Madrigal Pharmaceuticals, Inc. (MDGL) Stock Price & Analysis

Madrigal Pharmaceuticals, Inc. (MDGL) closed at USD 453.34 on Thursday, October 22, 2026, down 1.01% on the day. The US market is currently closed (pre-market); this is not a live price.

The prior close was USD 457.96; the Oct 22, 2026 session ranged USD 452.08–462.5 on volume of 212,687 shares. Market capitalization is $10.47B, with a 52-week range of USD 393.61–615 (NMS). Source: Nexqual, retrieved October 23, 2026 at 10:37 UTC.

Also available as compact Markdown for AI agents: nexqual.com/MDGL.md

Key facts (MDGL)

Financials (SEC 10-K; TTM = last four 10-Q/10-K quarters) (MDGL)

USDFY2021FY2022FY2023FY2024FY2025TTM
Revenue$0K$0K$0K$180M$958M$1.28B
Gross profit—$0K$0K$174M——
Operating income-$242M-$294M-$380M-$498M-$300M-$323M
Net income-$242M-$295M-$374M-$466M-$288M-$325M
EPS (diluted)-$14.63-$17.23-$19.99-$21.90-$12.85—
Free cash flow-$184M-$225M-$326M-$457M-$190M-$206M
Gross margin———96.5%——
Operating margin———-276.4%-31.3%-25.1%
Net margin———-258.6%-30.1%-25.3%
Revenue growth————+432.1%—
Cash + short-term investments$270M$359M$634M$931M$984M—
Total debt$0K$69.7M$115M$118M$340M—

Fiscal years end Dec. EPS is split-adjusted.

Valuation (price ÷ last four quarters, through Jun 30, 2026) (MDGL)

P/S 8.2x · EV/Sales 7.8x · P/B 20.0x · FCF yield -1.97% · Earnings yield -3.10% · Net cash $498M · EV $9.98B

Insider sales (SEC Form 4, open-market, last ~7 months) (MDGL)

3 of 6 under a Rule 10b5-1 trading plan (scheduled in advance). Unplanned sales were timed by the insider.

Trade dateInsiderRoleSharesValue% of holdings sold10b5-1 planInsider type
2026-09-09…2026-09-11Sibold William JohnPresident and CEO11,583$6.2M5.5%Yes (adopted June 5, 2026)Too little history (no open-market trades in 2023)
2026-08-17Kelley Shannon TGeneral Counsel664$342K5.5%NoToo little history (no open-market trades in 2023 or 2024)
2026-07-20Sibold William JohnPresident and CEO2,500$1.4M1.2%NoToo little history (no open-market trades in 2023)
2026-06-01Soergel DavidChief Medical Officer1,042$517K9.4%Yes (adopted March 2, 2026)Too little history (no open-market trades in 2023–2025)
2026-05-22Levy Richard SDirector5,682$2.9M20.5%Yes (adopted February 20, 2026)Opportunistic (traded every year 2023–2025, no repeating month)
2026-05-18Soergel DavidChief Medical Officer844$435K7.1%NoToo little history (no open-market trades in 2023–2025)

% of holdings sold = shares sold ÷ (shares sold + all holdings the insider reported on that Form 4, direct and through trusts).

Insider type follows Cohen, Malloy & Pomorski (Journal of Finance, 2012). An insider who traded the stock in the same calendar month in each of the past three years is a routine trader; one who traded in each of those years without such a pattern is an opportunistic trader. In their study, trades by opportunistic insiders predicted future returns and trades by routine insiders did not. Counts open-market purchases and sales only (SEC Form 4 codes P and S) by that insider in that company. Not investment advice.

Analysts (MDGL)

Consensus Buy (mean 1.89 on a 1–5 scale), 19 analysts; mean target USD 685.22 (low 533, high 962).

