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Mirum Pharmaceuticals (MIRM)
NASDAQ:MIRM

Mirum Pharmaceuticals (MIRM) AI Stock Analysis

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MIRM

Mirum Pharmaceuticals

(NASDAQ:MIRM)

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Neutral 56 (OpenAI - 4o)
Rating:56Neutral
Price Target:
$80.00
▲(4.63% Upside)
Mirum Pharmaceuticals' overall score is driven by strong earnings call results and strategic corporate events, indicating growth potential. However, financial performance and valuation concerns, including high leverage and negative profitability, weigh down the score. Technical indicators suggest a positive trend but warrant caution due to overbought signals.
Positive Factors
Revenue Growth
The strong revenue growth indicates robust market demand and successful product commercialization, supporting long-term business expansion.
International Expansion
Successful international expansion enhances market reach and diversifies revenue streams, strengthening the company's global presence.
Merger with Bluejay Therapeutics
The merger with Bluejay Therapeutics could expand Mirum's product pipeline and market position in liver diseases, driving future growth.
Negative Factors
High Leverage
High leverage can strain financial flexibility and increase risk, potentially impacting long-term financial stability and growth.
Patent Challenges
Ongoing patent challenges could threaten market exclusivity, impacting revenue from key products and increasing legal costs.
Profitability Issues
Struggles with profitability indicate challenges in cost management, which could hinder sustainable growth and investor confidence.

Mirum Pharmaceuticals (MIRM) vs. SPDR S&P 500 ETF (SPY)

Mirum Pharmaceuticals Business Overview & Revenue Model

Company DescriptionMirum Pharmaceuticals, Inc., a biopharmaceutical company, focuses on the development and commercialization of novel therapies for debilitating rare and orphan diseases. The company's lead product candidate is LIVMARLI, an investigational oral drug for the treatment of progressive familial intrahepatic cholestasis disease, as well as for the treatment of Alagille syndrome and biliary atresia disease. It also develops Volixibat drug for treatment of intrahepatic cholestasis of pregnancy and primary sclerosing cholangitis. Mirum Pharmaceuticals, Inc. was incorporated in 2018 and is headquartered in Foster City, California.
How the Company Makes MoneyMirum Pharmaceuticals generates revenue through the commercialization of its lead product, maralixibat, especially following its approval for specific indications related to rare liver diseases. The company earns revenue from product sales, which are driven by market demand and the effectiveness of its therapies. Additionally, Mirum may engage in strategic partnerships or collaborations with other pharmaceutical companies to enhance its research and development efforts, which can provide upfront payments, milestone payments, and royalties on future sales. These partnerships can significantly bolster its financial resources and contribute to its overall earnings.

