Ultragenyx Pharmaceutical Deep Dive

Investor-Grade Analysis | March 2026
Ada Cockpit Research

Executive Summary - Key Metrics

2024 Revenue
$560.2M
↑ 29% YoY
Market Cap
$2.1B
March 2026
Net Loss (2024)
-$569M
vs. -$607M (2023)
Employees
1,294
10% reduction in 2026
R&D Spend
$697.9M
2024; 38% cut by 2027
Pipeline Programs
6 Active
Phase 3 / BLA
2024 Product Revenue Mix ($560.2M Total)
Crysvita $410M (73%) Dojolvi $88M (16%) Other $62M (11%) Crysvita (XLH) Dojolvi (LC-FAOD) Mepsevii & Other
Revenue Growth Trajectory (2021-2026E)
$800M $700M $600M $500M $400M $272M $340M $434M $560M $673M $745M (E) 2021 2022 2023 2024 2025 2026E 5-Year CAGR: 22.2% (2021-2026E)

Company Overview

Ultragenyx Pharmaceutical Inc. (NASDAQ: RARE) is a biopharmaceutical company focused on developing and commercializing therapies for rare and ultra-rare genetic diseases. Founded in 2010 by Emil D. Kakkis, M.D., Ph.D., the company is headquartered in Novato, California.

Metric Value Notes
Headquarters Novato, California 60 Leveroni Court, Novato, CA 94949
Founded 2010 Incorporated June 13, 2011
CEO Emil D. Kakkis, M.D., Ph.D. Founder; former BioMarin CMO
Employees 1,294 (Dec 2024) 10% reduction planned 2026
Market Cap ~$2.1 billion March 2026 (down from $3.89B in Dec 2024)

Financial Performance (FY 2024)

Line Item FY 2024 FY 2023 YoY Change
Total Revenue $560.2M $434.0M +29%
Crysvita Revenue $410M $328M (est.) +25%
Dojolvi Revenue $88M $70M (est.) +25%
Operating Expenses $1,096M ~$1,050M (est.) +4%
R&D Expenses $697.9M ~$650M (est.) +7%
SG&A Expenses $321.6M ~$310M (est.) +4%
Net Loss -$569M -$607M Improved $38M
Cash & Equivalents $745M ~$850M (est.) -$105M burn
EBITDA and EBITDA Margin: Not publicly disclosed. Ultragenyx is pre-profitability with 2027 profitability target.

Commercial Product Portfolio

Product Indication 2024 Revenue Growth Peak Sales Potential
Crysvita (burosumab) X-linked hypophosphatemia (XLH) $410M +25% YoY $2.8B by 2033 (global)
Dojolvi (triheptanoin) Long-chain fatty acid oxidation disorders (LC-FAOD) $88M +25% YoY $200-300M (niche ultra-rare)
Mepsevii (vestronidase alfa) Mucopolysaccharidosis VII (MPS VII) ~$25M (est.) +23% (Q4 YoY) $40-60M (ultra-rare: ~200 global patients)
Evkeeza (evinacumab) Homozygous familial hypercholesterolemia (HoFH) Co-promoted (Regeneron lead) +29% (2025 collaboration sales) $750M-2.1B (collaboration-wide)

Pipeline Highlights

Program Indication Stage Key Milestone Peak Sales Estimate
DTX401 Glycogen Storage Disease Type Ia (GSD1a) BLA Priority Review PDUFA: Aug 23, 2026 $500M-1.5B
UX111 MPS IIIA (Sanfilippo Type A) BLA Resubmitted FDA Decision: Q3 2026 $300M-1B
GTX-102 Angelman Syndrome Phase 3 Data Expected: H2 2026 $900M-3B (blockbuster potential)
Setrusumab (UX143) Osteogenesis Imperfecta (OI) Phase 2/3 Data announced 2025; path under review $500M-1B (if approved)
DTX301 Ornithine Transcarbamylase (OTC) Deficiency Phase 3 Enh3ance study ongoing $500M-1.5B
UX701 Wilson Disease Phase 1/2/3 Cyprus²+ Stage 1 positive interim data $1B-3B

Geographic Revenue Breakdown (2024 Estimated)

Region Revenue (Est.) % of Total Key Markets
North America $370-400M 66-71% United States, Canada
Europe $110-130M 20-23% Germany, France, UK, Spain, Italy, Switzerland
Latin America $40-60M 7-11% Brazil, Argentina, Mexico, Colombia
Japan/Asia-Pacific $10-20M 2-4% Japan, Australia

Note: Geographic revenue not officially reported by Ultragenyx in 10-K filings; estimates derived from quarterly business metrics.

