use of LINZESS® (linaclotide) in Pediatric Patients Two Years of Age and Older with Functional Constipation (FC)

BOSTON--(BUSINESS WIRE)--Ironwood Pharmaceuticals, Inc. (Nasdaq: IRWD), a biotechnology company developing and commercializing life changing therapies for people living with gastrointestinal (GI) and rare diseases, today announced that the U.S. Food and Drug Administration (FDA) has approved the use of LINZESS® (linaclotide) in pediatric patients 2 years of age and older with functional constipation (FC). LINZESS was previously approved for pediatric patients 6 years and older with FC. With thi.

seekingalpha.com2026-05-21

Ironwood Pharmaceuticals: A Contrarian Buy Opportunity

Ironwood Pharmaceuticals presents a contrarian buy opportunity after a 14.5% decline driven by CFO resignation and insider selling. At the current $3.49 quote, IRWD fundamentals remain intact, supported by an SA Quant STRONG BUY rating and a base-case target of $6.90, implying ~100% upside. Short-term volatility is attributed to management changes and insider sales, but underlying cash generation and business model remain intact.

seekingalpha.com2026-05-13

Ironwood Pharmaceuticals: CFO Resignation Knocks Shares - A Downgrade Is Due

Ironwood Pharmaceuticals is downgraded to Hold after the CFO's resignation and despite record Q1 2026 Linzess-driven revenues. IRWD guides for $1.125–$1.175bn in Linzess sales and $450–$475m in total revenues in 2026 but faces 2027 Medicare price cuts and 2029 generic entry. Apraglutide's Phase 3 confirmatory trial launches in 2026, but competitive and regulatory hurdles cloud its $700m peak sales potential.

marketbeat.com2026-05-08

Ironwood Pharmaceuticals Q1 Earnings Call Highlights

Ironwood Pharmaceuticals NASDAQ: IRWD reported a strong start to 2026 and reiterated its full-year outlook, pointing to sharp first-quarter growth for LINZESS and continued progress toward a confirmatory phase III program for apraglutide in short bowel syndrome with intestinal failure (SBS-IF).

zacks.com2026-05-08

Ironwood Stock Down Despite Q1 Earnings and Revenue Beat

IRWD beats Q1 earnings and revenue estimates with Linzess sales surging on strong demand, but shares slide despite better-than-expected results.

seekingalpha.com2026-05-07

Ironwood Pharmaceuticals, Inc. (IRWD) Q1 2026 Earnings Call Transcript

Ironwood Pharmaceuticals, Inc. (IRWD) Q1 2026 Earnings Call Transcript

zacks.com2026-05-07

Ironwood Pharmaceuticals (IRWD) Tops Q1 Earnings and Revenue Estimates

Ironwood Pharmaceuticals (IRWD) came out with quarterly earnings of $0.24 per share, beating the Zacks Consensus Estimate of $0.07 per share. This compares to a loss of $0.14 per share a year ago.

businesswire.com2026-05-07

Ironwood Pharmaceuticals Reports Strong First Quarter 2026 Results With 97% Year-Over-Year LINZESS U.S. Net Sales Growth; Maintains Full-Year 2026 Financial Guidance

BOSTON--(BUSINESS WIRE)--Ironwood Pharmaceuticals, Inc. (Nasdaq: IRWD), a biotechnology company developing and commercializing life‑changing therapies for people living with gastrointestinal (GI) and rare diseases, today reported its first quarter 2026 results and recent business performance. “Our first quarter of 2026 delivered strong financial performance, driven by significantly improved net price and mid-single digit prescription growth for LINZESS, positioning us well to achieve our full-y.

businesswire.com2026-05-04

Ironwood Survey Findings at DDW 2026 Underscore Need for Therapies that Address Multiple Dimensions of Total Parenteral Nutrition (TPN) Burden in Short Bowel Syndrome (SBS)

BOSTON--(BUSINESS WIRE)--Ironwood Pharmaceuticals, Inc. (Nasdaq: IRWD), a biotechnology company developing and commercializing life-changing therapies for people living with gastrointestinal (GI) and rare diseases, presented new findings at Digestive Diseases Week® (DDW) 2026 from a survey assessing healthcare provider (HCP) perspectives on the use of total parenteral nutrition (TPN) in the treatment of short bowel syndrome (SBS). Surveyed HCPs emphasized the importance of reducing patient dependence on TPN to improve quality of life, reduce line infections and lower the risk of thrombosis. The majority (46.4%) identified reducing the number of days per week on TPN as a priority attribute of future therapies. An additional 30.1% prioritized reducing TPN hours per day, while fewer respondents (11.3%) prioritized reducing TPN volume.

businesswire.com2026-04-23

Ironwood Pharmaceuticals to Share Real-World HCP Perspectives on Burden of Total Parenteral Nutrition in Short Bowel Syndrome (SBS) at Digestive Disease Week® 2026

