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Form 8-K

sec.gov

8-K — IRONWOOD PHARMACEUTICALS INC

Accession: 0001104659-26-091625

Filed: 2026-08-06

Period: 2026-08-06

CIK: 0001446847

SIC: 2834 (PHARMACEUTICAL PREPARATIONS)

Item: Results of Operations and Financial Condition

Item: Financial Statements and Exhibits

Documents

8-K — tm2622244d1_8k.htm (Primary)

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UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

FORM 8-K

Current Report Pursuant to

Section 13 or 15(d) of the

Securities Exchange Act of 1934

Date of Report (Date of

Earliest Event Reported):

August 6, 2026

IRONWOOD

PHARMACEUTICALS, INC.

(Exact name of registrant as specified in its

charter)

Delaware

001-34620

04-3404176

(State

or other jurisdiction

(Commission File Number)

(I.R.S.

Employer

of

incorporation)

Identification

Number)

100

Summer Street, Suite

2300

Boston,

Massachusetts

02110

(Address

of principal

(Zip code)

executive

offices)

(617)

621-7722

(Registrant’s telephone number,

including area code)

Check the appropriate box below if the Form 8-K

filing is intended to simultaneously satisfy the filing obligation of the registrant under any of the following provisions:

¨ Written

communications pursuant to Rule 425 under the Securities Act (17 CFR 230.425)

¨ Soliciting

material pursuant to Rule 14a-12 under the Exchange Act (17 CFR 240.14a-12)

¨ Pre-commencement

communications pursuant to Rule 14d-2(b) under the Exchange Act (17 CFR 240.14d-2(b))

¨ Pre-commencement

communications pursuant to Rule 13e-4(c) under the Exchange Act (17 CFR 240.13e-4(c))

Securities registered pursuant to Section 12(b) of the Act:

Title of each class

Trading Symbol(s)

Name of each exchange on which

registered

Class

A common stock, $0.001 par value

IRWD

Nasdaq

Global Select Market

Indicate by check mark whether the registrant is

an emerging growth company as defined in Rule 405 of the Securities Act of 1933 (§230.405 of this chapter) or Rule 12b-2 of

the Securities Exchange Act of 1934 (§240.12b-2 of this chapter).

Emerging

growth company ¨

If

an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying

with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act. ¨

Item 2.02 Results of Operations and Financial Condition.

On August 6, 2026, Ironwood Pharmaceuticals, Inc.

issued a press release containing an update on its recent business activities as well as those for the quarter ended June 30, 2026.

A copy of the press release is furnished as Exhibit 99.1 and is incorporated herein by reference.

The press release is being furnished pursuant to

Item 2.02 of this Current Report on Form 8-K and shall not be deemed “filed” for purposes of Section 18 of the Securities

Exchange Act of 1934, as amended (the “Exchange Act”), or otherwise subject to the liabilities of that Section, nor shall

such document be deemed incorporated by reference in any filing under the Securities Act of 1933, as amended, or the Exchange Act except

as shall be expressly set forth by specific reference in such filing.

Item 9.01 Financial Statements and Exhibits.

(d)  Exhibits.

Exhibit No.

Description

99.1

Ironwood Pharmaceuticals, Inc. Press Release dated August 6, 2026

104

The cover page from this Current Report on Form 8-K, formatted in Inline XBRL

SIGNATURES

Pursuant to the requirements of the Securities

Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned hereunto duly authorized.

Ironwood Pharmaceuticals, Inc.

Dated: August 6, 2026

By:

/s/ Ronald Silver

Name: Ronald Silver

Title: Interim Chief Financial Officer

EX-99.1 — EXHIBIT 99.1

EX-99.1

Filename: tm2622244d1_ex99-1.htm · Sequence: 2

Exhibit 99.1

FOR

IMMEDIATE RELEASE

Ironwood Pharmaceuticals

Raises 2026 Full-Year Financial Guidance Building on

Strong Second

Quarter Results

– Raises

full-year 2026 LINZESS® (linaclotide) U.S. net sales guidance to $1.15 - $1.20 billion, representing greater than

30% increase year-over-year; Raises total revenue guidance to $460 - $485 million and adjusted EBITDA guidance to

greater than $310 million –

– Q2 2026

LINZESS U.S. net sales of $282 million; $555 million year-to-date representing 44% year-over-year growth –

– Total

revenue of $113 million, GAAP net income of $51 million and adjusted EBITDA of $83 million in Q2 2026; repaid $200 million convertible

notes with cash on hand –

– Confirmatory

Phase 3 STARS-2 trial of apraglutide in short bowel syndrome with intestinal failure (SBS-IF) now actively recruiting

patients –

BOSTON, Mass., August 6, 2026 —

Ironwood Pharmaceuticals, Inc. (Nasdaq: IRWD), a biotechnology company developing and commercializing life-changing therapies

for people living with gastrointestinal (GI) and rare diseases, today reported its second quarter 2026 results and recent business performance.

