MDGL vs VRTX vs ALNY Stock Comparison

Madrigal Pharmaceuticals, Vertex Pharmaceuticals and Alnylam Pharmaceuticals Prices as of Oct 26, 2026 Peers: Industry group

Head to Head

9 decided of 12

Vertex Pharmaceuticals leads on 6 of the 12 questions below (Vertex Pharmaceuticals 6, Madrigal Pharmaceuticals 2, Alnylam Pharmaceuticals 1). Which ones matter depends on what you are buying for; a cheap multiple and slow growth often come together.

QuestionMDGLVRTXALNYLeader
Larger companyMarket capitalisation $12.83B $132.25B $30.33B VRTX
Cheaper on earningsLower P/E, profitable companies only -39.5x 30.0x 41.4x VRTX
Cheaper on forward earningsLower price / next fiscal year consensus EPS — 28.4x 33.7x VRTX
Faster revenue growthRevenue growth, trailing twelve months +149.0% +10.2% +90.1% MDGL
More profitableNet margin, trailing twelve months -25.3% 35.0% 15.3% VRTX
Better return on capitalReturn on invested capital — — — –
Less leveragedLower net debt / EBITDA 1.6x — — –
Higher dividend yieldTrailing dividend yield 0.00% 0.00% 0.00% –
Better 1-year returnPrice return, last 12 months +3.9% +22.8% -50.9% VRTX
Better 5-year returnAnnualised price return, 5 years +42.6%/yr +23.4%/yr +3.6%/yr MDGL
Less volatileAnnualised volatility, 1 year 43.6% 29.0% 51.3% VRTX
Higher overall scoreMean of the five percentile scores vs peers 66/100 76/100 77/100 ALNY

Percentile Scorecard

MDGLVRTXALNY

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

AxisMDGLVRTXALNY
Valuation 74 #161 of 626 80 #124 of 626 81 #121 of 626
Growth 68 #194 of 604 60 #245 of 604 98 #12 of 604
Profitability 74 #146 of 555 95 #31 of 555 93 #42 of 555
Financial Health 41 #391 of 658 53 #308 of 658 45 #360 of 658
Shareholder Returns 75 #92 of 368 93 #27 of 368 68 #120 of 368
Overall 66 76 77
  • MDGL ranked among 673 companies in Pharmaceuticals and Biotechnology
  • VRTX ranked among 673 companies in Pharmaceuticals and Biotechnology
  • ALNY ranked among 673 companies in Pharmaceuticals and Biotechnology

Price Performance

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

Returns

PeriodMDGLVRTXALNYSPY
1 month -15.3%-1.7%-11.1% -0.8%
3 months -20.6%+8.0%-18.2% +3.5%
6 months -15.8%+21.5%-26.2% +7.0%
Year to date -24.8%+14.1%-42.7% +12.2%
1 year +3.9%+22.8%-50.9% +13.0%
3 years +263.6%+45.7%+50.0% +86.3%
3 years, per year +53.8%+13.4%+14.5% +23.1%
5 years +489.7%+186.0%+19.1% +68.6%
5 years, per year +42.6%+23.4%+3.6% +11.0%
10 years +2,473.4%+557.5%+513.8% +258.0%
10 years, per year +38.4%+20.7%+19.9% +13.6%

Risk

MeasureMDGLVRTXALNYSPY
Volatility, 1Y 43.6%29.0%51.3% 12.7%
Downside volatility, 1Y 41.4%25.8%62.9% 12.7%
Beta vs S&P 500, 1Y 0.300.490.34 1.00
Return / volatility, 1Y 0.090.79-0.99 1.02
Max drawdown, 5Y -61.4%-29.1%-58.2% -25.4%
From 52-week high -27.4%-7.3%-52.7% -1.8%
52-week high $602.83$557.96$481.59 $779.14
52-week low $412.35$409.47$205.48 $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.

