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Protagonist Therapeutics vs Ionis Pharmaceuticals: PTGX and IONS compared

Protagonist Therapeutics is the larger company: $274M of revenue in its latest quarter (Q3 2026) against $268M for Ionis Pharmaceuticals (Q2 2026). Protagonist Therapeutics is growing faster (58× against -41% a year earlier). Protagonist Therapeutics is more profitable, with an operating margin of 79.6% against -38.2%.

Protagonist Therapeutics vs Ionis Pharmaceuticals, latest quarterProtagonist Therapeutics vs Ionis Pharmaceuticals, latest quarterProtagonist Therapeutics (PTGX)Ionis Pharmaceuticals (IONS)Revenue$274M$268MRevenue growth, Y/Y58×-41%Operating margin79.6%-38.2%Net margin80.2%-42.8%

Where the money goes: PTGX and IONS

Protagonist Therapeutics (PTGX) · Q3 2026

Protagonist Therapeutics, Q3 2026: revenue $274M (58× year over year), operating margin 79.6%, net earnings $220M, operating cash flow −$23.2M. The chart follows the revenue to costs, profit and cash.

Ionis Pharmaceuticals (IONS) · Q2 2026

Ionis Pharmaceuticals, Q2 2026: revenue $268M (-41% year over year), operating margin -38.2%, net loss $115M, operating cash flow $566M. The chart follows the revenue to costs, profit and cash.

Ionis Pharmaceuticals revenue by segment, Q2 2026Ionis Pharmaceuticals revenue by segment, Q2 2026Research and Development Revenue$150MRoyalty$76.0MDAWNZERASales$26.6MOther Commercial$11.5M
Protagonist Therapeutics (PTGX)Ionis Pharmaceuticals (IONS)
Latest quarterQ3 2026Q2 2026
Revenue$274M$268M
Revenue growth, Y/Y58×-41%
Operating margin79.6%-38.2%
Net earnings$220M−$115M
Net margin80.2%-42.8%
Operating cash flow−$23.2M$566M
Free cash flow—$549M
Market value—$7.1B
Analysts’ mean target—$84.13

Where the revenue comes from

Ionis Pharmaceuticals

Questions

Which is bigger, Protagonist Therapeutics or Ionis Pharmaceuticals?

Protagonist Therapeutics is the larger company: $274M of revenue in its latest quarter (Q3 2026) against $268M for Ionis Pharmaceuticals (Q2 2026).

Is Protagonist Therapeutics or Ionis Pharmaceuticals growing faster?

Protagonist Therapeutics is growing faster (58× against -41% a year earlier).

Which is more profitable, Protagonist Therapeutics or Ionis Pharmaceuticals?

Protagonist Therapeutics is more profitable, with an operating margin of 79.6% against -38.2%.

More: Protagonist Therapeutics earnings · how Protagonist Therapeutics makes money · Ionis Pharmaceuticals earnings · how Ionis Pharmaceuticals makes money

From the companies' latest 10-Q, 10-K or earnings release (10-Q filed Nov 6, 2026; 10-Q filed Jul 29, 2026). Fiscal quarters can end on different dates. Not investment advice.