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Zevra Therapeutics, Inc. (ZVRA)
:ZVRA
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Zevra Therapeutics (ZVRA) AI Stock Analysis

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ZVRA

Zevra Therapeutics

(NASDAQ:ZVRA)

Rating:60Neutral
Price Target:
$12.00
▲(6.86%Upside)
Zevra Therapeutics' overall stock score reflects significant financial challenges, primarily negative profitability and cash flow issues. However, the positive technical indicators and strategic progress in the earnings call provide a more optimistic outlook. The valuation concerns due to the negative P/E ratio and lack of dividend yield slightly dampen the score.
Positive Factors
Financial Performance
Zevra reported net revenue of $20.4M, beating consensus and forecast, with Miplyffa generating $17.1M in net revenue.
Product Launch and Sales
The company is enjoying a nice sales ramp for Miplyffa, which is a key driver of the stock in the near term.
Strategic Positioning
Zevra Therapeutics has successfully transitioned into a commercial-stage rare disease company with multiple levers for further long term value creation.
Negative Factors
Product Performance
Olpruva's revenue remains modest despite a strategy focused on targeting adult patients with reimbursement challenges.
Transparency
ZVRA did not specifically provide an updated cash runway, but said it has 'ample resources and financial flexibility to execute on our strategic priorities independent from the capital markets.'

Zevra Therapeutics (ZVRA) vs. SPDR S&P 500 ETF (SPY)

Zevra Therapeutics Business Overview & Revenue Model

Company DescriptionZevra Therapeutics (ZVRA) is a biopharmaceutical company focused on the development and commercialization of innovative therapies for patients with rare diseases and unmet medical needs. The company operates within the healthcare sector, specifically targeting the pharmaceutical industry. Its core products include a pipeline of drug candidates in various stages of clinical development, aiming to address serious health conditions where existing treatments are inadequate.
How the Company Makes MoneyZevra Therapeutics generates revenue primarily through the development and commercialization of its proprietary drug candidates. The company's revenue streams include licensing agreements, where it partners with larger pharmaceutical companies to co-develop and distribute its therapies, thereby earning milestone payments and royalties on sales. Additionally, Zevra may engage in strategic collaborations and partnerships that provide funding for research and development activities. The company also focuses on obtaining regulatory approval for its therapies, which enables it to market and sell these products directly, further contributing to its revenue growth.

Zevra Therapeutics Earnings Call Summary

Earnings Call Date:May 13, 2025
(Q1-2025)
|
% Change Since: 42.69%|
Next Earnings Date:Aug 19, 2025
Earnings Call Sentiment Positive
The earnings call highlighted strong performance and strategic progress, especially with the successful launch of MIPLYFFA and robust financial positioning. However, challenges remain with OLPRUVA's market penetration and limited initial market access for MIPLYFFA.
Q1-2025 Updates
Positive Updates
Successful Launch of MIPLYFFA
Exceeded internal expectations for MIPLYFFA with over one-third of diagnosed Niemann-Pick disease type C (NPC) patients in the U.S. enrolled. Received 122 prescription enrollment forms by March 31, 2025, with 13 in Q1 2025.
Expansion Plans for MIPLYFFA
Plans to expand availability of MIPLYFFA outside the U.S. with a marketing authorization application in Europe in the second half of 2025, targeting approximately 1100 people living with NPC.
Financial Strength and Flexibility
Monetization of pediatric rare disease priority review voucher added $148.3 million of non-dilutive capital to the balance sheet, increasing total cash, cash equivalents, and investments to $217 million.
Recognition of Innovation
Earned a spot on Fast Company's top 10 most innovative companies list in the medicines, therapeutics, and pharmaceuticals category.
Pipeline Progress with Celiprolol
Phase 3 Discover trial for Celiprolol continues to progress with 32 patients enrolled for vascular Ehlers-Danlos syndrome (VEDS).
Negative Updates
OLPRUVA Launch Challenges
Received a total of 28 prescription enrollment forms since July 2023, indicating moderate expectations due to the unique dynamics of the UCD commercial landscape and fewer reimbursements.
Limited Market Access for MIPLYFFA
As of the end of Q1 2025, only 38% of covered lives have formalized reimbursement policies for MIPLYFFA, creating potential barriers to access.
R&D Expense Reduction
R&D expenses decreased by 9% compared to Q1 2024 due to the completion of the KP1077 Phase 2 trial and reduced personnel-related costs, potentially indicating a reduction in R&D activities.
Company Guidance
During Zevra's First Quarter 2025 Financial Results and Corporate Update Conference Call, the company provided various metrics reflecting its strategic progress. Zevra announced that for its newly launched product MIPLYFFA, aimed at Niemann-Pick disease type C (NPC), it had received 122 prescription enrollment forms by March 31, 2025, with 13 forms in the first quarter alone. Approximately 38% of covered lives have been secured for MIPLYFFA, aligning with the company's expectations at this stage. Additionally, Zevra's other product, OLPRUVA, received a total of 28 prescription enrollment forms since its promotion began in January 2024, including 5 forms in the first quarter of 2025. Financially, Zevra reported a net revenue of $20.4 million for Q1 2025, with $17.1 million attributed to MIPLYFFA. The company's strategic focus includes advancing their Phase 3 Discover trial for Celiprolol and aiming to extend MIPLYFFA's availability beyond the U.S., with an MAA submission planned in Europe, where approximately 1,100 people are estimated to be living with NPC.

