MDGL vs VRTX vs BIIB Stock Comparison

Madrigal Pharmaceuticals, Vertex Pharmaceuticals and Biogen Prices as of Oct 29, 2026 Peers: Industry group
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BIIB Biogen Inc.
$249.65 +9.9% 1M +68.8% 1Y
Market cap
$37.42B
P/E
107.7x
Revenue (TTM)
$10.30B
Div. yield
–
Biotechnology Healthcare
2 wins

Head to Head

10 decided of 12

Vertex Pharmaceuticals leads on 5 of the 12 questions below (Vertex Pharmaceuticals 5, Madrigal Pharmaceuticals 3, Biogen 2). Which ones matter depends on what you are buying for; a cheap multiple and slow growth often come together.

QuestionMDGLVRTXBIIBLeader
Larger companyMarket capitalisation $12.46B $140.58B $37.42B VRTX
Cheaper on earningsLower P/E, profitable companies only -38.3x 31.9x 107.7x VRTX
Cheaper on forward earningsLower price / next fiscal year consensus EPS — 29.6x 19.5x BIIB
Faster revenue growthRevenue growth, trailing twelve months +149.0% +10.2% +2.3% MDGL
More profitableNet margin, trailing twelve months -25.3% 35.0% 3.4% VRTX
Better return on capitalReturn on invested capital — — 1.3% –
Less leveragedLower net debt / EBITDA 1.6x — 4.5x MDGL
Higher dividend yieldTrailing dividend yield 0.00% 0.00% 0.00% –
Better 1-year returnPrice return, last 12 months +2.4% +29.4% +68.8% BIIB
Better 5-year returnAnnualised price return, 5 years +40.9%/yr +23.9%/yr -1.3%/yr MDGL
Less volatileAnnualised volatility, 1 year 43.5% 29.1% 34.3% VRTX
Higher overall scoreMean of the five percentile scores vs peers 66/100 76/100 60/100 VRTX

Percentile Scorecard

MDGLVRTXBIIB

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

AxisMDGLVRTXBIIB
Valuation 74 #165 of 624 80 #124 of 624 92 #53 of 624
Growth 68 #194 of 601 59 #245 of 601 26 #444 of 601
Profitability 74 #139 of 541 95 #29 of 541 87 #72 of 541
Financial Health 40 #388 of 647 54 #300 of 647 33 #432 of 647
Shareholder Returns 75 #92 of 359 92 #29 of 359 –
Overall 66 76 60
  • MDGL ranked among 671 companies in Pharmaceuticals and Biotechnology
  • VRTX ranked among 671 companies in Pharmaceuticals and Biotechnology
  • BIIB ranked among 671 companies in Pharmaceuticals and Biotechnology

Price Performance

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

Returns

PeriodMDGLVRTXBIIBSPY
1 month -15.3%+2.5%+9.9% +0.7%
3 months -12.5%+12.1%+20.1% +3.7%
6 months -16.6%+26.4%+31.9% +7.1%
Year to date -25.9%+19.1%+41.9% +12.8%
1 year +2.4%+29.4%+68.8% +11.9%
3 years +242.2%+51.1%+5.2% +85.2%
3 years, per year +50.7%+14.8%+1.7% +22.8%
5 years +455.2%+192.0%-6.4% +67.6%
5 years, per year +40.9%+23.9%-1.3% +10.9%
10 years +2,463.5%+596.1%-12.0% +262.0%
10 years, per year +38.3%+21.4%-1.3% +13.7%

Risk

MeasureMDGLVRTXBIIBSPY
Volatility, 1Y 43.5%29.1%34.3% 12.7%
Downside volatility, 1Y 41.6%25.8%32.8% 12.6%
Beta vs S&P 500, 1Y 0.300.490.25 1.00
Return / volatility, 1Y 0.061.012.01 0.94
Max drawdown, 5Y -61.4%-29.1%-64.4% -25.4%
From 52-week high -28.4%-3.2%-1.7% -1.2%
52-week high $602.83$557.96$253.84 $779.14
52-week low $412.35$409.47$147.86 $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.

