
Last 4 earnings calls · through Q2 FY2026
The bull case is that the newer medicines now bring in more revenue than the multiple sclerosis franchise, so the top line can grow while the old drugs shrink.
Buying Apellis adds two medicines that are already being sold and that management expects to keep growing faster than the rest of the portfolio.
Converting patients to high-dose SPINRAZA is running ahead of expectations and is winning some patients back from the oral competitor.
Several late-stage study results land within the next year in areas where there is no approved treatment, so any success opens a new market.
The bear case is that generic fumarates and a TYSABRI biosimilar are shrinking the multiple sclerosis base faster than the new products replace it.
The Apellis purchase was paid for largely with new borrowing, so a much larger debt load and its interest cost now sit against earnings.
A return to growth rests on trial results that are years from becoming sales, and a miss would leave a hole the current portfolio cannot fill.
In short: Growth products now outsell the legacy MS business, but the MS decline still pulls total revenue down.
In February management guided 2026 revenue to a mid-single-digit decline; in July it guided to a mid-single-digit increase, citing growth products and Apellis.
A year ago management guided SPINRAZA to roughly flat revenue; now it says high-dose conversion is beating the original launch, and SPINRAZA revenue rose 2.3% to $402 million.
Multiple sclerosis products brought in $963 million in the quarter, down 13%, and management guides the non-VUMERITY MS line to a mid-teens decline for the year.
Five registrational study readouts are due within about a year, and the launches they enable are the main lever management has to offset MS erosion.
In short: Free cash flow remains strong, but margins fell sharply after the Apellis deal and acquisition charges.
The business generated $2.7 billion of free cash flow over the last twelve months, about 27% of revenue, which funds launch spending and debt repayment.
Management expects at least $250 million of run-rate cost synergies from Apellis by the end of 2027 and says the deal turns accretive to earnings in 2027.
Net debt stands at $6.8 billion against $3.5 billion a year earlier, and financing the deal costs about $120 million to $130 million a year in interest and lost income.
In short: LEQEMBI leads the anti-amyloid market, but MS generics and biosimilars keep eroding the base business.
Approval of subcutaneous LEQEMBI for both starting and maintenance dosing removes the infusion visits that keep some patients and caregivers from starting treatment.
TYSABRI revenue was $451 million, down less than one percent, as growing use of the subcutaneous form offset biosimilar competition in Europe.
Medicare drug coverage changes and potential negotiated prices under the Inflation Reduction Act affect how much Biogen keeps per prescription across the portfolio.
Litifilimab enters systemic lupus against roughly 55 other ongoing trials, and earlier lupus launches have struggled to win wide use among rheumatologists.