Zevra Therapeutics Financial Statement Overview

Summary
Zevra Therapeutics faces significant financial challenges, including a high debt-to-equity ratio, negative net profit margin, and negative free cash flow, indicating financial instability. Despite strong gross margins, the reliance on external financing and negative profitability metrics pose substantial risks.
Income Statement
45
Neutral
Zevra Therapeutics shows a mixed performance in its income statement. The TTM (Trailing-Twelve-Months) gross profit margin is strong at 78.87%, indicating efficient cost management relative to revenue. However, the company is struggling with profitability, as evidenced by a negative net profit margin of -226.63% and a negative EBIT margin of -177.09%. Revenue growth is inconsistent, with a notable increase in the latest period but a decline in previous years. The negative EBITDA margin of -165.97% further highlights operational challenges.
Balance Sheet
50
Neutral
The balance sheet of Zevra Therapeutics reflects a high debt-to-equity ratio of 1.51, suggesting significant leverage and potential financial risk. The equity ratio is low at 23.76%, indicating limited equity financing. Return on equity is negative at -224.27%, reflecting ongoing losses. Despite these challenges, the company maintains a reasonable level of cash and short-term investments, which provides some liquidity cushion.
Cash Flow
40
Negative
Cash flow analysis reveals significant challenges for Zevra Therapeutics. The operating cash flow to net income ratio is 0.67, indicating that cash flow from operations is insufficient to cover net losses. Free cash flow is negative, and the free cash flow to net income ratio is 0.67, highlighting cash constraints. The company relies heavily on financing activities to support operations, which could pose risks if external funding becomes less accessible.
BreakdownDec 2024Dec 2023Dec 2022Dec 2021Dec 2020
Income Statement
Total Revenue23.61M27.46M10.16M28.65M13.29M
Gross Profit16.20M24.52M9.94M26.59M11.98M
EBITDA-76.40M-48.60M-25.53M-7.89M-5.43M
Net Income-105.51M-46.05M-26.77M-8.55M-12.76M
Balance Sheet
Total Assets178.13M172.33M115.53M132.94M11.21M
Cash, Cash Equivalents and Short-Term Investments69.50M43.05M82.85M112.35M4.21M
Total Debt60.30M43.77M14.12M1.59M70.35M
Total Liabilities138.46M110.46M29.72M5.82M77.62M
Stockholders Equity39.67M61.86M85.81M127.12M-66.41M
Cash Flow
Free Cash Flow-69.67M-33.83M-18.81M10.34M-1.97M
Operating Cash Flow-69.67M-33.53M-18.72M10.44M-1.94M
Investing Cash Flow-22.16M-17.39M-36.72M-15.52M-33.00K
Financing Cash Flow82.11M28.46M8.35M113.11M2.74M

Zevra Therapeutics Technical Analysis

Technical Analysis Sentiment
Neutral
Last Price11.23
Price Trends
50DMA
9.84
Positive
100DMA
8.70
Positive
200DMA
8.53
Positive
Market Momentum
MACD
0.63
Positive
RSI
53.62
Neutral
STOCH
11.29
Positive
Evaluating momentum and price trends is crucial in stock analysis to make informed investment decisions. For ZVRA, the sentiment is Neutral. The current price of 11.23 is below the 20-day moving average (MA) of 11.27, above the 50-day MA of 9.84, and above the 200-day MA of 8.53, indicating a neutral trend. The MACD of 0.63 indicates Positive momentum. The RSI at 53.62 is Neutral, neither overbought nor oversold. The STOCH value of 11.29 is Positive, not indicating any strong overbought or oversold conditions. Overall, these indicators collectively point to a Neutral sentiment for ZVRA.

Zevra Therapeutics Risk Analysis

Zevra Therapeutics disclosed 62 risk factors in its most recent earnings report. Zevra Therapeutics 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

Zevra Therapeutics Peers Comparison

Overall Rating
UnderperformOutperform
Sector (52)
Financial Indicators
Name
Overall Rating
Market Cap
P/E Ratio
ROE
Dividend Yield
Revenue Growth
EPS Growth
60
Neutral
$614.05M-204.78%44.92%-40.06%
59
Neutral
$720.46M
57
Neutral
$630.92M-45.46%-78.26%15.41%
57
Neutral
$718.15M
52
Neutral
$7.63B0.11-62.96%2.08%16.16%0.31%
40
Underperform
$210.35M87.26%-43.76%
* Healthcare Sector Average
Performance Comparison
Ticker
Company Name
Price
Change
% Change
ZVRA
Zevra Therapeutics
11.23
5.39
92.29%
OMER
Omeros
3.83
-1.55
-28.81%
RLAY
Relay Therapeutics
3.74
-4.48
-54.50%
UPB
Upstream Bio, Inc.
13.63
-9.75
-41.70%
MAZE
Maze Therapeutics, Inc.
16.82
1.82
12.13%

Zevra Therapeutics Corporate Events

Executive/Board ChangesShareholder Meetings
Zevra Therapeutics Elects New Directors at Annual Meeting
Neutral
May 29, 2025

On May 29, 2025, Zevra Therapeutics held its Annual Meeting of Stockholders where Wendy Dixon, Ph.D., and Tamara A. Favorito were elected as directors. The meeting also saw the ratification of Ernst & Young LLP as the independent public accounting firm for the fiscal year ending December 31, 2025. The election process was marked by the disqualification of nominees proposed by stockholder Daniel J. Mangless due to non-compliance with legal requirements and company bylaws, ensuring the election of the company’s preferred candidates.

The most recent analyst rating on (ZVRA) stock is a Buy with a $20.00 price target. To see the full list of analyst forecasts on Zevra Therapeutics stock, see the ZVRA 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: Jul 26, 2025