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Analyst

Luca Issi

RBC Capital Markets · covers Healthcare

Period: Reporting periods mapped to calendar 2024 Q4 – 2026 Q2 (7 quarters).

Questions
14on tracked calls
Challenge rate
21%3 of 14 questions
Companies
3questioned at least once
Reporting periods
7with questions

These figures cover the whole profile: every tracked question, all reporting periods.

How to read these numbers

Challenge rate is the share of questions that pushed back, pressed for specifics or questioned management’s assumptions. It describes how questions were asked on the calls tracked here; it does not measure whether any view turned out to be right.

Rounding. Rates are rounded to whole percentages, so a small share can show as 0% even when some questions were challenging. The count beside each rate is exact; “none of N questions” means no question was challenging.

No questions recorded. “—” means there is nothing to calculate: no questions were recorded for that period on the calls tracked here. It does not mean there was no activity.

Fewer than 3 questions. A company-level rate is withheld when fewer than 3 questions were recorded for that company; the questions are still counted everywhere else.

Small samples. Profiles with fewer than 10 questions are marked Limited sample.

Reporting periods. Questions are grouped by the calendar quarter each company’s fiscal reporting period maps to, not by the date of the call. Periods without a calendar mapping are listed separately under their fiscal label.

Questions asked

Grouped by company, most questions first. Open a company to read its questions, newest reporting period first.

Showing 14 of 14 questions from 3 companies

ALNYAlnylam Pharmaceuticals6 questions · 6 reporting periods · 2 of 6 challenging
ALNY company page →

Calendar 2026 Q2

Are you seeing payers forcing docs to pick one versus the other and no longer allowing patients to be on the combo?

Competitive DynamicsRegulation PolicyTranscript · FY2026 Q2 →
Show response

Tolga said combination limits were already in place pre-dating the data, argued CARDIO-TTRansform does not change AMVUTTRA's label, and Jeff separately confirmed the mid-single-digit net price guide.

Calendar 2025 Q4

are you willing to start the pivotal Phase 3 trial with just target engagement data in hand? Are you going to wait before doing so until you see a clear functional signal there

Show response

CMO described two Phase 1 criteria: >50% huntingtin knockdown and durable safety (no NfL increases, no ventricular enlargement). Prior approaches limited to ~20% knockdown with safety concerns. Will accelerate to Phase 3 as quickly as possible given unmet need if criteria met.

Calendar 2025 Q3

CMS is obviously proposing to cut reimbursement for PYP scintigraphy, I think, by 57% from $1,300 all the way down to $500

ChallengingRegulation PolicyDemandTranscript · FY2025 Q3 →
Show response

Management acknowledged PYP reimbursement uncertainty but reported no anxiety from health systems. Anticipated more diagnosis and scanning overall. Did not directly address therapeutic pricing risk.

Calendar 2025 Q2

it feels to me that this guide has still a good degree of conservatism in it, especially given that you're going to start selling this drug

Guidance ReliabilityRevenue GrowthTranscript · FY2025 Q2 →
Show response

CFO pushed back on conservatism characterization noting only one quarter of data, while reiterating high confidence in guidance based on historical track record of meeting or exceeding.

Calendar 2025 Q1

it sounds like step edits are likely going to be implemented for commercial patients

ChallengingPricingRegulation PolicyTranscript · FY2025 Q1 →
Show response

Management directly pushed back on step edit assumption, saying none observed across any payer type and VBA infrastructure mitigates risk if they arise.

Calendar 2024 Q4

Jeff, how should we think about gross margin here going forward

MarginCost PressureTranscript · FY2024 Q4 →
Show response

CFO directly addressed margin headwinds: AMVUTTRA royalty rate rising from 21% to mid-to-high 20s. Offset partially by high-margin collaboration revenue and future nucresiran (no Sanofi royalty).

MRNAModerna6 questions · 5 reporting periods · 1 of 6 challenging
MRNA company page →

Calendar 2026 Q1

can you just walk us through why the legal team deemed the additional $1.3 billion charge on 1498 is not probable

ChallengingRegulation PolicyCost PressureTranscript · FY2026 Q1 →
Show response

CFO declined to elaborate on merits. Resolution timeline estimated late 2027 to 2028. On flu, Hoge said review proceeding normally through mid-cycle with PDUFA August 5. No expected impact from new Acting Director.

Calendar 2025 Q3

can you just talk about what gives you confidence that you can reiterate your cash breakeven guide for 2028

Guidance ReliabilityRevenue GrowthTranscript · FY2025 Q3 →
Show response

CFO acknowledged it requires both revenue growth and cost cuts. Deferred detailed breakdown to upcoming Analyst Day on November 20. Also asked about reported BD deals, Bancel confirmed ongoing pharma and financial sponsor discussions for assets like EBV.

