X4 Pharmaceuticals, Inc. (XFOR) Stock Price & Analysis

X4 Pharmaceuticals, Inc. (XFOR) closed at USD 3.2 on Thursday, October 22, 2026, up 6.31% on the day. The US market is currently closed (pre-market); this is not a live price.

The prior close was USD 3.01; the Oct 22, 2026 session ranged USD 2.96–3.28 on volume of 591,782 shares. Market capitalization is $317.27M, with a 52-week range of USD 2.43–4.83 (NCM). Source: Nexqual, retrieved October 23, 2026 at 10:11 UTC.

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

Key facts (XFOR)

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

USDFY2021FY2022FY2023FY2024FY2025TTM
Revenue$0K$0K$0K$2.6M$35.1M$15.8M
Gross profit—$0K$0K$1.8M$29.4M—
Operating income-$85.1M-$87.6M-$108M-$36.4M-$86.9M-$87.9M
Net income-$88.7M-$93.9M-$101M-$37.5M-$79.2M-$90.1M
EPS (diluted)-$119.70-$45.60-$17.07-$5.59-$1.87—
Free cash flow-$71.5M-$77.2M-$96.6M-$131M-$85.6M—
Gross margin———69.3%83.6%—
Operating margin———-1400.0%-247.4%-554.7%
Net margin———-1440.4%-225.6%-568.8%
Revenue growth-100.0%———+1250.5%—
Cash + short-term investments$81.8M$122M$114M$102M$253M—
Total debt$33.9M$33.6M$55.0M$75.0M$75.0M—

Fiscal years end Dec. EPS is split-adjusted.

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

P/S 20.0x · EV/Sales 11.6x · P/B 2.0x · Earnings yield -28.41% · Net cash $133M · EV $184M

Analysts (XFOR)

Consensus Buy (mean 2.00 on a 1–5 scale), 5 analysts; mean target USD 11.6 (low 10, high 13).

Rating changes, last 120 days:

DateFirmActionRatingPrice target
2026-07-10Wells FargoInitiatedOverweight$11

Total return (dividends reinvested) (XFOR)

1Y (from 2025-10-23)5Y (from 2021-10-18)
Total return+3.6%-97.6%
S&P 500 (SPY)+14.9%+80.3%
Per year+3.6%-52.6%
Volatility (annualized)75.5%110.0%
Max drawdown-47.5% (Jun 2026→Oct 2026)-99.0% (Nov 2021→Jul 2025)

XFOR analyst estimates and revisions

PeriodEPS estimate90 days agoChangeRevenue estimateAnalysts
Current quarter (ends Sep 2026)$-0.19$-0.20-5.8%$2.3M5
Next quarter (ends Dec 2026)$-0.20$-0.21-5.9%$2.3M5
Current fiscal year (ends Dec 2026)$-0.67$-0.76-11.5%$16.0M5
Next fiscal year (ends Dec 2027)$-0.77$-0.91-16.0%$11.6M4

XFOR options: expected move

Options price a move of about ±67.7% (±$2.13) by Dec 18, 2026, which includes earnings on Nov 5, 2026.

ExpirationDaysATM implied volatilityExpected move
Dec 18, 202656235.7%±67.7%

30-day implied volatility 68.7% vs 69.2% realized over the last 30 trading days. Put/call ratio (volume) —. Cboe delayed quotes (15 min). Expected move = at-the-money straddle.

Key Statistics (as of October 23, 2026 at 10:11 UTC)

PriceUSD 3.2
Change▲ 6.31% (up)
Previous CloseUSD 3.01
OpenUSD 2.99
Day RangeUSD 2.96 – 3.28
52-Week RangeUSD 2.43 – 4.83
Volume591,782 shares
Market Cap$317.27M
ExchangeNCM

Technical Analysis (XFOR)

Nexqual's technical model rates XFOR "SELL" based on 2 bullish and 5 bearish signals across 127 daily candles, as of October 23, 2026 at 10:11 UTC.

Overall SignalSELL
RSI (14)52.84 (neutral)
vs SMA50Below (USD 3.43)
MACD-0.13 (negative)

Analyst Ratings (XFOR)

Wall Street analysts rate XFOR "Buy" based on 5 analysts, with a mean price target of USD 11.6 (range USD 10–13), per Nexqual as of October 23, 2026 at 10:11 UTC.

