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Madrigal Pharmaceuticals Inc (MDGL)
NASDAQ:MDGL
US Market

Madrigal Pharmaceuticals (MDGL) Earnings Dates, Call Summary & Reports

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Earnings Data

Report Date
May 12, 2026
Before Open (Confirmed)
Period Ending
2026 (Q1)
Consensus EPS Forecast
-3.68
Last Year’s EPS
-3.32
Same Quarter Last Year
Based on 11 Analysts Ratings

Earnings Call Summary

Q4 2025
Earnings Call Date:Feb 19, 2026|
% Change Since:
|
Earnings Call Sentiment|Positive
The call communicated a strong, high-performing commercial launch (nearly $1B first-year sales), accelerating patient uptake, a sizable and fast-growing U.S. addressable market, a cash-strong balance sheet, and rapid pipeline expansion anchored to Rezdiffra (patent protection to 2045). Key near-term headwinds include expected gross-to-net deterioration into the high 30% range in 2026 (reducing net revenue), Q1 seasonality and contracting timing effects, higher R&D/SG&A from business-development and launch investments, and limited near-term international revenue. Management portrayed confidence in continued robust growth, disciplined R&D/combination strategy, and an adaptive approach to payer partnerships and persistence initiatives.
Company Guidance
Management guided to continued robust growth in 2026 off a strong 2025 launch (Q4 net sales $321.1M, FY2025 net sales $958.4M; Q4 >36,250 patients on Rezdiffra vs >29,500 at end‑Q3), highlighted a large addressable F2–F3 specialist population (315,000 representative patients, up nearly 50% since 2023) and an F4C opportunity of ~245,000 patients that could roughly double the commercial opportunity; Rezdiffra has patent protection into 2045, the company ended 2025 with $988.6M cash, R&D spend was $116.3M in Q4 and $388.5M for FY2025 (2026 R&D expected roughly flat), and FY2025 gross‑to‑net landed at the low end of the 20–30% range with 2026 gross‑to‑net expected in the high‑30s (Q1 typically a mid‑ to high‑single‑digit net sales step down due to reverifications plus the zero‑to‑contracting impact); pipeline metrics include >10 programs (oral GLP‑1 Phase 1 expected in Q2, a late‑stage DGAT2 Evogastat with MIRNA PDFF responses of 72% ≥30% and 61% ≥50% at 150 mg, and six preclinical siRNAs), MAESTRO outcomes remain on track for 2027 data with expected placebo event accrual of ~5–10% annually, and real‑world persistence runs ~60–70% at one year (with some sites up to ~90%).
Exceptional Launch Sales
Fourth quarter 2025 net sales of $321,100,000 (more than triple Q4 2024) and full year 2025 net sales of $958,400,000 — a nearly $1.0B first full year on market, characterized by strong demand and market build-out.
Rapid Patient Growth
Patients on Rezdiffra rose to more than 36,250 at the end of Q4 2025 from more than 29,500 at the end of Q3 2025 — an increase of ~6,750 patients quarter-over-quarter (~22.9% QoQ), indicating steady quarterly net patient adds.
Large and Expanding U.S. NASH Market
Company reports the U.S. F2–F3 target population seen by target specialists expanded nearly 50% since 2023 (discussed range from ~315,000 toward ~460,000 representative patients) and expects the market to grow at a double-digit pace for the foreseeable future.
Pipeline Expansion and Strategic Acquisitions
Company built a pipeline of more than 10 programs via three transactions within ~6 months, adding an oral GLP-1 (phase 1 single-ascending dose study MGL-2086 expected Q2), a late-stage DGAT2 inhibitor (Evogastat), and six preclinical siRNA targets — all intended for combination strategies with Rezdiffra.
Positive Evogastat Phase 2b Evidence
Evogastat (DGAT2 inhibitor) previously completed a phase 2b trial (MIRNA): at the 150 mg dose 72% of patients achieved ≥30% MRI-PDFF reduction and 61% achieved ≥50% reduction — labeled as 'super responder' levels predictive of greater likelihood of fibrosis reversal.
Encouraging F4C Open-Label Data
Two-year open-label NAFLD1 data (122 patients) showed 65% of patients with clinically significant portal hypertension (CSPH) at baseline moved into lower risk categories by year two, supporting Rezdiffra's potential in F4C and informing the outcomes trial design.
Extended Patent Protection and International Launch Start
Rezdiffra patent exclusivity extended to 2045 and ex-U.S. rollout initiated (Germany), positioning a long commercial runway and the start of international expansion.
Strong Balance Sheet
Cash, cash equivalents, restricted cash, and marketable securities totaled $988,600,000 at year-end 2025, providing resources to support launch, pipeline advancement, and further business development.

Madrigal Pharmaceuticals (MDGL) Earnings, Revenues Date & History

The upcoming earnings date is based on a company’s previous reporting, and may be updated when the actual date is announced

MDGL Earnings History

Report Date
Fiscal Quarter
Forecast / EPS
Last Year's EPS
EPS YoY Change
Press Release
Slides
Play Transcript
May 12, 2026
2026 (Q1)
-3.68 / -
-3.32
Feb 19, 2026
2025 (Q4)
-0.90 / -2.57
-2.715.17% (+0.14)
Nov 04, 2025
2025 (Q3)
-2.29 / -5.08
-4.92-3.25% (-0.16)
Aug 05, 2025
2025 (Q2)
-3.55 / -1.90
-7.173.24% (+5.20)
May 01, 2025
2025 (Q1)
-3.75 / -3.32
-7.3855.01% (+4.06)
Feb 26, 2025
2024 (Q4)
-3.92 / -2.71
-5.6852.29% (+2.97)
Oct 31, 2024
2024 (Q3)
-6.75 / -4.92
-5.347.87% (+0.42)
Aug 07, 2024
2024 (Q2)
-7.54 / -7.10
-4.69-51.39% (-2.41)
May 07, 2024
2024 (Q1)
-6.29 / -7.38
-4.23-74.47% (-3.15)
Feb 28, 2024
2023 (Q4)
-5.24 / -5.68
-4.98-14.06% (-0.70)
The table shows recent earnings report dates and whether the forecast was beat or missed. See the change in forecast and EPS from the previous year.
Beat
Missed

MDGL Earnings-Related Price Changes

Report Date
Price 1 Day Before
Price 1 Day After
Percentage Change
Feb 19, 2026
$491.49$436.87-11.11%
Nov 04, 2025
$412.35$444.64+7.83%
Aug 05, 2025
$312.11$338.91+8.59%
May 01, 2025
$333.91$327.70-1.86%
Earnings announcements can affect a stock’s price. This table shows the stock's price the day before and the day after recent earnings reports, including the percentage change.

FAQ

When does Madrigal Pharmaceuticals Inc (MDGL) report earnings?
Madrigal Pharmaceuticals Inc (MDGL) is schdueled to report earning on May 12, 2026, Before Open (Confirmed).
    What is Madrigal Pharmaceuticals Inc (MDGL) earnings time?
    Madrigal Pharmaceuticals Inc (MDGL) earnings time is at May 12, 2026, Before Open (Confirmed).
      Where can I see when companies are reporting earnings?
      You can see which companies are reporting today on our designated earnings calendar.
        What companies are reporting earnings today?
        You can see a list of the companies which are reporting today on TipRanks earnings calendar.
          What is MDGL EPS forecast?
          MDGL EPS forecast for the fiscal quarter 2026 (Q1) is -3.68.