Financial Data and Key Metrics Changes - In Q1 2024, Ironwood reported total revenue of approximately $75 million, a decrease of 28% year-over-year, primarily due to a $30 million reduction in collaborative arrangements revenue [9][18] - LINZESS U.S. net sales were reported at $257 million, reflecting a 3% year-over-year increase, with a commercial margin of 71% compared to 73% in Q1 2023 [99][85] - The company expects LINZESS U.S. net sales to decline in the mid-single digits for the full year 2024, with total revenue guidance set between $405 million and $425 million and adjusted EBITDA greater than $120 million [85][88] Business Line Data and Key Metrics Changes - LINZESS maintained strong demand momentum with a 10% year-over-year increase in prescription volume and an 18% increase in new-to-brand prescriptions, marking the 12th year on the market [3][17] - The company is focused on the commercialization of apraglutide, which has shown positive Phase III results for treating short bowel syndrome, with plans for a potential launch in 2025 [4][12] Market Data and Key Metrics Changes - The estimated addressable market for apraglutide includes approximately 17,000 adult patients in the U.S. and Europe suffering from short bowel syndrome with intestinal failure, with many still untreated by GLP-2 therapies [94] - The company has a strong sales presence established in the offices of GI specialists across the U.S., with over 90 sales representatives targeting major GI practices [29] Company Strategy and Development Direction - The strategic priorities include maximizing LINZESS, advancing the GI pipeline, and delivering sustained profits and cash flow [39] - The company aims to leverage its expertise in commercialization to maximize the potential of apraglutide and drive impactful outcomes for patients [13][46] Management's Comments on Operating Environment and Future Outlook - Management expressed confidence in the strong demand for LINZESS and the potential for apraglutide to achieve $1 billion in peak net sales due to its differentiated profile and once-weekly dosing [40][105] - The company is optimistic about the upcoming data presentations at medical congresses, which are expected to enhance the clinical profile of apraglutide [15][103] Other Important Information - Ironwood generated approximately $45 million in cash flow from operations in Q1 2024 and ended the quarter with $122 million in cash and cash equivalents [108] - The company does not anticipate the need to access capital markets for additional funding to support the potential apraglutide launch [10] Q&A Session Summary Question: What is the current internal estimate on durability of treatment for apraglutide? - Management indicated that the Phase III data supports the once-weekly administration and that the goal for most patients is enteral autonomy [28] Question: Can you provide updates on the addressable market for apraglutide post ICD-10 codes implementation? - Management noted that over 7,000 patients have been identified through ICD-10 codes, reinforcing their estimates of the patient population [120] Question: What are the expectations for the upcoming data at DDW? - Management confirmed that they plan to present data supporting the efficacy of apraglutide in both stoma and colon-in-continuity patient populations [36][72] Question: Can you elaborate on the gross-to-net adjustment and its impact? - The adjustment was primarily due to differences in government and contractual rebates, leading to a $60 million change in LINZESS U.S. net sales estimates [44][50] Question: What are the next steps for the apraglutide NDA submission? - Management emphasized that the submission is a top priority and that they are working diligently to prepare the necessary data for the filing [138]

16 20 month Long-Term Safety and Durability 42 patients with PBC Randomized, Double-blinded, placebo-controlled, parallel assignment Doses: Placebo, CNP-104 4mg/kg, CNP-104 8mg/kg IV Infusion on Days 1 and 8 10 | --- | --- | --- | |--------------------------------------------------------------------------------------------|-------|-------| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | Sravan Emany Commercial Update, Q1 2024 Financial Highlights and Revised FY 2024 Guidance | | | | | | | ...

Table of Contents UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 FORM 10-Q (Mark One) ☒ QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 For the quarterly period ended March 31, 2024 OR ☐ TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 For the transition period from to Commission file number: 001-34620 IRONWOOD PHARMACEUTICALS, INC. (Exact name of registrant as specified in its charter) (State or other j ...

Ironwood Pharmaceuticals Reports First Quarter 2024 Results – Reported positive topline results from global Phase III STARS trial of once-weekly apraglutide in adults with short bowel syndrome with intestinal failure (SBS-IF) – – Reported positive results from Phase II exploratory STARGAZE trial of apraglutide in patients with steroid-refractory gastrointestinal acute Graft-versus- Host Disease (SR GI aGVHD) – – LINZESS (Iinaclotide) EUTRx prescription demand growth of 10% year-over-year – – Revises FY 2024 ...

Investing in the biotech sphere isn’t for the faint of heart, and you should steer clear of the biotech stocks to avoid. That’s because biotech stocks tend to experience wild swings in developments, such as clinical trial outcomes or drug approvals. Unsurprisingly, the SPDR S&P Biotech ETF had shed roughly 40% in value over the past three years, when the broader market gained 22%. Hence, investors pondering over biotech stocks to avoid them will always remain relevant.  Moreover, they’re probably even more ...

Table of Contents IRONWOOD PHARMACEUTICALS, INC. UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 FORM 10-K (Mark One) ☒ ANNUAL REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 For the fiscal year ended December 31, 2023 OR ☐ TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 For the transition period from to Commission File Number 001-34620 (Exact name of registrant as specified in its charter) Delaware (State or othe ...

Ironwood Pharmaceuticals, Inc. (NASDAQ:IRWD) Q4 2023 Earnings Call Transcript February 15, 2024 8:30 AM ET Company Participants Matt Roache - Director of Investor Relations Tom McCourt - Chief Executive Officer Mike Shetzline - Chief Medical Officer Sravan Emany - Chief Financial Officer Conference Call Participants Amy Li - Jefferies Mohit Bansal - Wells Fargo Chase Knickerbocker - Craig-Hallum Jason Butler - JMP Securities Tim Chiang - Capital One Operator Good day, and welcome to the Ironwood Pharmaceuti ...

FORM 10-Q (Mark One) Table of Contents UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 ☒ QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 OR ☐ TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 For the transition period from to Commission file number: 001-34620 IRONWOOD PHARMACEUTICALS, INC. (Exact name of registrant as specified in its charter) (State or other jurisdiction of (I.R.S. Employer incorporation ...

Ironwood Pharmaceuticals, Inc. (NASDAQ:IRWD) Q3 2023 Earnings Conference Call November 9, 2023 8:30 AM ET Company Participants Matt Roache - Director of Investor Relations Tom McCourt - Chief Executive Officer Mike Shetzline - Chief Medical Officer Sravan Emany - Chief Financial Officer Conference Call Participants Jason Butler - JMP Securities David Amsellem - Piper Sandler Boris Peaker - TD Cowen Tim Chiang - Capital One Operator Thank you for standing by. My name is Aaron, and I will be your conference o ...

• Pipeline Update Mike Shetzline, M.D., Ph.D., Chief Medical Officer Generated $33M in operating cash flow in Q3 2023 2 Focus on serious, organic GI diseases with high unmet patient need 8 Ironwood Q3 2023 Investor Update Safe Harbor Statement Ironwood uses non-GAAP financial measures in this presentation, which should be considered only a supplement to, and not a substitute for or superior to, GAAP measures. Refer to the Reconciliation of Non-GAAP Financial Measures to GAAP Results table and to the Reconci ...