Calendar 2025 Q2

are you actively spending time in China and if so, are you just looking at strengthening your mRNA capabilities? Or are you open to other modalities

M&AInnovation & R&DProduct LaunchTranscript · FY2025 Q2 →
Show response

Bancel noted deprioritizing assets like EBV for financial discipline, seeking pharma partners. On filing sequence, Hoge said flu likely sequenced before combo in U.S. but concurrent possible in some markets including Europe.

Calendar 2025 Q1

are you actively spending time in China and if so, are you just looking at strengthening your mRNA capabilities? Or are you open to other modalities

M&AInnovation & R&DTranscript · FY2025 Q1 →
Show response

Bancel noted mRNA platform is productive enough that they are deprioritizing assets (EBV) for financial discipline, seeking pharma/financial partners instead.

can you just talk about what gives you confidence that you can reiterate your cash breakeven guide for 2028

Guidance ReliabilityRevenue GrowthTranscript · FY2025 Q1 →
Show response

CFO acknowledged it requires both revenue growth and cost cuts. Deferred detailed breakdown to upcoming Analyst Day.

Calendar 2024 Q4

have you talked to either the President, RFK or any of the representative this time around? If so, what has been the message

Show response

Bancel gave a diplomatic non-answer, noting productive prior relationship and looking forward to engagement as appointees are confirmed.

AMGNAmgen Inc.2 questions · 2 reporting periods · 0 of 2 challenging
AMGN company page →

Calendar 2026 Q1

Can you tell us more about what is next for INVELTRA? Not only in terms of the opportunity you get once you move to the front lines

Innovation & R&DRegulation PolicyTranscript · FY2026 Q1 →
Show response

Jay detailed DELPHI-305 and DELPHI-306 studies for frontline SCLC, plus the FDA real-time clinical trial pilot using EHR and real-time data capture. Murdo added strong community oncology uptake.

Calendar 2025 Q2

What's Amgen's appetite to augment your current offering vis-a-vis by adding an oral small molecule via either BD or organic discovery?

Innovation & R&DM&ACompetitive DynamicsTranscript · FY2025 Q2 →
Show response

Bradway confirmed BD interest in obesity innovation broadly. Bradner highlighted massive unmet need with only 2% addressed. Internal pipeline targets incretin and non-incretin pathways including potential oral candidates.

Challenge rate by company

Every company this analyst questioned, most questions first. A company-level rate is shown from 3 questions; below that it is withheld.

CompanyQuestionsChallenge rate
ALNY Alnylam Pharmaceuticals633%2 of 6 questions
MRNA Moderna617%1 of 6 questions
AMGN Amgen Inc.2—Rate withheld: fewer than 3 questions
  • ALNY
    Alnylam Pharmaceuticals · 6 questions
    33%2 of 6 questions
  • MRNA
    Moderna · 6 questions
    17%1 of 6 questions
  • AMGN
    Amgen Inc. · 2 questions
    —rate withheld: under 3 questions

Activity by reporting period

Questions recorded for each calendar quarter that companies’ reporting periods map to (not the call date), with the challenge rate for that period. Periods inside the range with no questions are shown as “No questions recorded”.

Questions by calendar reporting period
Calendar periodQuestionsChallenge rateCompanies
2024 Q420%none of 2 questions2
2025 Q1333%1 of 3 questions2
2025 Q230%none of 3 questions3
2025 Q3250%1 of 2 questions2
2025 Q410%none of 1 question1
2026 Q1250%1 of 2 questions2
2026 Q210%none of 1 question1
  1. 2024 Q42 questions · challenge rate 0% (none of 2 questions) · 2 companies
  2. 2025 Q13 questions · challenge rate 33% (1 of 3 questions) · 2 companies
  3. 2025 Q23 questions · challenge rate 0% (none of 3 questions) · 3 companies
  4. 2025 Q32 questions · challenge rate 50% (1 of 2 questions) · 2 companies
  5. 2025 Q41 question · challenge rate 0% (none of 1 question) · 1 company
  6. 2026 Q12 questions · challenge rate 50% (1 of 2 questions) · 2 companies
  7. 2026 Q21 question · challenge rate 0% (none of 1 question) · 1 company

Topics

Topics tagged on this analyst’s questions.

  • Regulation Policy6
  • Innovation & R&D5
  • Guidance Reliability3
  • Revenue Growth3
  • M&A3
  • Competitive Dynamics2
  • Cost Pressure2
  • Demand1
  • Product Launch1
  • Pricing1
Show all 11 topics
  • Margin1