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Amgen's Six Engines Keep Grinding, Even as Old Franchises Erode

Q2 growth driven by Repatha, EVENITY, TEZSPIRE, rare disease, oncology, biosimilars; guidance raised as MariTide and cardiovascular pipeline advance.
AMGN · Earnings Call · 2026-08-04

The Engine Room Is Running Hot

Amgen's second-quarter numbers made the case for breadth over depth. Total revenue crossed $10 billion (up 10% YoY) as 22 products grew double digits. The six growth drivers — Repatha, EVENITY, TEZSPIRE, rare disease, innovative oncology, and biosimilars — grew 26% and now account for ~70% of product sales. Bob Bradway summed it up: “Our strong results were driven by the breadth and depth of our portfolio and once again demonstrate our ability to grow through patent expirations and increased competition.” — Robert Bradway, Chairman and Chief Executive Officer · 2026-08-04 The erosion in Prolia/XGEVA (down 33% to $1.1B) was in line with expectations, but the rest of the portfolio more than offset it. Biosimilars contributed $855M (+29%), with PAVBLU growing 121% to $287M. The story is not just about the present quarter; it's about the way the company keeps reinvesting while maintaining financial discipline.

Cardiovascular: The Hub of a New Platform

The real excitement is in cardiometabolic disease. Repatha delivered $953M (+37%) and continues to expand into primary care. Murdo Gordon highlighted: “Repatha should be central to an aggressive LDL lowering strategy for the estimated 100 million patients worldwide who are still above their LDL-C goals.” — Murdo Gordon, Executive Vice President, Global Commercial Operations · 2026-08-04 The primary care push is gaining traction — new-to-brand prescriptions grew more than 50% YoY, with half coming from existing cardiologists and half from new primary-care prescribers. That sets up the cardiovascular event reduction data from VESALIUS-CV to become the backbone of a bigger franchise. This isn't a new theme — as Murdo said on the Q3 2025 call, “Roughly 40% of our Repatha new-to-brand prescriptions are from patients who have yet to suffer a first vascular event.” — Murdo Gordon, Executive Vice President, Global Commercial Operations · 2025-08-05 Now it's accelerating. Then there's MariTide. The company is betting on monthly or quarterly dosing to disrupt the weekly GLP 1 market. Jay Bradner explained the mechanism: “MariTide is truly a singularity... the antibody design affords a half-life of approximately 21 days.” — James Bradner, Executive Vice President, Research and Development · 2026-08-04 Nine Phase III studies are ongoing, and the company is explicitly testing switch-and-stay protocols from weekly agents. This is a direct evolution of the switch study Jay outlined back in April: “There will be a run-in on weekly semaglutide or tirzepatide, and then they will switch to Meritide on an every eight-week or quarterly basis.” — James E. Bradner, Executive Vice President, Research and Development · 2026-04-30 The difference now is real clinical momentum.

Pipeline: Sjögren's and the Next Wave

Beyond cardiometabolic disease, Amgen's R&D engine is turning. The dazodalibep Phase III program in Sjögren's is expected to read out in H2 2026 — a big bet on a disease with few effective options. And the company is investing heavily in AI, with a frontier AI lab in research. That R&D spend is a strategic choice, even as margins stay around 45–46%. Research and development expense reached $1.7B in the quarter, up 10% YoY, funding MariTide, Olpasiran, Xaluritamig, and the next-generation pipeline.

Guidance Raised, CFO Change

Peter Griffith, the retiring CFO, raised 2026 guidance: total revenues to $38.2–39.4B and non-GAAP EPS to $22.30–23.50. He also reiterated a roughly 45–46% non-GAAP operating margin and CapEx of $2.6B. The confidence is tangible:

We are raising our 2026 guidance ranges for both revenue and non-GAAP earnings per share.

Even with a $100M upfront BD payment in Q3, the full-year outlook was boosted. The transition to Thomas Dittrich as CFO is smooth, and the company's financial engine shows no sign of stalling.