“Throughout the first half of

the year, we have remained laser focused on meaningful execution of our three strategic priorities: maximizing LINZESS, advancing apraglutide,

and delivering sustained profits and cash flows,” said Tom McCourt, chief executive officer of Ironwood. “We are pleased

to report a second consecutive quarter of strong performance for LINZESS, fueled by improved net price and mid-single digit prescription

demand growth which supported our decision to raise our full-year 2026 financial guidance. We also repaid our $200 million convertible

notes during the quarter using cash on hand and remain committed to further debt reduction and strengthening our balance sheet through

year end.”

“Importantly, we initiated STARS-2

and are actively recruiting patients in this confirmatory Phase 3 trial of apraglutide with the goal that it will be the first long-acting

GLP-2 analog to market. Based on the positive Phase 3 STARS data and the confirmatory design of STARS-2, we are confident that apraglutide

has the potential to be a best-in-class therapy for people with short bowel syndrome with intestinal failure, a condition with significant

unmet need,” McCourt continued. “With Dr. Jeffrey Silber now serving as chief medical officer and head of research and

drug development, his proven clinical development leadership further strengthens our ability to advance apraglutide and bring it to patients

as quickly as possible.”

Second Quarter 2026

Financial Highlights1

(in thousands, except for per share

amounts)

Q2 2026

Q2 2025

Total revenue

$ 113,041

$ 85,239

Total costs and expenses

33,734

39,918

GAAP net income

51,291

23,599

GAAP net income – per share basic

0.31

0.15

GAAP net income – per share diluted

0.31

0.14

Adjusted EBITDA1

83,042

50,101

Non-GAAP net income

51,495

23,623

Non-GAAP net income per share – basic

0.31

0.15

Non-GAAP net income per share – diluted

0.31

0.14

1 Refer to the Reconciliation

of GAAP Results to Non-GAAP Financial Measures table and to the Reconciliation of GAAP Net Income (Loss) to Adjusted EBITDA table at

the end of this press release. Refer to Non-GAAP Financial Measures for additional information.

Second Quarter Corporate

Highlights

U.S. LINZESS

· In

May 2026, the U.S. Food and Drug Administration (FDA) approved the use of LINZESS in

pediatric patients 2 years of age and older with functional constipation (FC). LINZESS remains

the only FDA-approved prescription therapy for pediatric FC.

· Prescription

Demand: Total LINZESS demand in the second quarter of 2026 was 59.8 million LINZESS capsules,

a 4% increase compared to the second quarter of 2025, per IQVIA. Based on this performance,

we raised our U.S. LINZESS net sales guidance, which now reflects a mid-single digit percentage

demand growth.

· U.S.

Brand Collaboration: LINZESS U.S. net sales are provided to Ironwood by its U.S. partner,

AbbVie Inc. (“AbbVie”). LINZESS U.S. net sales were $282.3 million in the second

quarter of 2026, a 14% increase compared to $248.0 million in the second quarter of 2025.

Ironwood and AbbVie share equally in U.S. brand collaboration profits.

2

· Q2

2026 LINZESS U.S. net sales growth year-over-year was driven by 4% demand growth and significantly

improved net price due to elimination of inflationary rebates and favorable time-phasing

of gross-to-net rebate reserves in the second quarter of 2026 relative to 2025.

· LINZESS

commercial margin was 78% in the second quarter of 2026, compared to 69% in the second quarter

of 2025. See the U.S. LINZESS Full Brand Collaboration table at the end of this press release.

· Net

profit for the LINZESS U.S. brand collaboration, net of commercial and research and development

(“R&D”) expenses, was $214.6 million in the second quarter of 2026, a 30%

increase compared to $164.9 million in the second quarter of 2025. See the U.S. LINZESS Full

Brand Collaboration table at the end of this press release.

· Collaboration

Revenue to Ironwood: Ironwood recorded $110.0 million in collaboration revenue in the

second quarter of 2026 related to sales of LINZESS in the U.S., a 28% increase compared to

$85.7 million for the second quarter of 2025. See the U.S. LINZESS Commercial Collaboration

table at the end of the press release.

Apraglutide

· Ironwood

initiated and is actively recruiting patients for STARS-2, (NCT07742735) a confirmatory Phase

3 clinical trial of apraglutide for patients with SBS-IF dependent on parenteral support

(“PS”), a severe chronic malabsorptive condition. STARS-2 is a 24-week global,

randomized, double-blind, placebo-controlled trial. The primary endpoint is relative change

from baseline in actual weekly PS volume. Secondary endpoints also to be measured at week

24 for the overall population include clinical response (defined as a 20% reduction in PS

volume), number of days of PS per week, and enteral autonomy.

· Apraglutide

is a once-weekly, long-acting synthetic glucagon-like peptide-2 (“GLP-2”) analog

with the potential to treat a range of rare GI diseases in which GLP-2 can play a central

role in addressing disease pathophysiology. Based on positive data generated from the STARS

Phase 3 trial, Ironwood believes apraglutide has the potential to be a best-in-class

therapeutic to improve the standard of care for adult patients with SBS who are dependent

on PS, as the first and only GLP-2 to achieve a statistically significant reduction in weekly

PS volume with once-weekly administration.

