Rhythm Pharmaceuticals
Market cap $7.78B 69.3M shares (10-Q, Nov 2, 2026) × $112.28 close Nov 6, 2026
Most recent annual filing: 2026-02-15
- Setmelanotide HO commercial launch2H 2026Setmelanotide HO commercial launch, 2H 2026, notable
- HO launch metrics commercial2H 2026HO launch metrics commercial, 2H 2026, routine
- Bivamelagon Ph3 startby year-end 2026Bivamelagon Ph3 start, by year-end 2026, routine
Bar width shows how precise the guidance is — a pin is a stated date, a wide band a six-month window. Deeper blue means more of the thesis rides on the event; it is not a view on the stock.
Pipeline (14 active programs)
Capital (as filed)
- Cash
- $40.0M cash and cash equivalents · Sep 30, 2026 (10-Q)
- Short-term investments
- $281M Sep 30, 2026
- Operating cash flow
- −$3.1M quarter Jun 30, 2026 → Sep 30, 2026, year-to-date difference (10-Q)
- As stated in coverage
- $321M cash per the update of Nov 3, 2026 — the company's own words as read there, not the filed figure
Cash, investments and operating cash flow are the company's own XBRL facts as filed with the SEC, each shown with its period end and tag. As-stated figures come from the company's own words as read in Biotech Distilled coverage, dated, and routinely count securities and planned financing that a balance sheet does not. Offering rows are the SEC cover pages as filed. Not investment advice. Figures as of Nov 7, 2026.
Biotech Distilled coverage (10)
- 2026-11-04 UPDATE: Rhythm Pharmaceuticals (RYTM) - The Launch Delivers, the Balance Sheet Levers Up 🔒 Paid
- 2026-08-24 UPDATE: Rhythm Pharmaceuticals (RYTM) - Japan Says Yes, and the Last Regulatory Domino Falls
- 2026-08-05 UPDATE: Rhythm Pharmaceuticals (RYTM) - The Launch Converts, and RM-718 Clears the Bar 🔒 Paid
- 2026-06-15 UPDATE: Rhythm Pharmaceuticals (RYTM) - The ENDO Data Dump and the PWS Reality Check
- 2026-05-06 UPDATE: Rhythm Pharmaceuticals (RYTM) - The Launch Metric That Flipped the Script 🔒 Paid
- 2026-03-29 UPDATE: Rhythm Pharmaceuticals (RYTM) - The CHMP Gives a Green Light, but the ATM Hangover Persists 🔒 Paid
- 2026-03-22 UPDATE: Rhythm Therapeutics (RYTM) - The Agony, The Ecstasy, and The P-Hacking Reality Check 🔒 Paid
- 2026-03-07 UPDATE: Rhythm Therapeutics (RYTM) - Final TRANSCEND Data Drop Cements the HO Thesis Ahead of PDUFA 🔒 Paid
- 2026-02-28 RYTM Update: Dissecting the Earnings, the Oral Pipeline, and the Wall of Paper 🔒 Paid
- 2026-01-19 Rhythm Therapeutics (RYTM): Scientific Deep Dive for Setmelanotide and Pipeline Products 🔒 Paid
Articles open on Substack. Some are subscriber-only; those marked ★ Distilled Pro are for Distilled Pro members.
Verdict history (10 calls)
Every verdict Biotech Distilled has published on Rhythm Pharmaceuticals, oldest first — the full history, never a selection. How calls are scored: the track record.
- 2026-01-19 Buy core Rhythm Therapeutics (RYTM): Scientific Deep Dive for Setmelanotide and Pipeline Products HO approval could triple the addressable market, cash position removes dilution risk, and the TRANSCEND data is stronger than the market appreciates, particularly efficacy in GLP-1 failures.
- 2026-02-28 Buy core RYTM Update: Dissecting the Earnings, the Oral Pipeline, and the Wall of Paper The stock dip from S-3/ATM filing is purely mechanical; underlying science, clinical data, and commercial trajectory are intact, and the oral pipeline just got materially de-risked.
- 2026-03-07 Buy core UPDATE: Rhythm Therapeutics (RYTM) - Final TRANSCEND Data Drop Cements the HO Thesis Ahead of PDUFA Expanded N=142 TRANSCEND dataset confirms potent and durable mechanism, Japanese cohort unlocks future global TAM, and the recent ATM-driven dip offered a cleaner entry point.
- 2026-03-22 Hold UPDATE: Rhythm Therapeutics (RYTM) - The Agony, The Ecstasy, and The P-Hacking Reality Check EMANATE failure removes asymmetric upside and the genetic TAM expansion dream; Rhythm is now a commercial execution story requiring proof of HO launch metrics before redeploying capital.
- 2026-03-29 Hold UPDATE: Rhythm Pharmaceuticals (RYTM) - The CHMP Gives a Green Light, but the ATM Hangover Persists Despite FDA and CHMP approvals doubling the HO TAM, the stock is a show-me-the-revenue story; stay on the sidelines until ATM selling pressure subsides and initial HO launch metrics are visible.
