MDGL vs REGN vs VRTX Stock Comparison

Madrigal Pharmaceuticals, Regeneron Pharmaceuticals and Vertex Pharmaceuticals Prices as of Oct 27, 2026 Peers: Industry group
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Head to Head

10 decided of 12

Vertex Pharmaceuticals leads on 4 of the 12 questions below (Vertex Pharmaceuticals 4, Regeneron Pharmaceuticals 4, Madrigal Pharmaceuticals 2). Which ones matter depends on what you are buying for; a cheap multiple and slow growth often come together.

QuestionMDGLREGNVRTXLeader
Larger companyMarket capitalisation $12.52B $83.63B $134.65B VRTX
Cheaper on earningsLower P/E, profitable companies only -38.5x 19.3x 30.6x REGN
Cheaper on forward earningsLower price / next fiscal year consensus EPS — 14.3x 28.6x REGN
Faster revenue growthRevenue growth, trailing twelve months +149.0% +9.3% +10.2% MDGL
More profitableNet margin, trailing twelve months -25.3% 27.9% 35.0% VRTX
Better return on capitalReturn on invested capital — 9.6% — –
Less leveragedLower net debt / EBITDA 1.6x -1.4x — REGN
Higher dividend yieldTrailing dividend yield 0.00% 0.00% 0.00% –
Better 1-year returnPrice return, last 12 months +1.0% +39.4% +24.0% REGN
Better 5-year returnAnnualised price return, 5 years +41.0%/yr +5.5%/yr +23.4%/yr MDGL
Less volatileAnnualised volatility, 1 year 43.5% 32.8% 29.0% VRTX
Higher overall scoreMean of the five percentile scores vs peers 66/100 72/100 76/100 VRTX

Percentile Scorecard

MDGLREGNVRTX

Each axis is the mean percentile of its metrics against the company's industry group. 100 is the best in the group, 50 the middle.

Scores by Axis

AxisMDGLREGNVRTX
Valuation 74 #163 of 625 89 #71 of 625 81 #121 of 625
Growth 68 #194 of 602 42 #351 of 602 60 #241 of 602
Profitability 74 #144 of 551 90 #54 of 551 95 #30 of 551
Financial Health 41 #389 of 656 74 #172 of 656 53 #307 of 656
Shareholder Returns 75 #91 of 365 65 #129 of 365 93 #28 of 365
Overall 66 72 76
  • MDGL ranked among 672 companies in Pharmaceuticals and Biotechnology
  • REGN ranked among 672 companies in Pharmaceuticals and Biotechnology
  • VRTX ranked among 672 companies in Pharmaceuticals and Biotechnology

Price Performance

Price return, split-adjusted, before dividends. Click a name to hide or show it.

Returns

PeriodMDGLREGNVRTXSPY
1 month -14.8%+3.6%-1.0% -0.2%
3 months -18.3%+17.4%+6.2% +3.9%
6 months -14.8%+11.5%+21.1% +8.2%
Year to date -24.4%+5.7%+14.9% +12.9%
1 year +1.0%+39.4%+24.0% +12.3%
3 years +265.7%+5.3%+46.7% +87.4%
3 years, per year +54.1%+1.7%+13.6% +23.3%
5 years +457.5%+30.5%+186.3% +67.9%
5 years, per year +41.0%+5.5%+23.4% +10.9%
10 years +2,491.7%+123.4%+587.0% +261.1%
10 years, per year +38.5%+8.4%+21.3% +13.7%

Risk

MeasureMDGLREGNVRTXSPY
Volatility, 1Y 43.5%32.8%29.0% 12.7%
Downside volatility, 1Y 41.4%30.0%25.8% 12.7%
Beta vs S&P 500, 1Y 0.300.470.49 1.00
Return / volatility, 1Y 0.021.200.83 0.97
Max drawdown, 5Y -61.4%-59.8%-29.1% -25.4%
From 52-week high -27.0%-4.2%-6.6% -1.2%
52-week high $602.83$852.03$557.96 $779.14
52-week low $412.35$585.31$409.47 $631.97

Valuation History

Weekly multiples on trailing twelve-month fundamentals. Negative or extreme readings (a loss year, a collapsed denominator) are left out so the chart stays readable.

MultipleMDGLREGNVRTX
P/E now vs peer median -39.5xmedian 17.2x 19.4xmedian 17.2x 30.0xmedian 17.2x
P/S now vs peer median 10.0xmedian 9.0x 5.4xmedian 9.0x 10.5xmedian 9.0x
EV/EBITDA now vs peer median -38.6xmedian 16.3x 17.8xmedian 16.3x 24.8xmedian 16.3x
P/FCF now vs peer median -62.2xmedian 18.7x 22.3xmedian 18.7x 34.8xmedian 18.7x
P/B now vs peer median 24.5xmedian 2.2x 2.6xmedian 2.2x 6.5xmedian 2.2x
PEG now vs peer median -2.67median 0.33 7.29median 0.33 2.96median 0.33

Financial History

Reported figures by fiscal period, placed on the calendar year (or quarter) each period ended in, so companies with different fiscal years line up.