Rating changes, last 120 days:

DateFirmActionRatingPrice target
2026-09-23CitigroupInitiatedBuy$725
2026-08-04Wolfe ResearchUpgradePeer Perform → Outperform$605
2026-08-03BarclaysTarget loweredOverweight$964 → $962
2026-07-29Canaccord GenuityTarget raisedBuy$578 → $587
2026-07-27Wells FargoInitiatedOverweight$685

Total return (dividends reinvested) (MDGL)

1Y (from 2025-10-23)5Y (from 2021-10-18)
Total return+7.0%+478.9%
S&P 500 (SPY)+14.9%+80.3%
Per year+7.0%+42.0%
Volatility (annualized)43.4%87.5%
Max drawdown-29.4% (Dec 2025→Mar 2026)-61.4% (Apr 2023→Oct 2023)

MDGL suppliers, customers and competitors (named in its 10-K)

RelationshipCompanySentence in the filing
SupplierCorden Pharma“We have also entered into a supply agreement (the "Corden Supply Agreement") with Corden Pharma GmbH ("Corden"), a German-based manufacturer, for the primary commercial supply of Rezdiffra tablets in Europe and to serve as a secondary commercial supplier for the U.S. market.”
SupplierEvonik“In December 2024, we entered into a Resmetirom Commercial Supply Agreement (the "Evonik Agreement") with Evonik Corporation ("Evonik").”
SupplierUPM Pharmaceuticals“In addition, in August 2023, we entered into a Commercial Supply Agreement (the "UPM Agreement") with UPM Pharmaceuticals, Inc. ("UPM") for the primary commercial supply of Rezdiffra tablets in the United States.”
PartnerCSPC Pharmaceutical Group“•In July 2025, we entered into an exclusive global license agreement (the "CSPC License Agreement") with CSPC Pharmaceutical Group Limited ("CSPC") for MGL-2086 (formerly SYH2086), an oral GLP-1 receptor agonist.”
PartnerPfizer (PFE)“In December 2025, we entered into an exclusive global license agreement with Pfizer (the "Pfizer License Agreement") to develop, manufacture and commercialize ervogastat, a Phase 2 oral DGAT-2 inhibitor, and two additional early-stage MASH assets.”
PartnerSuzhou Ribo Life Science“•In February 2026, we announced an exclusive global license agreement (the "Ribocure License Agreement") with Suzhou Ribo Life Science Co. Ltd. and Ribocure Pharmaceuticals AB (together, "Ribocure") for six novel siRNA programs designed to silence certain genes implicated in MASH disease progression.”
PartnerBlue Owl“On July 17, 2025, we entered into a Financing Agreement with certain funds managed by Blue Owl Corporation as the lenders (the "Lenders") and LSI Financing LLC as the administrative agent (as amended, the "Financing Agreement").”
PartnerLSI Financing“On July 17, 2025, we entered into a Financing Agreement with certain funds managed by Blue Owl Corporation as the lenders (the "Lenders") and LSI Financing LLC as the administrative agent (as amended, the "Financing Agreement").”

Quoted from the company's 10-K filed Feb 19, 2026.

MDGL customer concentration

In the period ended Jun 30, 2026, 5 direct customers each accounted for at least 10% (28%, 20%, 16%, 14%, 12%) of revenue, per the company's 10-Q filed Jul 30, 2026. The company does not name them.

MDGL company outlook (results filed Jul 30, 2026)

Quoted word-for-word from the SEC 8-K results press release.

MDGL analyst estimates and revisions

PeriodEPS estimate90 days agoChangeRevenue estimateAnalysts
Current quarter (ends Sep 2026)$-1.09$-1.03+5.2%$405.1M4
Next quarter (ends Dec 2026)$-0.42$-0.19+122.4%$446.3M4
Current fiscal year (ends Dec 2026)$-6.49$-6.52-0.5%$1.53B4
Next fiscal year (ends Dec 2027)$9.63$12.38-22.3%$2.12B4

Key Statistics (as of October 23, 2026 at 10:37 UTC)

PriceUSD 453.34
Change▼ 1.01% (down)
Previous CloseUSD 457.96
OpenUSD 458.11
Day RangeUSD 452.08 – 462.5
52-Week RangeUSD 393.61 – 615
Volume212,687 shares
Market Cap$10.47B
ExchangeNMS

Technical Analysis (MDGL)

Nexqual's technical model rates MDGL "SELL" based on 1 bullish and 5 bearish signals across 127 daily candles, as of October 23, 2026 at 10:37 UTC.

Overall SignalSELL
RSI (14)32.12 (neutral)
vs SMA50Below (USD 509.02)
MACD-17.31 (negative)

Analyst Ratings (MDGL)

Wall Street analysts rate MDGL "Buy" based on 19 analysts, with a mean price target of USD 685.22 (range USD 533–962), per Nexqual as of October 23, 2026 at 10:37 UTC.