MultipleMDGLVRTXBIIB
P/E now vs peer median -38.7xmedian 17.8x 31.1xmedian 17.8x 106.2xmedian 17.8x
P/S now vs peer median 9.8xmedian 9.1x 10.9xmedian 9.1x 3.6xmedian 9.1x
EV/EBITDA now vs peer median -37.8xmedian 15.0x 25.8xmedian 15.0x 32.3xmedian 15.0x
P/FCF now vs peer median -61.0xmedian 21.7x 36.0xmedian 21.7x 17.8xmedian 21.7x
P/B now vs peer median 24.0xmedian 2.2x 6.8xmedian 2.2x 2.0xmedian 2.2x
PEG now vs peer median -2.62median 0.35 3.07median 0.35 -2.76median 0.35

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 monthsMDGLVRTXBIIB
Revenue $1.28B $12.59B $10.30B
Gross profit – $10.82B $7.62B
Operating income -$322.62M $4.78B $445.10M
Net income -$325.11M $4.41B $347.50M
Free cash flow -$206.29M $3.80B $2.07B
R&D $490.14M $3.91B $2.15B
EPS (diluted) $-11.15 $17.26 $2.35
Cash & equivalents $292.73M $6.14B $1.30B
Total debt $340.79M – $7.29B
Shares (diluted) 29.15M 255.20M 147.80M
Enterprise value $8.71B $112.58B $26.73B

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
MetricMDGLVRTXBIIB
P/E -38.7x 31.1x 106.2x
P/FCF -61.0x 36.0x 17.8x
P/Operating cash flow -63.6x 31.9x 16.4x
P/S 9.8x 10.9x 3.6x
P/B 24.0x 6.8x 2.0x
P/Tangible book 24.4x 6.9x 6.7x
EV/EBITDA -37.8x 25.8x 32.3x
EV/EBIT -37.5x 27.0x 96.4x
EV/Revenue 9.4x 10.2x 4.2x
EV/FCF -58.6x 34.0x 20.7x
EV/Operating cash flow -61.1x 30.0x 19.1x
PEG (3Y EPS CAGR) -2.62 3.07 -2.76

Growth

14 metrics
MetricMDGLVRTXBIIB
Revenue growth (1Y) 149.0% 10.2% 2.3%
Revenue CAGR (3Y) – 9.8% 1.0%
Gross profit growth (1Y) – 10.1% 0.6%
Gross profit CAGR (3Y) – 9.0% 0.5%
Operating income growth (1Y) -4.1% 21.8% -76.6%
Operating income CAGR (3Y) 0.8% 6.4% -34.8%
Net income growth (1Y) -15.3% 21.1% -78.4%
Net income CAGR (3Y) 0.5% 9.4% -38.1%
EPS growth (1Y) 12.1% 22.9% -78.5%
EPS CAGR (3Y) 14.8% 10.1% -38.5%
Operating cash flow growth (1Y) 35.7% 11.6% -8.4%
Operating cash flow CAGR (3Y) 10.6% 1.8% 18.2%
Free cash flow growth (1Y) 33.1% 8.5% -10.1%
Free cash flow CAGR (3Y) 9.4% -0.7% 24.9%

Profitability

14 metrics
MetricMDGLVRTXBIIB
Gross margin – 86.0% 74.0%
EBITDA margin -24.9% 39.7% 12.9%
Operating margin -25.1% 38.0% 4.3%
Pretax margin -24.8% 41.9% 4.3%
Net margin -25.3% 35.0% 3.4%
FCF margin -16.1% 30.2% 20.1%
Operating cash flow margin -15.4% 34.1% 21.8%
Return on equity -59.8% 22.2% 1.8%
Return on assets -25.8% 16.3% 1.1%
Return on invested capital – – 1.3%
Return on capital employed -37.4% 20.8% 1.6%
Asset turnover 1.0x 0.5x 0.3x
Cash conversion (OCF / net income) 0.6x 1.0x 6.5x
Stock comp / revenue 9.5% 5.5% 2.9%