Trailing twelve monthsMDGLREGNVRTX
Revenue $1.28B $15.53B $12.59B
Gross profit – $13.18B $10.82B
Operating income -$322.62M $3.84B $4.78B
Net income -$325.11M $4.33B $4.41B
Free cash flow -$206.29M $3.76B $3.80B
R&D $490.14M $6.28B $3.91B
EPS (diluted) $-11.15 $40.84 $17.26
Cash & equivalents $292.73M $2.46B $6.14B
Total debt $340.79M $1.99B –
Shares (diluted) 29.15M 106.00M 255.20M
Enterprise value $8.77B $49.83B $106.65B

All Metrics

58 metrics · best in bold

Bold marks the best reading: the lowest positive value for multiples, leverage and payout, the highest for everything else. The bar under each value is its percentile against that company's own peers. Hover a value for its rank and the peer median.

Valuation

12 metrics
MetricMDGLREGNVRTX
P/E -39.5x 19.4x 30.0x
P/FCF -62.2x 22.3x 34.8x
P/Operating cash flow -64.9x 17.9x 30.7x
P/S 10.0x 5.4x 10.5x
P/B 24.5x 2.6x 6.5x
P/Tangible book 24.8x 2.8x 6.7x
EV/EBITDA -38.6x 17.8x 24.8x
EV/EBIT -38.2x 20.3x 26.0x
EV/Revenue 9.6x 5.0x 9.9x
EV/FCF -59.8x 20.7x 32.7x
EV/Operating cash flow -62.4x 16.6x 28.9x
PEG (3Y EPS CAGR) -2.67 7.29 2.96

Growth

14 metrics
MetricMDGLREGNVRTX
Revenue growth (1Y) 149.0% 9.3% 10.2%
Revenue CAGR (3Y) – 7.0% 9.8%
Gross profit growth (1Y) – 8.4% 10.1%
Gross profit CAGR (3Y) – 6.4% 9.0%
Operating income growth (1Y) -4.1% 0.1% 21.8%
Operating income CAGR (3Y) 0.8% -3.9% 6.4%
Net income growth (1Y) -15.3% -2.9% 21.1%
Net income CAGR (3Y) 0.5% 0.2% 9.4%
EPS growth (1Y) 12.1% -0.5% 22.9%
EPS CAGR (3Y) 14.8% 2.7% 10.1%
Operating cash flow growth (1Y) 35.7% -1.3% 11.6%
Operating cash flow CAGR (3Y) 10.6% -0.4% 1.8%
Free cash flow growth (1Y) 33.1% -2.4% 8.5%
Free cash flow CAGR (3Y) 9.4% -3.3% -0.7%

Profitability

14 metrics
MetricMDGLREGNVRTX
Gross margin – 84.9% 86.0%
EBITDA margin -24.9% 28.1% 39.7%
Operating margin -25.1% 24.7% 38.0%
Pretax margin -24.8% 33.3% 41.9%
Net margin -25.3% 27.9% 35.0%
FCF margin -16.1% 24.2% 30.2%
Operating cash flow margin -15.4% 30.1% 34.1%
Return on equity -59.8% 13.7% 22.2%
Return on assets -25.8% 10.5% 16.3%
Return on invested capital – 9.6% –
Return on capital employed -37.4% 10.7% 20.8%
Asset turnover 1.0x 0.4x 0.5x
Cash conversion (OCF / net income) 0.6x 1.1x 1.0x
Stock comp / revenue 9.5% 6.4% 5.5%

Financial Health

11 metrics
MetricMDGLREGNVRTX
Debt / assets 27.4% 4.8% –
Debt / equity 0.7x 0.1x –
Net debt / EBITDA 1.6x -1.4x –
Debt / FCF -1.7x 0.5x –
Liabilities / assets 57.9% 24.0% 26.2%
Equity / assets 42.1% 76.0% 73.8%
Interest coverage -10.2x 69.4x –
Current ratio 3.2x 3.3x 3.2x
Quick ratio 2.8x 2.6x 2.5x
Cash ratio 2.2x 1.4x 2.0x
Altman Z-score 9.13 7.33 13.25

Shareholder Returns

7 metrics
MetricMDGLREGNVRTX
Dividend yield – 0.5% –
Net buyback yield -0.3% 3.0% 1.4%
Shareholder yield -0.3% 3.5% 1.4%
Payout ratio (earnings) – – –
Payout ratio (FCF) – – –
Dividend growth (1Y) – – –
Dividend CAGR (3Y) – – –

Analyst Estimates

Solid lines are reported fiscal-year results; dashed lines are the consensus for the years ahead. Hover a year for the analysts' high and low, and how each result compared with its estimate.