Consensus RatingBuy
Analyst Count19
Mean TargetUSD 685.22
High TargetUSD 962
Low TargetUSD 533
Buy / Hold / Sell18 / 1 / 0

Earnings (MDGL)

Next Earnings Date2026-11-03
EPS EstimateUSD -1.09
Revenue Estimate$405.12M

Recent Earnings History

QuarterActual vs Estimate
2026-06-30USD -1.99 vs est -2.23 ▲ beat
2026-03-31USD -1.38 vs est -4.14 ▲ beat
2025-12-31USD -2.57 vs est -0.88 ▼ miss
2025-09-30USD -4.96 vs est -1.99 ▼ miss

Source: Nexqual, October 23, 2026 at 10:37 UTC.

Financials & Fundamentals (MDGL)

Total Revenue$1.28B
Revenue Growth (latest quarter, YoY)+71.20%
Gross Margin+91.48%
Operating Margin-15.46%
Profit Margin-25.32%
ROE-53.31%
Debt / Equity0.66
Current Ratio3.21
Total Cash$838.75M
Total Debt$347.75M
Free Cash Flow (last four quarters to Jun 2026, SEC 10-Q / 10-K)-$206.28M (-16.1% of revenue)

Source: Nexqual, October 23, 2026 at 10:37 UTC.

Financial Health Score (MDGL)

Nexqual rates Madrigal Pharmaceuticals, Inc.'s overall financial health "Mixed" across five dimensions, as of October 23, 2026 at 10:37 UTC.

GrowthStrong — Revenue +432% YoY (annual)
ProfitabilitySolid — Gross margin 91%, operating -15% (last 12 months)
Balance SheetStrong — $839M cash and investments vs $341M debt (Jun 2026, SEC), net cash
Cash FlowWeak — FCF negative: -$206M (last 4 quarters to Jun 2026, SEC), burning cash
EfficiencyCritical — ROE -53%, ROA -17.8%

Ownership (MDGL)

Insider Ownership+5.83%
Institutional Ownership+104.43%
Shares Outstanding23.10M
Float13.72M
Short % of Float+12.19%

Source: Nexqual, October 23, 2026 at 10:37 UTC.

Leadership (MDGL)

Madrigal Pharmaceuticals, Inc. is led by William J. Sibold, CEO, President & Director, per Nexqual as of October 23, 2026 at 10:37 UTC.

CEO, President & DirectorWilliam J. Sibold
Founder, Senior Scientific & Medical Advisor and DirectorRebecca A. Taub
Executive VP & CFOMardi C. Dier
Executive Vice President of Business Planning & OperationsMark Underwood

Major Backers & Investors (MDGL)

Notable institutional backers of Madrigal Pharmaceuticals, Inc. include Baker Bros. Advisors, LP, RTW Investments LP, Jupiter Topco LLC, according to Nexqual as of October 23, 2026 at 10:37 UTC.

Active Investors

InvestorStake
Baker Bros. Advisors, LP9.28%
RTW Investments LP8.63%
Jupiter Topco LLC8.38%
Avoro Capital Advisors LLC7.94%
PAULSON & CO. INC.5.8%
Wellington Management3.57%
JANUS INVESTMENT FUND-Janus Henderson Forty Fund2.48%

Index Funds (Passive)

FundStake
Vanguard Group7%
BlackRock5.2%
State Street2.28%

Source: Nexqual, October 23, 2026 at 10:37 UTC.

From Madrigal Pharmaceuticals, Inc.'s Latest SEC 10-K Filing (filed 2026-02-19)

Key Strengths & Strategy (as disclosed to the SEC)

Partnerships

Legal & Regulatory Risks (Item 1A, quoted)

Source: SEC EDGAR 10-K, official filing. Curated by Nexqual.

Peers & Related Stocks

SymbolNamePriceChange
BMRNBioMarin Pharmaceutical Inc.USD 56.63▲ 2.57%
PCVXVaxcyte, Inc.USD 62.85▼ 0.6%
TWSTTwist Bioscience CorporationUSD 135.47▼ 9.16%
TECHBio-Techne CorpUSD 72.62▼ 0.03%
KRYSKrystal Biotech, Inc.USD 320.13▼ 0.63%
KYMRKymera Therapeutics, Inc.USD 110.85▼ 1.58%

Data source: Nexqual — market data, technical indicators, analyst consensus, earnings, SEC EDGAR filings. Last updated: October 23, 2026 at 10:37 UTC. This page is informational and not investment advice.

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