· In

May 2026, during the 2026 Digestive Disease Week (DDW) conference, Ironwood presented

data pooled from studies in the STARS clinical program - including the Phase 2 STARS

Nutrition study, STARS Phase 3 randomized placebo-controlled study, and the ongoing open-label

extension study STARS Extend. In this analysis, apraglutide showed a safety profile consistent

with previous studies. These findings build on the positive data previously announced in

2024.

3

Corporate Updates

· In

May, Ronald Silver, Ironwood’s Corporate Controller and Chief Accounting Officer,

was appointed as Interim Chief Financial Officer, following the resignation of Gregory Martini.

· In

July, Dr. Jeffrey Silber joined Ironwood as Chief Medical Officer and Head of Research

and Drug Development, following the retirement of Dr. Michael Shetzline. With broad

medical and scientific leadership expertise, Dr. Silber will lead Ironwood’s next

phase of R&D strategy and execution.

Second Quarter 2026

Financial Results

· Total

Revenue. Total revenue in the second quarter of 2026 was $113.0 million, compared

to $85.2 million in the second quarter of 2025.

· Total

revenue in the second quarter of 2026 consisted of $110.0 million associated with Ironwood’s

share of the net profits from the sales of LINZESS in the U.S., and $3.0 million in royalties

and other revenue. Total revenue in the second quarter of 2025 consisted of $85.7 million associated

with Ironwood’s share of the net profits from the sales of LINZESS in the U.S., and

($0.5) million in royalties and other revenue.

· Total

Costs and Expenses. Total costs and expenses in the second quarter of 2026 were $33.7

million, compared to $39.9 million in the second quarter of 2025.

· Total

costs and expenses in the second quarter of 2026 consisted of $22.4 million in R&D expenses

and $11.3 million in selling, general and administrative (“SG&A”) expenses.

Total costs and expenses in the second quarter of 2025 consisted of $23.4 million in R&D

expenses, $16.8 million in SG&A expenses, and ($0.3) million in restructuring expenses.

· Interest

Expense.  Interest expense was $7.2 million in the second quarter of 2026, in connection

with Ironwood’s convertible senior notes, which were paid at maturity in June 2026,

and revolving credit facility. Interest expense was $8.4 million in the second quarter of

2025 in connection with Ironwood’s convertible senior notes and revolving credit facility.

· Interest

and Investment Income. Interest and investment income was $1.6 million in the second

quarter of 2026 and $0.8 million in the second quarter of 2025.

· Other.

Other income was insignificant in the second quarter of 2026 and in the second quarter of

2025 and pertained to a gain recorded for pension-related activities.

· Income

Tax Expense. Ironwood recorded $22.4 million of income tax expense in the second

quarter of 2026, the majority of which was non-cash, as Ironwood continues to utilize net

operating losses to offset taxable income for federal purposes and in many states. Ironwood

recorded $14.2 million of income tax expense in the second quarter of 2025, the majority

of which was non-cash, as Ironwood continued to utilize net operating losses to offset taxable

income for federal purposes and in many states.

· GAAP

Net Income. GAAP net income was $51.3 million, or $0.31 per share (basic and diluted)

in the second quarter of 2026, compared to GAAP net income of $23.6 million, or $0.15 per

share (basic) and $0.14 per share (diluted) in the second quarter of 2025.

4

· Non-GAAP

Net Income. Non-GAAP net income was $51.5 million, or $0.31 per share (basic and

diluted), in the second quarter of 2026, compared to non-GAAP net income of $23.6 million,

or $0.15 per share (basic) and $0.14 per share (diluted), in the second quarter of 2025.

· Non-GAAP

net income excludes the impact of amortization of acquired intangible assets, and net restructuring

expenses, all net of tax effect. See Non-GAAP Financial Measures below.

· Adjusted

EBITDA. Adjusted EBITDA was $83.0 million in the second quarter of 2026, compared to

$50.1 million in the second quarter of 2025.

· Adjusted

EBITDA is calculated by subtracting stock-based compensation, net restructuring expenses,

net interest expense, income taxes, depreciation and amortization, from GAAP net income.

See Non-GAAP Financial Measures below.

· Cash

Flow Highlights. Ironwood ended the second quarter of 2026 with $79.1 million of

cash and cash equivalents, compared to $215.5 million of cash and cash equivalents at the

end of 2025.

· The

outstanding principal balance on the revolving credit facility was $385.0 million as of June 30,

2026, with $165.0 million of remaining borrowing capacity available under the facility.

· Ironwood

generated $58.3 million in cash from operations in the second quarter of 2026, compared to

$15.1 million in cash from operations in the second quarter of 2025.