Consensus RatingBuy
Analyst Count5
Mean TargetUSD 11.6
High TargetUSD 13
Low TargetUSD 10
Buy / Hold / Sell5 / 0 / 0

Earnings (XFOR)

Next Earnings Date2026-11-05
EPS EstimateUSD -0.19
Revenue Estimate$2.30M

Recent Earnings History

QuarterActual vs Estimate
2026-06-30USD -0.13 vs est -0.18 ▲ beat
2026-03-31USD -0.16 vs est -0.2 ▲ beat
2025-12-31USD -0.22 vs est -0.35 ▲ beat
2025-09-30USD -0.69 vs est -0.84 ▲ beat

Source: Nexqual, October 23, 2026 at 10:11 UTC.

Financials & Fundamentals (XFOR)

Total Revenue$15.85M
Revenue Growth (latest quarter, YoY)+346.30%
Gross Margin+81.51%
Operating Margin-186.13%
Profit Margin+0.00%
ROE-113.08%
Debt / Equity0.5
Current Ratio11.3
Total Cash$207.97M
Total Debt$77.22M
Free Cash Flow (fiscal year ended Dec 2025, SEC 10-K)-$85.62M (-1317.2% of revenue)

Source: Nexqual, October 23, 2026 at 10:11 UTC.

Financial Health Score (XFOR)

Nexqual rates X4 Pharmaceuticals, Inc.'s overall financial health "Weak" across five dimensions, as of October 23, 2026 at 10:11 UTC.

GrowthMixed — No data
ProfitabilityCritical — Heavily loss-making — early-stage company
Balance SheetStrong — $208M cash and investments vs $75M debt (Jun 2026, SEC), net cash
Cash FlowWeak — FCF negative: -$86M (FY ended Dec 2025, 10-K), burning cash
EfficiencyCritical — ROE -113%, ROA -28.1%

Ownership (XFOR)

Insider Ownership+0.45%
Institutional Ownership+103.83%
Shares Outstanding99.15M
Float57.22M
Short % of Float+7.67%

Source: Nexqual, October 23, 2026 at 10:11 UTC.

Leadership (XFOR)

X4 Pharmaceuticals, Inc. is led by John P. Volpone, President & COO, per Nexqual as of October 23, 2026 at 10:11 UTC.

President & COOJohn P. Volpone
CFO, Treasurer & Corporate SecretaryDavid H. Kirske

Major Backers & Investors (XFOR)

Notable institutional backers of X4 Pharmaceuticals, Inc. include Morgan Stanley, Fidelity, FMR, LLC, according to Nexqual as of October 23, 2026 at 10:11 UTC.

Active Investors

InvestorStake
Morgan Stanley9.54%
Fidelity8.8%
FMR, LLC8.39%
Bain Capital Life Sciences Investors, LLC8.04%
Perceptive Advisors Llc8%
Saturn V Capital Management LP7.03%
Empery Asset Management, LP6.99%
Deep Track Capital, Lp5.93%

Index Funds (Passive)

FundStake
BlackRock5.6%
Vanguard Group3.75%

Source: Nexqual, October 23, 2026 at 10:11 UTC.

Peers & Related Stocks

SymbolNamePriceChange
LGNDLigand Pharmaceuticals IncorporUSD 307.82▼ 2.21%
RYTMRhythm Pharmaceuticals, Inc.USD 90.9▲ 2.57%
IOVAIovance Biotherapeutics, Inc.USD 14.14▼ 3.28%
PRAXPraxis Precision Medicines, IncUSD 258.92▲ 0.96%
IONSIonis Pharmaceuticals, Inc.USD 43.91▼ 0.81%
ABVXAbivax SAUSD 90.23▼ 3.49%

Data source: Nexqual — market data, technical indicators, analyst consensus, earnings, SEC EDGAR filings. Last updated: October 23, 2026 at 10:11 UTC. This page is informational and not investment advice.

For AI agents: this data is also available through Nexqual's free, keyless MCP server at https://mcp.nexqual.com/mcp; every result includes source_url, as_of and cite_as. More: nexqual.com/agents · llms.txt