- 2026-05-06 Buy core UPDATE: Rhythm Pharmaceuticals (RYTM) - The Launch Metric That Flipped the Script 150 patient start forms in six weeks broke the slow-orphan-launch bear case and confirmed the commercial funnel is working, warranting an upgrade back to accumulate.
- 2026-06-15 Buy core UPDATE: Rhythm Pharmaceuticals (RYTM) - The ENDO Data Dump and the PWS Reality Check Bivamelagon's 52-week oral data (-16.6% BMI) nearly matches the injectable, 2.5-year HO durability is confirmed, and the PWS signal is positive enough to advance to Phase 3, keeping the thesis intact.
- 2026-08-05 Buy core UPDATE: Rhythm Pharmaceuticals (RYTM) - The Launch Converts, and RM-718 Clears the Bar Q2 revenue of $71.3M (+19% QoQ) with 400+ patient start forms confirms PSF-to-prescription conversion, zero ATM dilution, and RM-718's MC1R-sparing tolerability profile adds underpriced next-gen optionality.
- 2026-08-24 Buy core UPDATE: Rhythm Pharmaceuticals (RYTM) - Japan Says Yes, and the Last Regulatory Domino Falls Japan MHLW approval completes the global regulatory trifecta for acquired HO, retiring the last binary regulatory risk, though NHI pricing and launch ramp remain gating items.
- 2026-11-04 Buy core UPDATE: Rhythm Pharmaceuticals (RYTM) - The Launch Delivers, the Balance Sheet Levers Up Q3 U.S. revenue accelerated and payer coverage doubled, but the $350M LG Chem prepayment and $750M debt facility create fixed obligations that make the thesis a leveraged bet on bivamelagon's Phase 3 success.
- Long call · opened Jan 20, 2026 at $102.59 · +9.4% vs XBI +21.5% (Nov 6, 2026)
Every verdict Biotech Distilled has published on this company, in order, with the post it came from — the full history, never a selection. Position figures are the same ones shown on /track-record, computed by the same method. Editorial opinion, not investment advice.
Timing, in the company's words (1 quote from 1 filing)
Sentences quoted verbatim from the company's SEC filings, newest filing first. Each sits under the filing it appeared in; the "matched to" tag names the calendar row it was read for.
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“Financial Guidance: For the year ending December 31, 2026, Rhythm anticipates approximately $360 million to $380 million in Non-GAAP Operating Expenses.”
matched to IMCIVREE (setmelanotide) Japan, acquired HO · regulatory decision · read as December 31, 2026
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Timing sentences quoted from the company's own SEC filings, each under the filing it appeared in. The 'matched to' tag is the calendar row the sentence was read for; the filing is the source. Not investment advice.
Filings & releases (38)
SEC filings from EDGAR and press releases captured from the company's investor-relations site, newest first. Releases captured from May 6, 2026; filings from March 2026. Summaries come from the BD update that read the document; "BD extracted" counts point at the pipeline table above. All companies →
- Nov 4, 2026ReleaseRhythm Pharmaceuticals Announces NICE Guidance for IMCIVREE® (Setmelanotide) Updated to Include Adults Living with Bardet-Biedl SyndromeRYTM ripped 28% today — from the Q3 selloff low of $86.44 back to $110 — on NICE expanding adult BBS reimbursement in England, Wales and Northern Ireland. The move likely reflects more than one day's headline: it's a catch-up to the strong Q3 commercial print combined with a fresh UK payer win that adds real-world coverage to an already-approved indication.
- Nov 3, 2026ReleaseRhythm Pharmaceuticals Reports Third Quarter 2026 Financial Results and Business Update→ BD updateSummary on the 8-K
- Nov 3, 20268-KCurrent report: results of operations · EX-99.1→ BD updateQ3 delivered another strong commercial beat ($92.1M, +29% QoQ, >700 PSFs) — but the market is selling the news because Rhythm simultaneously agreed to pay LG Chem $350M over four years to slash its bivamelagon royalty, financed by a new $750M term loan that adds meaningful leverage to a company still burning cash.
- Nov 3, 202610-QQuarterly report→ BD updateSummary on the 8-K
- Nov 2, 2026ReleaseRhythm Pharmaceuticals and LG Chem Enter into Amendment to Bivamelagon Exclusive License Agreement
- Oct 21, 2026ReleaseRhythm Pharmaceuticals to Report Third Quarter 2026 Financial Results on Tuesday, November 3, 2026
- Oct 13, 2026ReleaseRhythm Pharmaceuticals Announces Commercial Launch of IMCIVREE® (setmelanotide) in Japan for Patients with Acquired Hypothalamic Obesity
- Sep 22, 2026ReleaseRhythm Pharmaceuticals Announces Health Canada Approval of IMCIVREE® (setmelanotide) for Weight Management in Adult and Pediatric Patients 4 years of Age and Older with Acquired Hypothalamic ObesityHealth Canada has approved IMCIVREE for acquired hypothalamic obesity — the fourth major regulator to bless the same pivotal dataset, completing the global regulatory sweep. The stock's 11% slide from the Japan high tells the real story: the market has moved on from regulatory wins and is waiting for Q3 revenue to confirm the commercial thesis.