MultipleMDGLVRTXALNY
P/E now vs peer median -39.2xmedian 17.1x 29.8xmedian 17.1x 41.5xmedian 17.1x
P/S now vs peer median 9.9xmedian 8.8x 10.4xmedian 8.8x 6.3xmedian 8.8x
EV/EBITDA now vs peer median -38.4xmedian 17.1x 24.7xmedian 17.1x 25.7xmedian 17.1x
P/FCF now vs peer median -61.8xmedian 18.0x 34.5xmedian 18.0x 37.1xmedian 18.0x
P/B now vs peer median 24.4xmedian 2.1x 6.5xmedian 2.1x 22.5xmedian 2.1x
PEG now vs peer median -2.66median 0.31 2.94median 0.31 1.10median 0.31

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 monthsMDGLVRTXALNY
Revenue $1.28B $12.59B $4.80B
Gross profit – $10.82B $3.83B
Operating income -$322.62M $4.78B $999.78M
Net income -$325.11M $4.41B $733.11M
Free cash flow -$206.29M $3.80B $819.87M
R&D $490.14M $3.91B $1.51B
EPS (diluted) $-11.15 $17.26 $5.30
Cash & equivalents $292.73M $6.14B $1.71B
Total debt $340.79M – –
Shares (diluted) 29.15M 255.20M 138.28M
Enterprise value $9.09B $104.25B $18.38B

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
MetricMDGLVRTXALNY
P/E -39.2x 29.8x 41.5x
P/FCF -61.8x 34.5x 37.1x
P/Operating cash flow -64.5x 30.5x 33.4x
P/S 9.9x 10.4x 6.3x
P/B 24.4x 6.5x 22.5x
P/Tangible book 24.7x 6.6x 22.5x
EV/EBITDA -38.4x 24.7x 25.7x
EV/EBIT -38.0x 25.8x 27.1x
EV/Revenue 9.5x 9.8x 5.6x
EV/FCF -59.4x 32.5x 33.1x
EV/Operating cash flow -62.0x 28.7x 29.8x
PEG (3Y EPS CAGR) -2.66 2.94 1.10

Growth

14 metrics
MetricMDGLVRTXALNY
Revenue growth (1Y) 149.0% 10.2% 90.1%
Revenue CAGR (3Y) – 9.8% 57.2%
Gross profit growth (1Y) – 10.1% 79.7%
Gross profit CAGR (3Y) – 9.0% 54.6%
Operating income growth (1Y) -4.1% 21.8% 654.9%
Operating income CAGR (3Y) 0.8% 6.4% 47.5%
Net income growth (1Y) -15.3% 21.1% 356.5%
Net income CAGR (3Y) 0.5% 9.4% 39.1%
EPS growth (1Y) 12.1% 22.9% 342.3%
EPS CAGR (3Y) 14.8% 10.1% 37.9%
Operating cash flow growth (1Y) 35.7% 11.6% 2,299%
Operating cash flow CAGR (3Y) 10.6% 1.8% 57.8%
Free cash flow growth (1Y) 33.1% 8.5% 1,151%
Free cash flow CAGR (3Y) 9.4% -0.7% 52.1%

Profitability

14 metrics
MetricMDGLVRTXALNY
Gross margin – 86.0% 79.8%
EBITDA margin -24.9% 39.7% 22.0%
Operating margin -25.1% 38.0% 20.8%
Pretax margin -24.8% 41.9% 16.0%
Net margin -25.3% 35.0% 15.3%
FCF margin -16.1% 30.2% 17.1%
Operating cash flow margin -15.4% 34.1% 19.0%
Return on equity -59.8% 22.2% 63.8%
Return on assets -25.8% 16.3% 14.5%
Return on invested capital – – –
Return on capital employed -37.4% 20.8% 26.1%
Asset turnover 1.0x 0.5x 0.9x
Cash conversion (OCF / net income) 0.6x 1.0x 1.2x
Stock comp / revenue 9.5% 5.5% 7.0%