Mirum Pharmaceuticals Earnings Call Summary

Earnings Call Date:Nov 04, 2025
(Q3-2025)
|
% Change Since: |
Next Earnings Date:Mar 11, 2026
Earnings Call Sentiment Positive
Mirum Pharmaceuticals had a strong third quarter with significant revenue growth and positive net income for the first time. The company continues to advance its clinical pipeline and expand internationally. However, there are some challenges in revenue consistency and the adoption of genetic testing in certain segments.
Q3-2025 Updates
Positive Updates
Strong Revenue Growth
Mirum Pharmaceuticals reported third quarter revenue of $133 million, representing a nearly 50% year-over-year increase, driven by the performance of LIVMARLI and their bile acid portfolio.
Positive Financial Milestone
The company recognized positive net income for the first time, highlighting the operating leverage in their commercial model.
Successful International Expansion
LIVMARLI net product sales totaled $92 million, with $28 million from international markets, supported by expanding reimbursement and launches in new geographies.
Advancement in Clinical Pipeline
Enrollment completed for the Phase IIb VISTAS study in PSC, with top line data expected in Q2 2026. The company is optimistic about volixibat's potential to become the first approved treatment in this setting.
Increased Cash Reserves
Mirum's cash, cash equivalents, and investments increased by $85 million from the beginning of the year, reaching $378 million.
Negative Updates
Quarterly Revenue Variability
Expected variability in LIVMARLI international revenue due to periodic large orders from distributors, which may impact quarter-to-quarter revenue consistency.
Challenges in Genetic Testing Adoption
Sustained engagement is required to drive incremental gains in genetic testing, especially among adult-focused providers where it is less embedded in practice.
Company Guidance
During the Mirum Pharmaceuticals Third Quarter 2025 Conference Call, the company reported several key metrics indicating strong performance and future potential. Third-quarter revenue reached $133 million, marking a nearly 50% year-over-year increase, largely driven by the U.S. PFIC launch and international market demand. LIVMARLI sales contributed $92 million, with $64 million from the U.S. market. The bile acid portfolio, including CHOLBAM and CTEXLI, added $41 million in sales. Mirum revised its full-year 2025 revenue guidance to $500-$510 million. The company achieved a net income of $3 million for the first time, reflecting its solid financial performance. Looking ahead, Mirum sees substantial growth potential, with peak revenue for LIVMARLI, volixibat, and MRM-3379 each exceeding $1 billion. Additionally, the clinical pipeline is progressing well, with several pivotal readouts anticipated in 2026.

Mirum Pharmaceuticals Financial Statement Overview

Summary
Mirum Pharmaceuticals shows revenue growth but struggles with profitability, as indicated by negative net profit margins. The balance sheet reveals high leverage, posing financial risks, while cash flow management shows some strengths but also volatility.
Income Statement
Mirum Pharmaceuticals shows a positive revenue growth trend with a 9.93% increase in TTM, indicating potential market expansion. However, the company is struggling with profitability, as evidenced by negative net profit and EBIT margins. The gross profit margin is strong at 79.92%, but the negative net profit margin of -8.78% highlights ongoing challenges in managing operational costs.
Balance Sheet
The company has a high debt-to-equity ratio of 1.08, suggesting significant leverage which could pose financial risks. The return on equity is negative at -24.76%, indicating inefficiencies in generating returns for shareholders. The equity ratio is relatively low, reflecting a higher reliance on debt financing.
Cash Flow
Free cash flow has significantly improved, but the growth rate is negative, indicating volatility. The operating cash flow to net income ratio is 0.28, showing some ability to convert income into cash, but it remains low. The free cash flow to net income ratio is nearly 1, suggesting that the company is managing its cash flow effectively relative to its net income.
BreakdownTTMDec 2024Dec 2023Dec 2022Dec 2021Dec 2020
Income Statement
Total Revenue471.79M336.89M186.37M77.06M19.14M0.00
Gross Profit377.04M255.25M139.34M64.69M17.23M-623.00K
EBITDA-5.49M-48.97M-136.49M-122.85M-65.39M-102.31M
Net Income-41.42M-87.94M-163.41M-135.66M-83.99M-103.27M
Balance Sheet
Total Assets785.12M670.75M646.62M352.91M294.65M240.86M
Cash, Cash Equivalents and Short-Term Investments375.55M280.31M286.33M151.72M156.54M231.82M
Total Debt318.76M317.76M308.14M2.19M2.61M3.26M
Total Liabilities493.07M445.11M397.95M210.87M174.44M68.77M
Stockholders Equity292.05M225.64M248.67M142.04M120.21M172.09M
Cash Flow
Free Cash Flow44.32M9.33M-91.05M-120.41M-151.78M-89.30M
Operating Cash Flow44.69M10.32M-70.94M-120.14M-132.76M-89.08M
Investing Cash Flow-24.32M-90.13M-107.20M7.70M48.55M37.87M
Financing Cash Flow36.48M17.70M336.60M109.09M73.47M181.29M