BOSTON--(BUSINESS WIRE)--Ironwood Pharmaceuticals, Inc. (Nasdaq: IRWD), a biotechnology company developing and commercializing life-changing therapies for people living with gastrointestinal (GI) and rare diseases, announced today that the company will present data from its LANDMARK survey during the 2026 Digestive Disease Week® (DDW) meeting being held from May 2-5 in Chicago, IL. The data will spotlight healthcare professional (HCP) insights on the burden of total parenteral nutrition (TPN) f.

seekingalpha.com2026-04-13

Best 5 Small-Cap Stocks With Forward EPS Growth Above 125%

Small-cap stocks have outperformed amid a rotation away from mega caps, despite geopolitical uncertainty and shifting interest rate expectations. Small-cap firms may benefit from the next phase of AI adoption as productivity gains broaden across industries. Wells Fargo estimates that each 1% reduction in labor costs could translate into a 6.1% earnings increase for Russell 2000 companies.

zacks.com2026-03-30

IRWD Stock Down 14% in a Month: Time to Buy, Sell or Hold the Stock?

Ironwood slides 14% in a month on weak Linzess Q4 sales, but strong demand, partnerships, and an upbeat 2026 outlook raise investor optimism.

📊 AI Financial Analysis

Powered by StockMarketInfo
Earnings Data: Q Ending 2026-03-31

"IRWD’s 2026-03-31 quarter delivered a sharp swing back to profitability: Revenue was $106.5M with diluted EPS of $0.24 and net income of $89.6M (net margin ~84.1%). YoY, Revenue surged from $41.1M in 2025-03-31 (+158.9%) and net income improved from a loss of $37.4M to a gain of $89.6M (N/A vs prior-year loss). QoQ, Revenue rose from $47.7M (2025-12-31) to $106.5M (+123.2%), and net income improved from -$2.3M to +$89.6M. Profitability expanded meaningfully: operating income jumped to $72.5M and operating margin increased to ~68.1% versus ~13.7% in the prior quarter. Cash flow quality was volatile but improved: operating cash flow was only $5.1M despite net income of $89.6M, reflecting working-capital/other non-cash impacts. Balance sheet resilience appears mixed—cash increased to $220.5M, but total equity remains negative (-$10.8M) while total liabilities are elevated. Shareholder returns look extremely strong based on provided marketPerformance: price is $4.43 with +490.7% 1Y change, which would heavily support a total-return view even though no dividend/buyback data is shown here. Analyst targets imply modest upside (consensus $4.8 vs $4.43)."

Revenue Growth

Strong

Revenue climbed +123.2% QoQ (from $47.7M in 2025-12-31 to $106.5M in 2026-03-31) and +158.9% YoY (from $41.1M in 2025-03-31). Trend is strongly upward but highly quarter-to-quarter volatile.

Profitability

Good

Net income turned sharply positive: +$89.6M in 2026-03-31 vs -$2.3M QoQ and vs -$37.4M YoY. Operating margin expanded to ~68.1% (from ~13.7% in 2025-12-31), indicating major improvement in earnings quality/scale—though margins are subject to large fluctuations across earlier quarters.

Cash Flow Quality

Fair

Operating cash flow was $5.1M vs net income of $89.6M, suggesting substantial non-cash and/or working-capital effects. Free cash flow roughly matched OCF (~$5.1M) and is not yet aligned with reported profitability.

Leverage & Balance Sheet

Fair

Cash rose to $220.5M, but total equity remains negative (-$10.8M). Total liabilities are high ($445.4M) and long-term debt increased materially vs prior quarter (long-term debt $209.1M). Liquidity improved, but capital structure risk persists given negative equity.

Shareholder Returns

Strong

Provided marketPerformance shows +490.7% 1Y price change (well above the >20% momentum threshold). Dividend and buyback activity are not indicated in the dataset, so this score is driven primarily by price appreciation.

Analyst Sentiment & Valuation

Positive

Consensus price target ($4.8) is modestly above the current price ($4.43), implying limited upside on valuation targets. Despite strong recent momentum, near-term valuation upside appears restrained based on provided targets.

Disclaimer:This analysis is AI-generated for informational purposes only. Accuracy is not guaranteed and this does not constitute financial advice.

Fundamentals Overview

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So What? In Q1 2026, Ironwood delivered strong LINZESS execution plus credible momentum on apraglutide’s confirmatory path. LINZESS net sales rose 97% YoY to $272.5M, supported by higher net price from inflationary rebate elimination (including Medicaid) and favorable gross-to-net rebate reserve time phasing, alongside 5% prescription demand growth. Management reiterated full-year 2026 guidance with LINZESS U.S. net sales of $1.125B–$1.175B, low-single-digit demand growth, and adjusted EBITDA >$300M, emphasizing reduced quarterly volatility versus 2025. On apraglutide, management is advancing STARS-2 toward Q2 2026 site initiation, with trial size at 124 patients and endpoints aligned to the original STARS week-24 parenteral support volume reduction framework. They estimate meaningful market underpenetration: only ~1,500–2,000 of ~8,000+ addressable patients are on GATTEX currently. Near-term watch items: Medicaid demand behavior in H2 and STARS-2 enrollment speed through rare-disease site selection.

