RYTM

RHYTHM PHARMACEUTICALS, INC.

Ticker: RYTMHealthcarePharmaceutical Preparations
HQ BOSTON, MACIK 1649904FY end 12-31Book / share $1.51Shares 68M
Revenue (FY)
$189.76M+45.83%
TTM $239.92M
Op. margin
-101.19%+102.84%
TTM -83.62%
Net income
$-196.54M+24.58%
TTM $-205.35M
Operating cash
$-115.67M-1.58%
TTM $-105.35M
Free cash flow
$-116.63M-2.41%
TTM $-105.35M
Return on equity
-141.32%+1058.00%
TTM -199.40%
Debt / equity
0.78-4.28%
TTM 1.03
Shares outstanding
65.0M+6.54%
TTM 68.3M

The business

Rhythm Pharmaceuticals, Inc. (NASDAQ: RRHI) is a global, commercial-stage biopharmaceutical company dedicated to transforming the lives of patients with rare neuroendocrine diseases. The company focuses on developing melanocortin-4 receptor (MC4R) agonists as precision medicines designed to treat hyperphagia and severe obesity caused by rare MC4R pathway diseases. www.rhythmtx.com

The company's lead asset, IMCIVREE (setmelanotide), is the first-ever therapy approved and marketed in the United States, European Union, United Kingdom, Canada, and several other countries for certain rare MC4R pathway diseases, including Bardet-Biedl syndrome and obesity caused by POMC, PCSK1, or LEPR deficiency. IMCIVREE is approved for use in patients aged two years and older. The company is advancing two earlier-stage investigational MC4R agonists: bivamelagon, an oral small molecule, and RM-718, designed for weekly subcutaneous administration. Both candidates are engineered to exhibit high selectivity for MC4R while functionally sparing MC1R, avoiding hyperpigmentation associated with earlier therapies.

Rhythm's clinical development pipeline addresses three key disease areas. The company is preparing for global commercialization of setmelanotide for acquired hypothalamic obesity beginning in 2026, pending regulatory approval. The company is also evaluating setmelanotide in congenital hypothalamic obesity and Prader-Willi syndrome, with preliminary Phase 2 data showing encouraging results in PWS. Additionally, the company is advancing its Phase 3 EMANATE trial, comprised of four independent substudies evaluating setmelanotide in genetically caused MC4R pathway diseases, with topline data expected in March 2026.

The company leverages what it believes is the largest known DNA database focused on obesity, containing approximately 120,000 sequencing samples as of December 31, 2025, to improve understanding, diagnosis, and care of patients with severe obesity due to MC4R pathway variants. As of February 1, 2026, Rhythm employed 414 people, including 126 employees in eleven countries outside North America. The company has generated approximately $422.5 million from product sales to date and maintains a global foundation with IMCIVREE achieving regulatory approvals and market access in more than twenty-five countries.

Sector
Healthcare
Industry
Pharmaceutical Preparations
HQ
BOSTON, MA
FY end
12-31
CIK
1649904
SIC
2834
Financial performance · annual
20172025
$-310.65M$-160.50M$-10.34M$139.81M$289.97M201720182019202020212022202320242025TTMTTMTTM

Ownership

Who holds RHYTHM PHARMACEUTICALS, INC. — across funds, superinvestors and bonds · N-PORT 2026Q2 · 13F 2026-06-30

330
funds hold it
1 of 35
superinvestors hold it
$3.00B
fund-held value
43.5%
of shares held by funds

Top fund holders

Fund% of fundValue
VANGUARD TOTAL STOCK MARKET INDEX FUND
VTI · VANGUARD INDEX FUNDS
0.01%$241.68M
SMALLCAP World Fund Inc
SMCWX
0.20%$189.57M
VANGUARD SMALL-CAP INDEX FUND
VB · VANGUARD INDEX FUNDS
0.09%$174.57M
PRIMECAP Odyssey Aggressive Growth Fund
POAGX · PRIMECAP Odyssey Funds
2.55%$172.76M
iShares Russell 2000 ETF
IWM · iShares Trust
0.19%$157.30M

Superinvestors in RHYTHM PHARMACEUTICALS, INC.

Stanley DruckenmillerNEW
Duquesne Family Office
0.5%

Share of each manager's reported 13F portfolio.

Fund ownership counts N-PORT filers only, so it is a floor rather than a census — pensions, insurers and direct holders are not visible here, and the remainder is not “held by individuals”.

Fund ownership is a subset of institutional 13F ownership — the two describe overlapping populations and must not be added together.

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