· Ironwood

had $112.7 million in accounts receivable as of June 30, 2026, primarily related to

second quarter 2026 collaboration revenues.

· Ironwood

repaid in full the $200 million aggregate principal amount of its 1.50% convertible senior

notes at their scheduled maturity in June 2026 using available cash on hand.

5

· Ironwood

2026 Financial Guidance. Ironwood is raising its 2026 financial guidance and now

expects:

Prior 2026

Guidance

(May 2026)

Updated 2026

Guidance

(August 2026)

U.S. LINZESS Net Sales

$1.125 to $1.175 billion

Driven by improved net price and low-single digit percentage demand growth

$1.15 to $1.20 billion

Driven by improved net price and mid-single digit percentage demand growth

Total Revenue1

$450 to $475 million

$460 to $485 million

Adjusted EBITDA2

>$300 million

>$310 million

1 Ironwood’s U.S.

collaborative arrangements revenue includes reimbursement from AbbVie for a portion of Ironwood’s commercial expenses related to

sales of LINZESS in the U.S.

2 Adjusted EBITDA is calculated by subtracting stock-based compensation, net restructuring

expenses, net interest expense, income taxes, and depreciation and amortization from GAAP net income (loss). For purposes of this guidance,

we have assumed that Ironwood will not incur material expenses related to business development activities in 2026. Ironwood does not

provide guidance on GAAP net income or a reconciliation of expected adjusted EBITDA to expected GAAP net income because, without unreasonable

efforts, it is unable to predict with reasonable certainty the non-GAAP adjustments used to calculate adjusted EBITDA. These adjustments

are uncertain, depend on various factors and could have a material impact on GAAP net income for the guidance period. Management believes

this non-GAAP information is useful for investors, taken in conjunction with Ironwood’s GAAP financial statements, because it provides

greater transparency and period-over-period comparability with respect to Ironwood’s operating performance. These measures are

also used by management to assess the performance of the business. Investors should consider these non-GAAP measures only as a supplement

to, not as a substitute for or as superior to, measures of financial performance prepared in accordance with GAAP. In addition, these

non-GAAP financial measures are unlikely to be comparable with non-GAAP information provided by other companies.

Non-GAAP Financial Measures

Ironwood presents non-GAAP net income

(loss) and non-GAAP net income (loss) per share to exclude amortization of acquired intangible assets, and net restructuring expenses,

all net of tax effect. Non-GAAP adjustments are further detailed below:

· Amortization

of acquired intangible assets are non-cash expenses arising in connection with the acquisition

of VectivBio, which is considered to be non-recurring.

· Restructuring

expenses are considered to be a non-recurring event as they are associated with distinct

operational decisions. Restructuring expenses include costs associated with exit and disposal

activities.

· Ironwood

also presents adjusted EBITDA, a non-GAAP measure, as well as guidance on adjusted EBITDA.

Adjusted EBITDA is calculated by subtracting stock-based compensation, net restructuring

expenses, net interest expense, income taxes, depreciation and amortization from GAAP net

income (loss). The adjustments are made on a similar basis as described above related to

non-GAAP net income (loss), as applicable.

Management believes this non-GAAP information

is useful for investors, taken in conjunction with Ironwood’s GAAP financial statements, because it provides greater transparency

and period-over-period comparability with respect to Ironwood’s operating performance. These measures are also used by management

to assess the performance of the business. Investors should consider these non-GAAP measures only as a supplement to, not as a substitute

for or as superior to, measures of financial performance prepared in accordance with GAAP. In addition, these non-GAAP financial measures

are unlikely to be comparable with non-GAAP information provided by other companies. For a reconciliation of non-GAAP net income (loss)

and non-GAAP net income (loss) per share to GAAP net income (loss) and GAAP net income (loss) per share, respectively, and for a reconciliation

of adjusted EBITDA to GAAP net income (loss), please refer to the tables at the end of this press release.

6

Ironwood does not provide guidance on

GAAP net income or a reconciliation of expected adjusted EBITDA to expected GAAP net income because, without unreasonable efforts, it

is unable to predict with reasonable certainty the non-GAAP adjustments used to calculate adjusted EBITDA. These adjustments are uncertain,

depend on various factors and could have a material impact on GAAP net income for the guidance period.

Conference Call Information

Ironwood will host a conference call

and webcast at 8:30 a.m. Eastern Time on Thursday, August 6th, 2026, to discuss its second quarter results and recent

business activities. Individuals interested in participating in the call should dial (888) 596-4144 (U.S.) or (646) 968-2525 (international)

using conference ID number and event passcode 3647053. To access the webcast, please visit the Investors section of Ironwood’s

website at www.ironwoodpharma.com. The call will be available for replay via telephone starting Thursday, August 6, 2026, at approximately

11:30 a.m. Eastern Time, running through 11:59 p.m. Eastern Time on Thursday, August 20, 2026. To listen to the replay,

dial (800) 770-2030 (U.S. and Canada) using conference ID number 3647053. The archived webcast will be available on Ironwood’s

website for one year beginning approximately one hour after the call has completed.

