Stock Markets July 9, 2026 06:02 AM

Shares of Alnylam and BridgeBio Rally After Rival’s Late-Stage Heart Drug Misses Primary Goals

Market favors companies with approved therapies after Ionis and AstraZeneca report Wainua failed to lower cardiovascular deaths and recurrent events in a late-stage study

By Derek Hwang
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IONS ALNY BBIO

Alnylam Pharmaceuticals and BridgeBio Pharma saw sharp premarket gains after an announcement that Ionis Pharmaceuticals and partner AstraZeneca’s late-stage candidate, Wainua, did not achieve its primary endpoints for reducing cardiovascular deaths and recurrent heart problems. The trial failure reduced a previously estimated $2 billion peak-sales opportunity and shifted competitive dynamics in favor of firms with existing approved treatments for the same nerve disease.

Shares of Alnylam and BridgeBio Rally After Rival’s Late-Stage Heart Drug Misses Primary Goals
IONS ALNY BBIO
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Key Points

  • Alnylam shares climbed 16% in premarket trading after a rival drug failed in late-stage testing.
  • BridgeBio shares rose 10% in premarket trading amid reduced potential competition.
  • Ionis and AstraZeneca’s Wainua did not meet primary endpoints for reducing cardiovascular deaths and recurrent heart problems, leading Ionis shares to fall 21.8% to $67.80 premarket and reducing an estimated $2 billion peak-sales opportunity.

Shares of Alnylam Pharmaceuticals rose 16% in premarket trading on Thursday, while BridgeBio Pharma recorded a 10% uptick, following news that a late-stage rival drug did not meet its primary objectives.

The move came after Ionis Pharmaceuticals disclosed that Wainua - a drug co-developed with AstraZeneca - failed in a late-stage trial to reduce cardiovascular deaths and recurring heart-related complications. Ionis stock fell 21.8% to $67.80 in premarket trade after the announcement.

Both Alnylam and BridgeBio have approved therapies that target the same nerve disease addressed by Wainua. With the experimental drug falling short on its primary endpoints, analysts' prior projections of a roughly $2 billion peak-sales opportunity for Wainua have been diminished.

Market participants interpreted the trial outcome as a removal of a potential new competitor, narrowing the field in this therapeutic area. Companies that already market approved treatments for the condition - notably Alnylam and BridgeBio - are positioned to face less competition as they continue to promote their existing products.

The failed study represents a setback for Ionis and AstraZeneca in their effort to broaden the range of treatment options for patients with the nerve disease. The companies will need to assess the clinical data to determine next steps, while commercial dynamics in the sector adjust to the news.

Investors responded quickly to the development, rewarding firms with established therapies and penalizing the sponsor of the unsuccessful candidate. The reordering of competitive prospects followed directly from the trial outcome and the market’s reassessment of Wainua’s future revenue potential.


Key context

  • Alnylam shares rose 16% premarket on Thursday.
  • BridgeBio shares gained 10% in premarket trading.
  • Ionis announced that Wainua failed to reduce cardiovascular deaths and recurring heart problems in a late-stage trial; Ionis shares fell 21.8% to $67.80 premarket.

Market implication

The unsuccessful trial diminished an anticipated peak-sales opportunity of about $2 billion for Wainua and shifted competitive advantage toward companies with approved treatments in the same nerve disease space.

Risks

  • Clinical risk - The failed trial for Wainua underscores the uncertainty inherent in late-stage drug development, which can materially alter commercial prospects for sponsors and competitors.
  • Market risk - Trial outcomes can produce swift revaluations of company stocks within the biotech and pharmaceutical sectors, as illustrated by the sharp moves in Ionis, Alnylam, and BridgeBio shares.
  • Commercial risk - The removal of a potential entrant changes competitive dynamics for approved therapies, but the long-term market impact depends on factors not detailed in the available information.

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