ConsensusMDGLREGNVRTX
Forward P/E – 14.3xFY2026 28.6xFY2026
EPS, next fiscal year $-6.25FY2026 $57.08FY2026 $18.24FY2026
EPS growth, next FY – +28.8%FY2026 -0.9%FY2026
EPS growth, the year after – +15.5% +23.0%
Revenue, next fiscal year $1.46BFY2026 $17.05BFY2026 $12.67BFY2026
Revenue growth, next FY +52.7%FY2026 +18.9%FY2026 +5.8%FY2026
Revenue growth, the year after +36.3% +13.0% +18.8%

Institutional Ownership

13F filings, quarter ended Jun 30, 2026
HoldersMDGLREGNVRTX
Held by institutions 80.9% 66.2% 95.1%
Institutions holding 412 1,325 1,745
Change in shares held, QoQ -0.6% +3.8% +3.9%
Institutions buying 225 604 902
Institutions selling 128 534 605
Buyers to sellers 1.76 1.13 1.49

Return Correlation

Daily returns, last 12 months

1.00 means two stocks move in lockstep, 0 that they move independently. Pairs below about 0.5 diversify each other.

MDGLREGNVRTX
MDGL 1.00 0.15 0.18
REGN 0.15 1.00 0.45
VRTX 0.18 0.45 1.00

Add a Peer

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Frequently Asked Questions

Which is bigger, MDGL, REGN and VRTX?

Vertex Pharmaceuticals (VRTX) is the largest by market capitalisation: Madrigal Pharmaceuticals (MDGL) $12.52B, Regeneron Pharmaceuticals (REGN) $83.63B, Vertex Pharmaceuticals (VRTX) $134.65B.

Which stock is cheaper, MDGL, REGN and VRTX?

Regeneron Pharmaceuticals (REGN) trades on the lowest price-to-earnings ratio (Madrigal Pharmaceuticals (MDGL) -38.5x, Regeneron Pharmaceuticals (REGN) 19.3x, Vertex Pharmaceuticals (VRTX) 30.6x). On next year's consensus earnings, Regeneron Pharmaceuticals (REGN) is cheapest (Regeneron Pharmaceuticals (REGN) 14.3x, Vertex Pharmaceuticals (VRTX) 28.6x). A lower multiple can reflect slower expected growth, so read it next to the growth figures.

Which company is growing faster?

Madrigal Pharmaceuticals (MDGL) grew revenue fastest over the trailing twelve months: Madrigal Pharmaceuticals (MDGL) +149.0%, Regeneron Pharmaceuticals (REGN) +9.3%, Vertex Pharmaceuticals (VRTX) +10.2%.

Which company is more profitable?

Vertex Pharmaceuticals (VRTX) has the highest net margin (Madrigal Pharmaceuticals (MDGL) -25.3%, Regeneron Pharmaceuticals (REGN) 27.9%, Vertex Pharmaceuticals (VRTX) 35.0%).

Which stock has performed better?

Over the past year Regeneron Pharmaceuticals (REGN) returned the most: Madrigal Pharmaceuticals (MDGL) +1.0%, Regeneron Pharmaceuticals (REGN) +39.4%, Vertex Pharmaceuticals (VRTX) +24.0%. Over five years, Madrigal Pharmaceuticals (MDGL) compounded fastest (Madrigal Pharmaceuticals (MDGL) +41.0%/yr, Regeneron Pharmaceuticals (REGN) +5.5%/yr, Vertex Pharmaceuticals (VRTX) +23.4%/yr). Returns are price only, before dividends.

Which stock is riskier?

By one-year price volatility, Vertex Pharmaceuticals (VRTX) has been the steadiest (Madrigal Pharmaceuticals (MDGL) 43.5%, Regeneron Pharmaceuticals (REGN) 32.8%, Vertex Pharmaceuticals (VRTX) 29.0%). Volatility measures how widely the price swings, not the risk of the business.

Which is the better stock, MDGL, REGN and VRTX?

There is no single answer; it depends on what you are buying for. On the 12 head-to-head measures on this page, Vertex Pharmaceuticals (VRTX) leads on 4. Business Quant does not give investment advice; use the comparison as a starting point for your own research.

Data from SEC filings, exchange prices and consensus estimates, via Business Quant. Percentile scores compare each company with its own peer group, so two companies' scores are each relative to different peers unless you rank against the whole market. Price returns exclude dividends. Nothing on this page is investment advice.