NASDAQ$MDGL

Madrigal Pharmaceuticals Inc · Q4 2025 earnings

Q4 2025 earnings · · Before market open · Investor relations

Briefing

Madrigal reported Q4 2025 net revenue of $321.1M as Rezdiffra commercialization scaled.

Fourth-quarter net revenues were $321.1 million versus $103.3 million a year ago. Operating expenses were $380.7 million as SG&A and R&D rose with the Rezdiffra launch in the U.S. and Germany. The company ended the year with $988.6 million in cash and marketable securities.

  • Q4 net revenue $321.1M on Rezdiffra uptake.
  • FY25 net revenue $958.4M.
  • Launched Rezdiffra in Germany post EU approval.
  • Up to $500M credit facility supports pipeline.

Headline financials

Total Revenue

$321M

Previous: $103M+210.8%
EPS (adj)

-$2.15

Previous: -$2.71+20.7%
R&D Expense

$116M

Previous: $25.6M+354.3%
SG&A Expense

$240M

Previous: $141M+70.0%
Interest Income

$9.5M

Previous: $11.1M-14.4%
Interest Expense

$8.3M

Previous: $3.5M+137.1%
Patients on Rezdiffra

36.3K

No prior period
Net Income

-$59.6M

Previous: -$59.4M-0.3%
Operating Income

$0.00

Previous: -$67M+100.0%

Revenue & EPS history

Madrigal · Revenue · Quarterly

$321M

Q4 2025+210.8%vs Q4 2024
Beat estimate in 5 of 8 quarters(63%)
ActualEstimate

Forward guidance

The release discusses Madrigal Pharmaceuticals's outlook for upcoming periods, including capital allocation, operating priorities, and market risks, without relying solely on numeric EPS bridges.

Tailwinds

  • Madrigal Pharmaceuticals cites operational execution and demand trends supporting the outlook.
  • Balance sheet and liquidity actions aim to fund growth and returns.

Headwinds

  • GAAP profitability remained under pressure in Q4 2025.
  • Macro, pricing, and input-cost volatility could pressure margins.
  • Segment mix and one-time items may affect quarter-to-quarter comparability.

Historical earnings impact

How earnings announcements have historically affected this stock's price.

Avg. return before/after earnings

Based on 20 quarterly earnings reports · overlaid with Q4 2025

Historical avgQ4 2025

-0.6%

Avg return

Earnings day

+0.9%

Avg return

5 days after

+7.8%

Avg return

30 days after

45%

29 / 65 earnings

Positive

+48.0%

Q3 2024

Best reaction

-23.3%

Q4 2015

Worst reaction

Earnings price reactions
QuarterReport dateReaction (Day 0)+5 days+30 days
Q1 2026+0.0%-1.2%-3.2%
Q4 2025-11.1%-10.5%-10.2%
Q3 2025+7.8%+18.7%+42.2%
Q1 2025-1.9%-11.6%-17.6%
Q4 2024+15.0%+1.3%+5.9%
Q3 2024+48.0%+56.4%+52.0%
Q2 2024-8.6%-9.2%-8.5%
Q1 2024-11.7%-12.9%+2.5%
Q4 2023-1.5%+2.8%+11.4%
Q3 2023+3.6%-5.5%+61.1%
Q2 2023-6.0%-4.5%+6.4%
Q1 2023-5.4%-5.2%-12.8%
Q4 2022-5.4%-7.1%-19.6%
Q3 2022-6.7%-10.1%+12.8%
Q2 2022+22.8%+12.1%+10.8%
Q1 2022-0.2%+1.8%+15.0%
Q4 2021+7.9%+13.1%+9.2%
Q3 2021-0.5%-1.6%-16.6%
Q2 2021+7.5%+0.8%-4.5%
Q1 2021+0.7%+2.3%-22.0%
Q4 2020-1.3%-6.9%-5.3%
Q3 2020-6.8%-2.2%-10.9%
Q2 2020-1.1%-2.2%+2.3%
Q1 2020+2.9%+25.1%+27.6%
Q4 2019-2.5%+2.6%-19.7%
Q3 2019+0.1%+7.9%+22.1%
Q2 2019+2.0%+2.0%+9.8%
Q1 2019+0.2%-3.4%-8.0%
Q4 2018-2.4%+3.1%-6.9%
Q3 2018+5.2%-7.8%-39.7%
Q2 2018-1.0%-5.9%-11.0%
Q1 2018-0.0%+2.2%+138.3%
Q4 2017-16.4%-20.4%-15.8%
Q3 2017-0.2%-5.7%+84.7%
Q2 2017-0.8%+1.7%+13.5%
Q1 2017+2.1%+4.5%-0.3%
Q4 2016-2.2%-4.9%+6.8%
Q3 2016+5.3%+2.4%-1.4%
Q2 2016+3.8%+11.5%+1.9%
Q1 2016+10.5%
Q4 2015-23.3%
Q3 2015+0.0%
Q2 2015-3.4%
Q1 2015+1.3%
Q4 2014-6.1%
Q3 2014+10.6%
Q2 2014+0.5%
Q1 2014+3.3%
Q4 2013-10.1%
Q3 2013+0.9%
Q2 2013-4.2%
Q1 2013+2.5%
Q4 2012-5.0%
Q3 2012-5.2%
Q2 2012+0.3%
Q1 2012-11.2%
Q4 2011+0.2%
Q4 2009+0.2%
Q3 2011+4.4%
Q2 2011-10.1%
Q4 2010-10.1%
Q1 2011+1.6%
Q3 2010-6.1%
Q2 2010-5.6%
Q1 2010-16.5%

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