About Ironwood Pharmaceuticals

Ironwood Pharmaceuticals (Nasdaq: IRWD)

is a biotechnology company developing and commercializing life-changing therapies for people living with gastrointestinal (GI) and rare

diseases. Ironwood is advancing apraglutide, a next-generation, long-acting synthetic GLP-2 analog being developed for short bowel syndrome

patients who are dependent on parenteral support. In addition, Ironwood has been a pioneer in the development of LINZESS® (linaclotide),

the U.S. branded prescription market leader for the treatment of irritable bowel syndrome with constipation (IBS-C) or chronic idiopathic

constipation (CIC). Building upon our history of innovation, we keep patients at the heart of our R&D and commercialization efforts

to reduce the burden of diseases and address significant unmet needs.

Founded in 1998, Ironwood Pharmaceuticals

is headquartered in Boston, Massachusetts, with a site in Basel, Switzerland.

We routinely post information that may

be important to investors on our website at www.ironwoodpharma.com. In addition, follow us on X and on LinkedIn.

About LINZESS (Linaclotide)

LINZESS® is the #1 prescribed brand

in the U.S. for the treatment of patients with irritable bowel syndrome with constipation (“IBS-C”) or chronic idiopathic

constipation (“CIC”), based on IQVIA data. LINZESS is a once-daily capsule that helps relieve the abdominal pain and constipation

associated with IBS-C in adults and pediatric patients 7 years of age and older. LINZESS has also been shown to relieve constipation,

infrequent stools, hard stools, straining and incomplete evacuation associated with CIC in adult patients. LINZESS relieves constipation

in children and adolescents aged 2 to 17 years with functional constipation.

7

LINZESS is not a laxative; it is the

first medicine approved by the FDA in a class called GC-C agonists. LINZESS contains a peptide called linaclotide that activates the

GC-C receptor in the intestine. Activation of GC-C is thought to result in increased intestinal fluid secretion and accelerated transit

and a decrease in the activity of pain-sensing nerves in the intestine. The clinical relevance of the effect on pain fibers, which is

based on nonclinical studies, has not been established.

In the United States, Ironwood

and AbbVie co-develop and co-commercialize LINZESS for the treatment of IBS-C in adults and pediatric patients 7 years of age and older,

CIC in adults and functional constipation (FC) in pediatric patients 2 years of age and older. In Europe, AbbVie markets linaclotide

under the brand name CONSTELLA® for the treatment of adults with moderate to severe IBS-C. In Japan, Ironwood's partner, Astellas,

markets linaclotide under the brand name LINZESS for the treatment of adults with IBS-C or CIC. Ironwood also has partnered with Grand

Life Sciences for development and commercialization of LINZESS in China, and with AbbVie for development and commercialization of linaclotide

in all other territories worldwide.

LINZESS Important

Safety Information

INDICATIONS AND USAGE

LINZESS® (linaclotide) is indicated

for the treatment of irritable bowel syndrome with constipation (IBS-C) in adults and pediatric patients 7 years of age and older, chronic

idiopathic constipation (CIC) in adults, and functional constipation (FC) in pediatric patients 2 years of age and older.

IMPORTANT SAFETY INFORMATION

WARNING:

RISK OF SERIOUS DEHYDRATION IN

PEDIATRIC PATIENTS LESS THAN 2 YEARS OF AGE

LINZESS is contraindicated in

patients less than 2 years of age; in nonclinical studies in neonatal mice, administration of a single, clinically relevant adult

oral dose of linaclotide caused deaths due to dehydration.

Contraindications

· LINZESS

is contraindicated in patients less than 2 years of age due to the risk of serious dehydration.

· LINZESS

is contraindicated in patients with known or suspected mechanical gastrointestinal obstruction.

8

Warnings and Precautions

Risk of Serious Dehydration in Pediatric

Patients Less Than 2 Years of Age

· LINZESS

is contraindicated in patients less than 2 years of age. In neonatal mice, linaclotide increased

fluid secretion as a consequence of age-dependent elevated guanylate cyclase (GC-C) agonism,

which was associated with increased mortality within the first 24 hours due to dehydration.

There was no age-dependent trend in GC-C intestinal expression in a clinical study of children

2 to less than 18 years of age; however, there are insufficient data available on GC-C intestinal

expression in children less than 2 years of age to assess the risk of developing diarrhea

and its potentially serious consequences in these patients.