Mirum Pharmaceuticals Technical Analysis

Technical Analysis Sentiment
Positive
Last Price76.46
Price Trends
50DMA
71.80
Positive
100DMA
72.30
Positive
200DMA
59.89
Positive
Market Momentum
MACD
2.14
Negative
RSI
55.47
Neutral
STOCH
37.28
Neutral
Evaluating momentum and price trends is crucial in stock analysis to make informed investment decisions. For MIRM, the sentiment is Positive. The current price of 76.46 is above the 20-day moving average (MA) of 73.31, above the 50-day MA of 71.80, and above the 200-day MA of 59.89, indicating a bullish trend. The MACD of 2.14 indicates Negative momentum. The RSI at 55.47 is Neutral, neither overbought nor oversold. The STOCH value of 37.28 is Neutral, not indicating any strong overbought or oversold conditions. Overall, these indicators collectively point to a Positive sentiment for MIRM.

Mirum Pharmaceuticals Risk Analysis

Mirum Pharmaceuticals disclosed 74 risk factors in its most recent earnings report. Mirum Pharmaceuticals reported the most risks in the "Tech & Innovation" category.
Finance & Corporate - Financial and accounting risks. Risks related to the execution of corporate activity and strategy
Latest Risks Added 0 New Risks

Mirum Pharmaceuticals Peers Comparison

Overall Rating
UnderperformOutperform
Sector (51)
Financial Indicators
Name
Overall Rating
Market Cap
P/E Ratio
ROE
Dividend Yield
Revenue Growth
EPS Growth
83
Outperform
$2.80B13.1827.52%25.56%44.42%
65
Neutral
$8.68B-1,053.72-0.50%23258.15%99.12%
56
Neutral
$3.91B-88.72-15.81%53.66%58.63%
51
Neutral
$7.86B-0.30-43.30%2.27%22.53%-2.21%
50
Neutral
$3.15B80.6314.10%42.11%
48
Neutral
$2.05B-5.091025.95%52.91%
46
Neutral
$2.23B-3.80-325.76%20.63%8.09%
* Healthcare Sector Average
Performance Comparison
Ticker
Company Name
Price
Change
% Change
MIRM
Mirum Pharmaceuticals
76.46
34.40
81.79%
ARWR
Arrowhead Pharmaceuticals
70.81
51.14
259.99%
CPRX
Catalyst Pharma
22.58
3.05
15.62%
RARE
Ultragenyx Pharmaceutical
22.54
-21.90
-49.28%
IBRX
ImmunityBio
2.14
-0.59
-21.61%
APLS
Apellis Pharmaceuticals
23.94
-10.69
-30.87%

Mirum Pharmaceuticals Corporate Events

Business Operations and StrategyLegal Proceedings
Mirum Files Patent Suits to Block Livmarli Generics
Positive
Dec 19, 2025

In November 2025, Mirum Pharmaceuticals received Paragraph IV certification notice letters from multiple generic drug makers, including Sandoz, Annora Pharma, Zydus Lifesciences Global FZE and Zenara Pharma, indicating that these companies had filed Abbreviated New Drug Applications with the U.S. Food and Drug Administration seeking approval to market generic versions of Livmarli (maralixibat). On December 19, 2025, Mirum responded by filing patent infringement lawsuits in the U.S. District Court for the District of Delaware, alleging infringement of its Orange Book-listed patents for Livmarli and securing an automatic 30‑month stay that prevents the FDA from granting final approval of the ANDAs, temporarily protecting Mirum’s market exclusivity for its flagship liver disease therapy and delaying potential generic competition.

The most recent analyst rating on (MIRM) stock is a Buy with a $140.00 price target. To see the full list of analyst forecasts on Mirum Pharmaceuticals stock, see the MIRM Stock Forecast page.