Financial Health

11 metrics
MetricMDGLVRTXBIIB
Debt / assets 27.4% – 22.7%
Debt / equity 0.7x – 0.4x
Net debt / EBITDA 1.6x – 4.5x
Debt / FCF -1.7x – 3.5x
Liabilities / assets 57.9% 26.2% 41.0%
Equity / assets 42.1% 73.8% 59.0%
Interest coverage -10.2x – –
Current ratio 3.2x 3.2x 1.9x
Quick ratio 2.8x 2.5x 0.9x
Cash ratio 2.2x 2.0x 0.3x
Altman Z-score 8.92 13.65 3.11

Shareholder Returns

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

ConsensusMDGLVRTXBIIB
Forward P/E – 29.6xFY2026 19.5xFY2026
EPS, next fiscal year $-6.25FY2026 $18.24FY2026 $12.81FY2026
EPS growth, next FY – -0.9%FY2026 -16.2%FY2026
EPS growth, the year after – +23.0% +36.5%
Revenue, next fiscal year $1.46BFY2026 $12.67BFY2026 $9.96BFY2026
Revenue growth, next FY +52.7%FY2026 +5.8%FY2026 +0.7%FY2026
Revenue growth, the year after +36.3% +18.8% +11.9%

Institutional Ownership

13F filings, quarter ended Jun 30, 2026
HoldersMDGLVRTXBIIB
Held by institutions 80.9% 95.1% 96.4%
Institutions holding 413 1,746 1,037
Change in shares held, QoQ -0.6% +3.9% +6.0%
Institutions buying 225 903 549
Institutions selling 128 605 294
Buyers to sellers 1.76 1.49 1.87

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.

MDGLVRTXBIIB
MDGL 1.00 0.17 0.13
VRTX 0.17 1.00 0.47
BIIB 0.13 0.47 1.00

Add a Peer

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Frequently Asked Questions

Which is bigger, MDGL, VRTX and BIIB?

Vertex Pharmaceuticals (VRTX) is the largest by market capitalisation: Madrigal Pharmaceuticals (MDGL) $12.46B, Vertex Pharmaceuticals (VRTX) $140.58B, Biogen (BIIB) $37.42B.

Which stock is cheaper, MDGL, VRTX and BIIB?

Vertex Pharmaceuticals (VRTX) trades on the lowest price-to-earnings ratio (Madrigal Pharmaceuticals (MDGL) -38.3x, Vertex Pharmaceuticals (VRTX) 31.9x, Biogen (BIIB) 107.7x). On next year's consensus earnings, Biogen (BIIB) is cheapest (Vertex Pharmaceuticals (VRTX) 29.6x, Biogen (BIIB) 19.5x). 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%, Biogen (BIIB) +2.3%.

Which company is more profitable?

Vertex Pharmaceuticals (VRTX) has the highest net margin (Madrigal Pharmaceuticals (MDGL) -25.3%, Vertex Pharmaceuticals (VRTX) 35.0%, Biogen (BIIB) 3.4%).

Which stock has performed better?

Over the past year Biogen (BIIB) returned the most: Madrigal Pharmaceuticals (MDGL) +2.4%, Vertex Pharmaceuticals (VRTX) +29.4%, Biogen (BIIB) +68.8%. Over five years, Madrigal Pharmaceuticals (MDGL) compounded fastest (Madrigal Pharmaceuticals (MDGL) +40.9%/yr, Vertex Pharmaceuticals (VRTX) +23.9%/yr, Biogen (BIIB) -1.3%/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%, Vertex Pharmaceuticals (VRTX) 29.1%, Biogen (BIIB) 34.3%). Volatility measures how widely the price swings, not the risk of the business.

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

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 5. 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.