Ada Patient Finder: Top Partnership Opportunities

Drug Fit Score Undiagnosed Pool (US) Diagnostic Delay Ada Revenue Potential (Annual)
GTX-102 (Angelman) 9/10 800-1,500 Ada-addressable 2-5 years $3.98M-13.25M
Crysvita (XLH) 8/10 3,000-4,000 Ada-addressable 2.7-4.1 years $7.0M-21M
DTX401 (GSD1a) 7/10 30-80 Ada-addressable 3-12 months $1.15M-4.6M
Evkeeza (HoFH) 6/10 300-400 Ada-addressable 5-15 years $0.43M-1.28M
Dojolvi (LC-FAOD) 5/10 400-500 Ada-addressable Minimal (NBS era) $0.25M-0.75M
Mepsevii (MPS VII) 2/10 3-8 Ada-addressable 6 months-3 years $0.007M-0.018M

Recommendation: Tier 1 priorities are GTX-102 (Angelman Syndrome) and Crysvita (XLH), offering the largest undiagnosed pools, substantial diagnostic delays (2-5 years), high per-patient lifetime value, and distinctive symptom patterns Ada can surface. GTX-102 partnership contingent on Phase 3 success (H2 2026 data).

Competitive Landscape

XLH / Crysvita Competitors

Angelman Syndrome / GTX-102 Competitors

Rare Disease Biotech Peers

Company Market Cap (Approx.) Key Focus
BioMarin (BMRN) ~$10-15B Enzyme replacement, gene therapy (hemophilia A); MPS, metabolic
Sarepta (SRPT) ~$5-8B Neuromuscular (DMD); ASO and gene therapy platforms
Alnylam (ALNY) ~$20-25B RNAi platform; metabolic, hematologic rare diseases
Ultragenyx (RARE) ~$2.0-2.2B Rare/ultra-rare genetic diseases; gene therapy, ASO, mAb

Key Risks and Challenges

2026 Catalysts and Outlook

Catalyst Timing Impact
DTX401 FDA Decision Aug 23, 2026 (PDUFA) Approval: $500M-1.5B peak sales; first commercial gene therapy
UX111 FDA Decision Q3 2026 Approval: $300M-1B peak sales; accelerated pathway
GTX-102 Phase 3 Data H2 2026 Positive: BLA 2027; blockbuster potential ($900M-3B)
2026 Revenue Guidance Full Year $730-760M (8-13% growth); Crysvita $500-520M, Dojolvi $100-110M
Profitability Target 2027 Break-even to positive EBITDA via cost cuts + new launches

Analyst Consensus

Price Target: $77.48 consensus (range $25-$140; median $50.50)

Ratings: 19 Buy, 1 Hold, 0 Sell (out of 36 analysts)

Upside: 114% from current $36.30 to consensus $77.48

References

This deep dive cites 130+ sources across regulatory filings, earnings reports, clinical trial databases, analyst coverage, and peer-reviewed literature. Full citations available in the markdown report.

[Key Sources] SEC EDGAR (Ultragenyx 10-K, 8-K, Proxy filings), Ultragenyx investor relations (earnings releases, presentations), FDA.gov (PDUFA calendars, orphan drug database), ClinicalTrials.gov (pipeline trials), PubMed/PMC (epidemiology, diagnostic delay studies), analyst reports (Piper Sandler, Evercore ISI, Barclays, Wells Fargo), market research (Verified Market Reports, Precision Business Insights, Research and Markets), rare disease foundations (FAST, Cure Angelman, WORLDSymposium), partnership disclosures (Kyowa Kirin, Regeneron, Mereo BioPharma, Daiichi Sankyo press releases).
[Financial Data] Ultragenyx Q4 2024 and Full-Year 2024 Earnings Release (Feb 13, 2025); StockAnalysis.com (market cap, revenue trends); Fintel.io and SimplyWall.st (institutional ownership); GuruFocus and TradingView (analyst estimates).
[Clinical & Regulatory] FDA PDUFA Calendar (DTX401 Aug 23, 2026); FDA Orphan Drug Designations database; ClinicalTrials.gov (NCT06617429 GTX-102 Aspire, NCT04360265 UX111 LTE, NCT06255782 ECUR-506 OTC); Cure Sanfilippo Foundation, Angelman Syndrome Foundation, International XLH Registry publications.
[Epidemiology] PMC/PubMed articles on XLH diagnostic delay (PMID 41185884), LC-FAOD prevalence modeling (PMC9239941), MPS VII epidemiology (Orpha.net 584, PMC8164808), Angelman syndrome prevalence (Orpha.net 72), GSD1a incidence (NCBI Books NBK534196).
[Partnership Details] Kyowa Kirin press releases (Crysvita commercialization transition 2023), Regeneron Q4 2025 earnings (Evkeeza sales), Mereo BioPharma pipeline page (setrusumab Breakthrough Therapy designation), Daiichi Sankyo licensing announcement (gene therapy manufacturing tech, Apr 2020).
[Competitive Intelligence] Reneo Pharmaceuticals (mavodelpar Fast Track designation Jan 2023), Ionis pipeline disclosures (ION582 Angelman), DrugPatentWatch (Crysvita patent analysis), Precision Business Insights (XLH market size $2.644B 2024 to $5.420B 2031).