Business Operations and StrategyM&A TransactionsPrivate Placements and Financing
Mirum Pharmaceuticals Raises Capital via Private Placement
Positive
Dec 19, 2025

On December 18, 2025, Mirum Pharmaceuticals entered into a subscription agreement with entities affiliated with institutional investor TCGX for a private placement of 1,000,000 common shares at $68.48 per share, raising approximately $68.5 million in gross proceeds in a transaction relying on private-offering exemptions from U.S. securities registration. Together with a separate $200 million private placement announced earlier in December, the new financing is intended to fund clinical development and commercial activities tied to Mirum’s proposed acquisition of Bluejay Therapeutics, a privately held biotech focused on viral and liver diseases, with both private placements and the Bluejay deal expected to close concurrently in the first quarter of 2026, subject to regulatory approvals and customary conditions, while Mirum has agreed to register the resale of the new shares for the investors after closing.

The most recent analyst rating on (MIRM) stock is a Buy with a $140.00 price target. To see the full list of analyst forecasts on Mirum Pharmaceuticals stock, see the MIRM Stock Forecast page.

M&A TransactionsPrivate Placements and Financing
Mirum Pharmaceuticals Announces Merger with Bluejay Therapeutics
Positive
Dec 8, 2025

On December 6, 2025, Mirum Pharmaceuticals announced a merger agreement with Bluejay Therapeutics, aiming to acquire Bluejay’s investigational drug brelovitug, a monoclonal antibody for chronic hepatitis delta virus (HDV). This acquisition, expected to close in the first quarter of 2026, will enhance Mirum’s leadership in rare liver diseases, potentially leading to a biologics license application submission in 2027. Additionally, Mirum has secured a $200 million private placement to support clinical development and commercial activities post-acquisition.

The most recent analyst rating on (MIRM) stock is a Hold with a $69.00 price target. To see the full list of analyst forecasts on Mirum Pharmaceuticals stock, see the MIRM Stock Forecast page.

Legal Proceedings
Mirum Pharmaceuticals Faces Patent Challenge from Sandoz
Negative
Nov 17, 2025

On November 17, 2025, Mirum Pharmaceuticals received a Paragraph IV Certification Notice from Sandoz, indicating Sandoz’s intent to produce a generic version of Livmarli. Mirum plans to defend its patents vigorously by filing a patent infringement suit against Sandoz, which could delay the FDA’s approval of the generic drug for up to 30 months.

The most recent analyst rating on (MIRM) stock is a Buy with a $95.00 price target. To see the full list of analyst forecasts on Mirum Pharmaceuticals stock, see the MIRM Stock Forecast page.

Glossary
BuyA stock rated as a "Buy" is expected to perform better than the overall market or a specific benchmark over the near-to-medium term. This rating suggests the stock is likely to deliver higher returns compared to other stocks in the same sector or market index. Note: This is not investment advice; please consult a financial advisor before making investment decisions.
HoldA stock rated as a "Hold" is expected to perform in line with the overall market or a specific benchmark. This rating indicates that the stock is neither particularly compelling nor unfavorable for investment. Note: This is not investment advice; please consult a financial advisor before making investment decisions.
SellA stock rated as a "Sell" is expected to perform worse than the overall market or a specific benchmark over the near-to-medium term. This rating suggests the stock may deliver lower returns compared to other stocks in the same sector or market index. Note: This is not investment advice; please consult a financial advisor before making investment decisions.

Disclaimer

This AI Analyst Stock Report is automatically generated by our AI systems using advanced algorithms and publicly available financial, technical, and market data. While the information provided aims to be accurate and insightful, it is intended for informational purposes only and should not be considered financial advice. Any content created by an AI (Artificial Intelligence) system may contain inaccuracies and/or contain errors. Investing in stocks carries inherent risks, and past performance is not indicative of future results. This report does not account for your personal financial circumstances, objectives, or risk tolerance. Always conduct your own research or consult with a qualified financial advisor before making investment decisions. The analysis and recommendations provided are based on historical and current data and may not fully reflect future market conditions or unexpected developments. Neither the creators of this report nor its affiliated entities guarantee the accuracy, completeness, or reliability of the information presented. Use this report at your own discretion and risk.Date of analysis: Dec 20, 2025