- Sep 10, 2026ReleaseRhythm Pharmaceuticals Announces New Data Presentations at the European Society for Paediatric Endocrinology Meeting
- Aug 24, 2026ReleaseRhythm Pharmaceuticals Announces MHLW Approval of IMCIVREE® (setmelanotide) for Patients with Acquired Hypothalamic Obesity (HO) in Japan→ BD updateJapan's MHLW has approved IMCIVREE for acquired hypothalamic obesity, the #1 catalyst on the watch list from the August 4 update — unlocking an estimated 5,000–8,000 Japanese patients and completing the U.S./EU/Japan regulatory trifecta for the HO franchise.
- Aug 17, 2026ReleaseRhythm Pharmaceuticals Announces Appointment of Manher (AJ) Joshi as Chief Medical Officer
- Aug 11, 2026ReleaseRhythm Pharmaceuticals Announces IMCIVREE® (setmelanotide) Receives Expanded Marketing Authorization in the United Kingdom for Treatment of Obesity and Control of Hunger in Patients with Acquired Hypo
- Aug 4, 2026ReleaseRhythm Pharmaceuticals Announces Preliminary Data from Phase 2 Trial that Showed RM-718 Demonstrated Positive Efficacy Signal in Acquired Hypothalamic Obesity
- Aug 4, 2026ReleaseRhythm Pharmaceuticals Reports Second Quarter 2026 Financial Results and Business Update
- Aug 4, 20268-KCurrent report: results of operations, Reg FD disclosure, other events · EX-99.1BD extracted 4 program updates from this document → RYTM pipeline
- Aug 4, 202610-QQuarterly report
- Jul 21, 2026ReleaseRhythm Pharmaceuticals to Report Second Quarter 2026 Financial Results on Tuesday, August 4, 2026
- Jul 8, 2026ReleaseRhythm Pharmaceuticals Announces The New England Journal of Medicine Publication of Phase 3 TRANSCEND Trial Results in Acquired Hypothalamic ObesityBD extracted 1 program update from this document → RYTM pipeline
- Jun 25, 20268-KCurrent report: shareholder vote
- Jun 15, 2026ReleaseRhythm Pharmaceuticals Announces Multiple New Data Presentations from MC4R Agonists in Acquired Hypothalamic Obesity (HO), Bardet-Biedl Syndrome (BBS) and Prader-Willi Syndrome (PWS) at ENDO 2026
- Jun 15, 20268-KCurrent report: Reg FD disclosure, other events · EX-99.1BD extracted 1 program update from this document → RYTM pipeline
- Jun 13, 2026ReleaseRhythm Pharmaceuticals Presents Positive Interim Six-month Data from Phase 2 Trial of Setmelanotide in Patients with Prader-Willi Syndrome (PWS) at ENDO 2026BD extracted 1 program update from this document → RYTM pipeline
- Jun 12, 2026ReleaseRhythm Pharmaceuticals to Announce Interim Six-Month Phase 2 Results Evaluating Setmelanotide in Patients with Prader-Willi Syndrome
- May 29, 2026ReleaseRhythm Pharmaceuticals Announces Seven Abstracts Accepted for Presentation at ENDO 2026
- May 29, 2026DEFA14AProxy soliciting material
- May 28, 2026ReleaseRhythm Pharmaceuticals Announces Publication of New Bardet-Biedl Syndrome Diagnostic Algorithm in the American Journal of Medical Genetics
- May 26, 2026ReleaseRhythm Pharmaceuticals Announces Participation in Upcoming Investor Conferences
- May 12, 2026ReleaseRhythm Pharmaceuticals Announces New Data Presentations at the 2026 European Congress of Endocrinology
- May 6, 2026ReleaseRhythm Pharmaceuticals Announces Participation in Upcoming Bank of America Global Healthcare Conference
- May 5, 2026DEFA14AProxy soliciting material
- May 5, 20268-KCurrent report: results of operations · EX-99.1
- May 5, 202610-QQuarterly report
- Apr 29, 2026DEF 14AProxy statement
- Apr 3, 20268-KCurrent report: officer / director change, Reg FD disclosure · EX-99.1
- Mar 26, 20268-KCurrent report: Reg FD disclosure, other events · EX-99.1
- Mar 20, 20268-KCurrent report: Reg FD disclosure, other events · EX-99.1
- Mar 16, 20268-KCurrent report: Reg FD disclosure, other events · EX-99.1
- Mar 2, 20268-KCurrent report: Reg FD disclosure, other events · EX-99.1 EXHIBIT 99.1
6 more filings (13G holder notices, S-8, proxy material, SEC correspondence …)
- Oct 13, 2026SCHEDULE 13GPassive >5% holder (13G)
- May 15, 2026SCHEDULE 13G/A13G amendment
- May 5, 2026S-8Employee plan registration
- Apr 30, 2026SCHEDULE 13GPassive >5% holder (13G)
- Apr 29, 2026ARSAnnual report to shareholders
- Mar 27, 2026SCHEDULE 13G/A13G amendment