Diarrhea

· In

adults, diarrhea was the most common adverse reaction in LINZESS-treated patients in the

pooled IBS-C and CIC double-blind placebo-controlled trials. The incidence of diarrhea was

similar in the IBS-C and CIC populations. Severe diarrhea was reported in 2% of adult patients

with IBS-C or CIC treated with LINZESS 145 mcg or 290 mcg once daily, and in <1% of adult

patients with CIC treated with LINZESS 72 mcg once daily. In pediatric patients, diarrhea

was also the most common adverse reaction in clinical trials of patients 7 to 17 years of

age with IBS-C and 6 to 17 years of age with FC treated with LINZESS. In two double-blind

trials, diarrhea was reported in 4% of pediatric patients 6 to 17 years of age with FC treated

with LINZESS 72 mcg once daily, and 7% and 8% of pediatric patients 7 to 17 years of age

with IBS-C treated with LINZESS 145 mcg and 290 mcg once daily, respectively. In clinical

trials, severe diarrhea was reported in one pediatric patient with FC treated with LINZESS

72 mcg once daily and in one pediatric patient with IBS-C treated with LINZESS at a dose

higher than the recommended 145 mcg once daily dosage for IBS-C. If severe diarrhea occurs,

dosing should be suspended and the patient rehydrated.

Common Adverse Reactions (incidence

≥2% and greater than placebo)

· In

adult patients with IBS-C or CIC: diarrhea, abdominal pain, flatulence and abdominal distension.

· In

pediatric patients 7 to 17 years of age with IBS-C and 6 to 17 years of age with FC: diarrhea.

Please see full Prescribing Information

including Boxed Warning:

https://www.rxabbvie.com/pdf/linzess_pi.pdf

LINZESS® and CONSTELLA® are

registered trademarks of Ironwood Pharmaceuticals, Inc. Any other trademarks referred to in this press release are the property

of their respective owners. All rights reserved.

9

Forward-Looking Statements

This press release contains forward-looking

statements within the meaning of the Private Securities Litigation Reform Act of 1995. Investors are cautioned not to place undue reliance

on these forward-looking statements, including statements about Ironwood’s ability to execute on its mission; Ironwood’s

strategy, business, financial position and operations; Ironwood’s ability to drive growth and profitability; the commercial potential

of LINZESS; Ironwood’s financial performance and results, and guidance and expectations related thereto; LINZESS prescription demand

growth, LINZESS U.S. net sales, total revenue and adjusted EBITDA in 2026; our commitment to further debt reduction and strengthening

our balance sheet and the timing to achieve thereof; anticipated recruitment in our STARS-2 trial; the goal of bringing the first long-acting,

once-weekly GLP-2 analog to market; and our belief that apraglutide has the potential to become a best-in-class, long-acting GLP-2 therapy

for people with SBS-IF. These forward-looking statements speak only as of the date of this press release, and Ironwood undertakes no

obligation to update these forward-looking statements. Each forward-looking statement is subject to risks and uncertainties that could

cause actual results to differ materially from those expressed or implied in such statements. Applicable risks and uncertainties include

those related to the effectiveness of development and commercialization efforts by us and our partners; preclinical and clinical development,

manufacturing and formulation development of linaclotide, apraglutide, and our other product candidates; the risk of uncertainty relating

to pricing and reimbursement policies in the U.S., which, if not favorable for our products, could hinder or prevent our products’

commercial success; the risk that clinical programs and studies, including for apraglutide, may not progress or develop as anticipated,

including that studies are delayed or discontinued for any reason, such as safety, tolerability, enrollment, manufacturing, economic

or other reasons; the risk that findings from our completed nonclinical studies and clinical trials may not be replicated in later trials

and earlier-stage clinical trials may not be predictive of the results we may obtain in later-stage clinical trials or of the likelihood

of regulatory approval; the risk that apraglutide will not be approved by the FDA or other regulatory agencies; the risk of competition

or that new products may emerge that provide different or better alternatives for treatment of the conditions that our products are approved

to treat; the risk that healthcare reform and other governmental and private payor initiatives may have an adverse effect upon or prevent

our products’ or product candidates’ commercial success; the efficacy, safety and tolerability of linaclotide and our product

candidates; the risk that the commercial and therapeutic opportunities for LINZESS, apraglutide or our other product candidates are not

as we expect; decisions by regulatory and judicial authorities; the risk we may never get additional patent protection for linaclotide,

apraglutide and other product candidates, that patents for linaclotide, apraglutide or other products may not provide adequate protection

from competition, or that we are not able to successfully protect such patents; the risk that we are unable to manage our expenses or

cash use, or are unable to commercialize our products as expected; the risk that the development of apraglutide is not successful or

that any of our product candidates does not receive regulatory approval or is not successfully commercialized; outcomes in legal proceedings

to protect or enforce the patents relating to our products and product candidates, including abbreviated new drug application litigation;

the risk that financial and operating results may differ from our projections; developments in the intellectual property landscape; challenges

from and rights of competitors or potential competitors; the risk that our planned investments do not have the anticipated effect on

our company revenues; developments in accounting guidance or practice; Ironwood’s or AbbVie’s accounting practices, including

reporting and settlement practices as between Ironwood and AbbVie; the risk that our indebtedness could adversely affect our financial

condition or restrict our future operations; and the risks listed under the heading “Risk Factors” and elsewhere in our Annual

Report on Form 10-K for the year ended December 31, 2025, and in our subsequent Securities and Exchange Commission filings.

