From Partnered ASO Therapies To A Wholly-Owned Pipeline With Ionis's Brett Monia, Ph.D.

Life Science Connect
Life Science ConnectMay 4, 2026

Why It Matters

Ionis’s shift to a self‑sufficient pipeline accelerates delivery of novel RNA‑based medicines, reshaping treatment options for rare diseases and creating significant upside for investors.

Key Takeaways

  • Ionis shifted from partnered ASOs to wholly‑owned pipeline with commercialization
  • Brett Monia emphasizes perseverance despite early scientific and financial hurdles
  • Six Ionis ASO drugs approved; three more expected this year
  • Company now integrates siRNA and gene‑editing alongside antisense technologies
  • Ionis claims the strongest oligonucleotide research organization in the industry

Summary

The Business of Biotech interview with Ionis founder‑scientist Brett Monia, now CEO, explores how the RNA‑therapeutics pioneer moved from a partnership‑heavy antisense oligonucleotide (ASO) model to a wholly‑owned drug pipeline with built‑in commercialization capabilities.

Monia recounts the early scientific unknowns—cellular uptake, safety, scale‑up—and the financial strain of proving that short, chemically‑modified DNA/RNA strands could work in humans. After decades of setbacks, Ionis delivered six marketed ASO medicines and expects three additional approvals this year, while expanding into siRNA and gene‑editing platforms.

He stresses the company’s relentless focus: “If anyone is going to do this, it’s us,” and cites the spin‑out Regulus, later sold to Novartis for $1.7 billion, as proof of the platform’s value. Collaboration with Alnylam and the decision to run both antisense and siRNA programs illustrate a diversified R&D engine.

Ionis’s strategy positions it as the dominant player in oligonucleotide therapeutics, promising new treatments for rare and unmet‑need diseases and offering investors exposure to a growing, high‑margin biotech segment.

Original Description

On this week's episode of the Business of Biotech, Brett Monia, Ph.D., CEO at Ionis Pharmaceuticals, talks about how antisense oligonucleotides (ASO) graduated from a late-1980s lab concept to real RNA-targeting medicines, and why Ionis stuck with a difficult modality despite multiple setbacks. Brett describes the company's shift from a partner-first model to building a wholly-owned pipeline, commercial function, and an expanded manufacturing operation, and how he as a founding scientist-turned-CEO bridged a skills gap in finance and investor relations.
Access this and hundreds of episodes of the Business of Biotech videocast at lifescienceleader.com

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