AI IconGrowth Catalysts

  • LINZESS U.S. net sales +97% YoY in Q1 2026 to $272.5M, driven by improved net price (inflationary rebate elimination, favorable gross-to-net rebate reserve time phasing) and 5% YoY prescription demand growth
  • FDA acceptance of supplementary NDA for LINZESS functional constipation in children 2–5 years; priority review with PDUFA target action date May 24, 2026
  • STARS-2 confirmatory Phase III progress toward site initiation for apraglutide in SBS-IF; clinical site feasibility completed with plan for site initiation in Q2 2026

Business Development

  • AbbVie partnership: ongoing engagement regarding LINZESS OTC pursuit (life-cycle management plan)

AI IconFinancial Highlights

  • Total revenue: $106.5M in Q1 2026
  • GAAP net income: $40.8M; adjusted EBITDA: $76.7M
  • Cash and cash equivalents: $220.5M at quarter end
  • Accounts receivable: $105.8M expected to be collected prior to June 15 convertible note maturity
  • 2026 guidance reiterated: LINZESS U.S. net sales $1.125B–$1.175B; low single-digit LINZESS prescription demand growth; Ironwood revenues $450M–$475M; adjusted EBITDA >$300M
  • U.S. brand collaboration revenue: $104.2M in Q1 2026, +169% YoY vs $38.8M in Q1 2025
  • Guidance framing: expected more consistent quarterly LINZESS net sales phasing in 2026 vs 2025 volatility due to reduced net price variability

AI IconCapital Funding

  • Convertible note maturity: repay 2026 convertible note in cash at maturity in June (June 15 referenced for AR collection timing)
  • Debt outlook: expect end of 2026 total debt approximately $300M
  • Leverage: expected <1x 2026 adjusted EBITDA at year-end

AI IconStrategy & Ops

  • LINZESS pricing/gross-to-net discipline: elimination of inflationary rebates across channels (including Medicaid) expected to persist through 2026
  • STARS-2 design/operational refinement for apraglutide: no forced stratification of CIC vs stoma, but recruitment tracking for representative populations; refine dose administration instructions

AI IconMarket Outlook

  • Apraglutide market opportunity targets stated by management: >8,000 U.S. SBS-IF patients on parenteral support 3+ days/week as total addressable U.S. market >$4B; management believes potential for >$700M peak net sales in the U.S.
  • LINZESS growth outlook: guidance implies LINZESS U.S. net sales return to blockbuster status and set new all-time high for annual U.S. net sales since launch (no exact figure provided)
  • STARS-2 timing: clinical site initiation anticipated in Q2 2026; first patient dosing expected near the site initiation window

AI IconRisks & Headwinds

  • LINZESS Medicaid-related prescription demand growth risk: management expects Medicaid could show reduced growth in the second half of 2026 (later portions) even while full-year demand remains low single-digit
  • STARS-2 execution risk (site enrollment speed in a rare disease): reliance on active patient recruitment and onboarding additional sites beyond the original trial relationships
  • Net sales variability risk: while reduced net price variability is expected in 2026, quarterly YoY comparisons could show anomalies (e.g., 97% YoY in Q1)

Q&A: Analyst Interest

  • LINZESS guidance durability vs one-time items: Management said Q1 prescription demand of 5% slightly exceeded low-single-digit full-year commentary but was anticipated. They emphasized improved net price and reduced volatility versus 2025. They expect more consistent quarterly phasing through 2026 as rebate impacts normalize.
  • SBS-IF GLP-2 penetration outlook vs GATTEX: Management quantified an addressable population of ~8,000+ SBS-IF patients (U.S., Europe, Japan research with claims-code logic) and estimated only 1,500–2,000 are on GATTEX currently. They highlighted room for broader GLP-2 utilization and longer adherence/days-on-therapy optimization with apraglutide.
  • STARS-2 trial design and enrollment operations: Management stated there is no formal stratification of CIC vs stoma after FDA discussions, but recruitment will be tracked to ensure representativeness. Operationally, they will leverage original STARS sites with rare-disease patient-per-site constraints, add sites to accelerate recruitment, and use completed site feasibility learnings.

Sentiment: POSITIVE

Note: This summary was synthesized by AI from the IRWD Q1 2026 earnings transcript. Financial data is complex; please verify all metrics against official SEC filings before making investment decisions.

📋 Official Regulatory 10-K / 10-Q SEC Filings

Direct authenticated documentation links to audited SEC database reports for IRWD.

SEC EDGAR Live Feed
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SEC Filings (IRWD)

© 2026 Stock Market Info — Ironwood Pharmaceuticals, Inc. (IRWD) Financial Profile