10

Investors and Media:

Chris Stamm

Vice President, Investor Relations

and Communications

cstamm@ironwoodpharma.com

Investors:

Precision AQ

Stephanie Ascher

Stephanie.Ascher@precisionaq.com

11

Condensed

Consolidated Balance Sheets

(In

thousands)

(unaudited)

June 30,

2026

December 31,

2025

Assets

Current assets:

Cash and cash equivalents

$ 79,127

$ 215,456

Accounts receivable, net

112,732

46,745

Prepaid expenses and other current assets

7,342

11,977

Total current assets

199,201

274,178

Property and equipment, net

2,913

3,408

Operating lease right-of-use assets

8,443

9,340

Intangible assets, net

1,633

2,040

Deferred tax assets

69,064

103,433

Other assets

3,874

4,502

Total assets

$ 285,128

$ 396,901

Liabilities and stockholders’ deficit

Current liabilities:

Accounts payable

$ 911

$ 2,898

Accrued research and development costs

3,124

3,149

Accrued expenses and other current liabilities

25,534

33,239

Current portion of operating lease liabilities

3,285

3,252

Current portion on convertible senior notes

-

199,680

Total current liabilities

32,854

242,218

Operating lease obligations, net of current portion

8,581

9,870

Revolving credit facility

385,000

385,000

Other liabilities

20,536

21,648

Total liabilities

446,971

658,376

Total stockholders’ deficit

(161,843 )

(261,835 )

Total liabilities and stockholders’ deficit

$ 285,128

$ 396,901

12

Condensed

Consolidated Statements of Income (Loss)

(In

thousands, except per share amounts)

(unaudited)

Three

Months Ended

June 30,

Six

Months Ended

June 30,

2026

2025

2026

2025

Total revenues

$ 113,041

$ 85,239

$ 219,547

$ 126,382

Costs and expenses:

Research and development

22,421

23,373

44,361

50,805

Selling, general and administrative

11,313

16,795

23,346

41,055

Restructuring, net

-

(250 )

(40 )

18,309

Total costs and expenses

33,734

39,918

67,667

110,169

Income from operations

79,307

45,321

151,880

16,213

Other income (expense):

Interest expense and other financing costs

(7,203 )

(8,356 )

(16,344 )

(16,426 )

Interest and investment income

1,585

818

3,283

1,687

Other

42

39

84

76

Other income (expense), net

(5,576 )

(7,499 )

(12,977 )

(14,663 )

Income before income taxes

73,731

37,822

138,903

1,550

Income tax expense

(22,440 )

(14,223 )

(46,839 )

(15,337 )

GAAP net income (loss)

$ 51,291

$ 23,599

$ 92,064

$ (13,787 )

GAAP net income (loss) per share—basic

$ 0.31

$ 0.15

$ 0.56

$ (0.09 )

GAAP net income (loss) per share—diluted

$ 0.31

$ 0.14

$ 0.55

$ (0.09 )

13

Reconciliation

of GAAP Results to Non-GAAP Financial Measures

(In thousands,

except per share amounts) (unaudited)

A

reconciliation between net income (loss) on a GAAP basis and on a non-GAAP basis is as follows:

Three

Months Ended

June 30,

Six

Months Ended

June 30,

2026

2025

2026

2025

GAAP net income (loss)

$ 51,291

$ 23,599

$ 92,064

$ (13,787 )

Adjustments:

Amortization of acquired intangible assets

204

204

407

407

Restructuring expenses, net

-

(250 )

(40 )

18,309

Tax effect of adjustments

-

70

10

(4,533 )

Non-GAAP net income

$ 51,495

$ 23,623

$ 92,441

$ 396

A reconciliation between basic net income

(loss) per share on a GAAP basis and on a non-GAAP basis is as follows:

Three

Months Ended

June 30,

Six

Months Ended

June 30,

2026

2025

2026

2025

GAAP net income (loss) per share – basic

$ 0.31

$ 0.15

$ 0.56

$ (0.09 )

Adjustments to GAAP net income per share (as detailed above)

-

-

-

0.09

Non-GAAP net income (loss) per share – basic

$ 0.31

$ 0.15

$ 0.56

$ -

Weighted average number of common shares used to calculate net income (loss) per share — basic

164,405

161,723

163,930

161,350

14

A reconciliation between diluted net

income (loss) per share on a GAAP basis and on a non-GAAP basis is as follows:

Three

Months Ended

June 30,

Six

Months Ended

June 30,

2026

2025

2026

2025

GAAP net income (loss) per share – diluted

$ 0.31

$ 0.14

$ 0.55

$ (0.09 )

Adjustments to GAAP net income per share

(as detailed above)

-

-

-

0.09

Non-GAAP net income (loss) per share – diluted

$ 0.31

$ 0.14

$ 0.55

$ -

Weighted average number of common shares used to calculate net income (loss) per share — diluted