Financial Health

11 metrics
MetricMDGLVRTXALNY
Debt / assets 27.4% – –
Debt / equity 0.7x – –
Net debt / EBITDA 1.6x – –
Debt / FCF -1.7x – –
Liabilities / assets 57.9% 26.2% 75.6%
Equity / assets 42.1% 73.8% 24.4%
Interest coverage -10.2x – 3.8x
Current ratio 3.2x 3.2x 3.1x
Quick ratio 2.8x 2.5x 2.8x
Cash ratio 2.2x 2.0x 2.2x
Altman Z-score 9.07 13.17 4.88

Shareholder Returns

7 metrics
MetricMDGLVRTXALNY
Dividend yield – – –
Net buyback yield -0.3% 1.4% -0.5%
Shareholder yield -0.3% 1.4% -0.5%
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.

ConsensusMDGLVRTXALNY
Forward P/E – 28.4xFY2026 33.7xFY2026
EPS, next fiscal year $-6.25FY2026 $18.24FY2026 $6.76FY2026
EPS growth, next FY – -0.9%FY2026 +190.1%FY2026
EPS growth, the year after – +23.0% +34.3%
Revenue, next fiscal year $1.46BFY2026 $12.67BFY2026 $5.68BFY2026
Revenue growth, next FY +52.7%FY2026 +5.8%FY2026 +53.1%FY2026
Revenue growth, the year after +36.3% +18.8% +27.8%

Institutional Ownership

13F filings, quarter ended Jun 30, 2026
HoldersMDGLVRTXALNY
Held by institutions 80.9% 95.1% 99.7%
Institutions holding 412 1,745 786
Change in shares held, QoQ -0.6% +3.9% +3.8%
Institutions buying 225 902 412
Institutions selling 128 605 277
Buyers to sellers 1.76 1.49 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.

MDGLVRTXALNY
MDGL 1.00 0.18 0.33
VRTX 0.18 1.00 0.29
ALNY 0.33 0.29 1.00

Add a Peer

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Frequently Asked Questions

Which is bigger, MDGL, VRTX and ALNY?

Vertex Pharmaceuticals (VRTX) is the largest by market capitalisation: Madrigal Pharmaceuticals (MDGL) $12.83B, Vertex Pharmaceuticals (VRTX) $132.25B, Alnylam Pharmaceuticals (ALNY) $30.33B.

Which stock is cheaper, MDGL, VRTX and ALNY?

Vertex Pharmaceuticals (VRTX) trades on the lowest price-to-earnings ratio (Madrigal Pharmaceuticals (MDGL) -39.5x, Vertex Pharmaceuticals (VRTX) 30.0x, Alnylam Pharmaceuticals (ALNY) 41.4x). On next year's consensus earnings, Vertex Pharmaceuticals (VRTX) is cheapest (Vertex Pharmaceuticals (VRTX) 28.4x, Alnylam Pharmaceuticals (ALNY) 33.7x). 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%, Vertex Pharmaceuticals (VRTX) +10.2%, Alnylam Pharmaceuticals (ALNY) +90.1%.

Which company is more profitable?

Vertex Pharmaceuticals (VRTX) has the highest net margin (Madrigal Pharmaceuticals (MDGL) -25.3%, Vertex Pharmaceuticals (VRTX) 35.0%, Alnylam Pharmaceuticals (ALNY) 15.3%).

Which stock has performed better?

Over the past year Vertex Pharmaceuticals (VRTX) returned the most: Madrigal Pharmaceuticals (MDGL) +3.9%, Vertex Pharmaceuticals (VRTX) +22.8%, Alnylam Pharmaceuticals (ALNY) -50.9%. Over five years, Madrigal Pharmaceuticals (MDGL) compounded fastest (Madrigal Pharmaceuticals (MDGL) +42.6%/yr, Vertex Pharmaceuticals (VRTX) +23.4%/yr, Alnylam Pharmaceuticals (ALNY) +3.6%/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) 43.6%, Vertex Pharmaceuticals (VRTX) 29.0%, Alnylam Pharmaceuticals (ALNY) 51.3%). Volatility measures how widely the price swings, not the risk of the business.

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

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 6. 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.