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Alnylam Pharmaceuticals (ALNY) reported a trading volume of $0.55 billion on January 16, 2026, marking a 66.12% increase from the prior day and ranking 261st in trading activity. Despite a 10% weekly decline in its stock price, the company’s shares closed unchanged at 0.00% for the day. The stock, currently trading at $359.26, has shown robust revenue growth of 53.24% over the past twelve months, though recent earnings data revealed a $996 million preliminary net product revenue for Q4 2025—$24 million below the $1.02 billion analyst estimate. The mixed performance reflects ongoing scrutiny of its flagship drug, Amvuttra, and broader market expectations for 2026.
Alnylam’s recent stock volatility and analyst ratings highlight a complex interplay between short-term earnings expectations and long-term strategic optimism. The company’s preliminary Q4 2025 net product revenue of $996 million, while representing a 120% year-over-year increase, fell short of Wall Street forecasts. This shortfall, particularly in Amvuttra sales ($827 million vs. $852 million expected), triggered a sharp 7% drop in shares following the January 12 preannouncement. The drug’s performance, which softened in November but rebounded in December, has become a focal point for investors and analysts, with Cantor Fitzgerald citing this volatility as justification for its maintained Neutral rating.
Amvuttra’s pricing dynamics further complicate the outlook.
anticipates another mid-single-digit percentage decline in the U.S. net price for 2026, a trend consistent with 2025 adjustments. This pressure, coupled with the absence of a growth inflection for ATTR-CM (transthyretin amyloid cardiomyopathy) in international markets, has tempered expectations. Analysts like BofA and RBC have adjusted price targets slightly but retained Buy/Outperform ratings, emphasizing confidence in Alnylam’s long-term TTR (transthyretin) franchise. The company’s “Alnylam 2030” plan, which aims to dominate the TTR market and achieve a 25%+ compound annual growth rate through 2030, underscores its strategic focus on RNA interference (RNAi) therapies.The high P/E ratio of 1090, despite fair value estimates suggesting slight undervaluation, reflects the market’s willingness to pay a premium for Alnylam’s growth potential. However, this valuation is sensitive to near-term execution risks. For instance, Amvuttra’s heart-disease rollout faces challenges from competitors like Pfizer’s Vyndaqel and BridgeBio’s Attruby, as well as payer and prescribing hurdles. Analysts at Raymond James and RBC note that while the TTR franchise has “surprised to the upside” in some quarters, sustained growth hinges on maintaining Amvuttra’s leadership in ATTR-CM and advancing late-stage programs like nucresiran and zilebesiran.
Cantor Fitzgerald’s Neutral stance contrasts with the bullish outlook of firms like H.C. Wainwright (price target $570) and Needham (raised to $529), illustrating divergent views on near-term execution risks versus long-term innovation. The company’s full Q4 2025 results, expected in February 2026, will provide critical clarity on revenue trends, pricing pressures, and pipeline progress. Until then, investors remain divided: some view the 10% weekly decline as a buying opportunity amid strong fundamentals, while others caution that Amvuttra’s performance and competitive dynamics could delay the “2030” vision.
Alnylam’s ability to balance near-term challenges with long-term ambition will define its trajectory. The company’s non-GAAP operating margin target of 30% and its emphasis on RNAi technology—already a differentiator inATTR-CM—position it to capitalize on an expanding patient population. Yet, as analysts note, delays in pipeline advancements or pricing erosion could erode investor confidence. The coming months will test Alnylam’s resilience, with the February earnings report serving as a pivotal inflection point.
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