167,179

176,837

167,036

161,350

15

Reconciliation

of GAAP Net Income (Loss) to Adjusted EBITDA

(In

thousands)

(unaudited)

A reconciliation of GAAP net income

(loss) to adjusted EBITDA:

Three

Months Ended

June 30,

Six

Months Ended

June 30,

2026

2025

2026

2025

GAAP net income (loss)

$ 51,291

$ 23,599

$ 92,064

$ (13,787 )

Adjustments:

Stock-based compensation

3,236

4,524

6,889

9,815

Restructuring expenses, net

-

(250 )

(40 )

18,309

Interest expense

7,203

8,356

16,344

16,426

Interest and investment income

(1,585 )

(818 )

(3,283 )

(1,687 )

Income tax expense

22,440

14,223

46,839

15,337

Depreciation and amortization

457

467

900

946

Adjusted EBITDA1

$ 83,042

$ 50,101

$ 159,713

$ 45,359

1 Adjusted EBITDA is calculated by

subtracting net restructuring expenses, net interest expense, income taxes, depreciation and amortization and stock-based compensation,

from GAAP net income.

16

U.S. LINZESS

Commercial Collaboration1

Revenue/Expense

Calculation

(In thousands)

(unaudited)

Three Months Ended

June 30,

Six Months Ended

June 30,

2026

2025

2026

2025

LINZESS U.S. net sales as reported by AbbVie2

$ 282,309

$ 248,001

$ 554,834

$ 386,478

AbbVie & Ironwood commercial costs, expenses and other discounts3

62,987

76,886

127,614

143,793

Commercial profit on sales of LINZESS

$ 219,322

$ 171,115

$ 427,220

$ 242,685

Commercial Margin4

78 %

69 %

77 %

63 %

Ironwood’s share of net profit

109,661

85,558

213,610

121,343

Reimbursement for Ironwood’s commercial expenses5

384

125

657

3,108

Ironwood’s U.S. collaborative arrangements revenue

$ 110,045

$ 85,683

$ 214,267

$ 124,451

1 The purpose of this table

is to present calculations of Ironwood’s share of net profit (loss) generated from the sales of LINZESS in the U.S. and Ironwood’s

collaboration revenue/expense; however, the table does not present the research and development expenses related to LINZESS in the U.S.

that are shared equally between the parties under the collaboration agreement. Please refer to the table at the end of this press release

for net profit for the U.S. LINZESS brand collaboration with AbbVie.

2 LINZESS net sales are recognized

using AbbVie’s revenue recognition accounting policies and reporting conventions. As a result, certain rebates and discounts are

classified as LINZESS U.S. commercial costs, expenses and other discounts within Ironwood’s calculation of collaborative arrangements

revenue.

3 Includes certain discounts

recognized and cost of goods sold incurred by AbbVie; also includes commercial costs incurred by AbbVie and Ironwood that are attributable

to the cost-sharing arrangement between the parties.

4 Commercial margin is defined

as commercial profit on sales of LINZESS as a percent of total LINZESS U.S. net sales.

5 Year-over-year decrease

reflects impact of the reduction to Ironwood’s commercial expenses and corresponding reimbursement from AbbVie due to Ironwood’s

strategic reorganization announced in January 2025.

17

US LINZESS Full

Brand Collaboration1

Revenue/Expense

Calculation

(In

thousands)

(unaudited)

Three

Months Ended

June 30,

Six

Months Ended

June 30,

2026

2025

2026

2025

LINZESS U.S. net sales as reported by AbbVie2

$ 282,309

$ 248,001

$ 554,834

$ 386,478

AbbVie & Ironwood commercial costs, expenses and other discounts3

62,987

76,886

127,614

143,793

AbbVie & Ironwood R&D Expenses4

4,683

6,241

7,885

11,919

Total net profit on sales of LINZESS

$ 214,639

$ 164,874

$ 419,335

$ 230,766

1 Ironwood collaborates with

AbbVie on the development and commercialization of linaclotide in North America. Under the terms of the collaboration agreement, Ironwood

receives 50% of the net profits and bears 50% of the net losses from the commercial sale of LINZESS in the U.S. The purpose of this table

is to present calculations of the total net profit (loss) generated from the sales of LINZESS in the U.S., including the commercial costs

and expenses and the research and development expenses related to LINZESS in the U.S. that are shared equally between the parties under

the collaboration agreement.

2 LINZESS net sales are recognized

using AbbVie’s revenue recognition accounting policies and reporting conventions. As a result, certain rebates and discounts are

classified as LINZESS U.S. commercial costs, expenses and other discounts within Ironwood’s calculation of collaborative arrangements

revenue.

3 Includes certain discounts

recognized and cost of goods sold incurred by AbbVie; also includes commercial costs incurred by AbbVie and Ironwood that are attributable

to the cost-sharing arrangement between the parties.

4 Expenses related to LINZESS

in the U.S. are shared equally between Ironwood and AbbVie under the collaboration agreement.

18

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