MDGL

MDGL Earnings Preview

Madrigal Pharmaceuticals, Inc. · Healthcare · $12B

12d until earnings

MDGL Earnings

Thursday, Apr 30 2026
EPS Estimate
$-4.14
$-4.48 – $-3.79
Revenue Estimate
$302M
Current Price
$532.02

Our Position

bullish · high

First-in-class MASH drug Rezdiffra drives $958M launch year

structured data est. revisions stable

Rezdiffra's launch validates a massive unmet need in MASH — a liver disease affecting millions with no prior approved therapy. The accelerating patient uptake and locked-in patent runway through 2045 position Madrigal to own this category for decades, with the German rollout signaling the start of a global revenue opportunity.

Watch: Track sequential patient growth and revenue per patient in Q1 2026 earnings to gauge whether the launch is sustaining momentum. International rollout cadence — particularly in major European markets — will signal how quickly Madrigal can scale beyond the US.

Data Signal Summary

0 bullish
3 bearish
Insider selling cluster Put/call 1.5 (bearish skew) Price downtrend

Key Context

Insider Activity
selling
Price Trend
downtrend
From 52w High
0.0%
Est. Revisions (30d)
+0.0% 0up/2dn
Analyst Target (mean)
$673 $529–$964 +26%
Options P/C Ratio
1.50
Est. Dispersion
17% 5 analysts
Insider Cluster
strong sell
Fund Convergence
strong D.E. Shaw, Citadel, Renaissance, Bridgewater

Recent Activity

insider trades 120 transactions
Sell · HUNTSMAN CAROLE A (Officer) ·419 shares ·$180,983
Sell · KELLEY SHANNON T (General Counsel) ·360 shares ·$155,498
Sell · TAUB REBECCA M.D. (Director) ·491 shares ·$212,083
Sell · SIBOLD WILLIAM JOHN (Chief Executive Officer) ·1,663 shares ·$718,316
Sell · DIER MARDI C (Chief Financial Officer) ·1,982 shares ·$853,993
115 more
Award · HUNTSMAN CAROLE A ·3,989 shr
Award · KELLEY SHANNON T ·4,017 shr
Award · SIBOLD WILLIAM JOHN ·14,995 shr
Award · DIER MARDI C ·5,215 shr
Award · SOERGEL DAVID M.D. ·4,374 shr
Sell · DIER MARDI C ·1,183 shr ·$505,389
Exercise · LEVY RICHARD S ·2,500 shr ·$18,400
Sell · HUNTSMAN CAROLE A ·910 shr ·$449,339
Sell · TAUB REBECCA M.D. ·647 shr ·$318,596
Exercise · LEVY RICHARD S ·4,000 shr ·$65,840
Sell · SIBOLD WILLIAM JOHN ·1,577 shr ·$776,546
Sell · KELLEY SHANNON T ·692 shr ·$344,173
Sell · TAUB REBECCA M.D. ·2,238 shr ·$1,098,343
Award · THAKKAR RITA ·2,398 shr
Sell · FRIEDMAN PAUL A ·24,520 shr ·$12,808,957
Exercise · FRIEDMAN PAUL A ·24,520 shr ·$387,416
Sell · FRIEDMAN PAUL A ·280 shr ·$154,348
Exercise · FRIEDMAN PAUL A ·280 shr ·$4,424
Sell · TAUB REBECCA M.D. ·18,410 shr ·$9,617,312
Exercise · TAUB REBECCA M.D. ·18,410 shr ·$290,878
Sell · TAUB REBECCA M.D. ·240 shr ·$132,080
Exercise · TAUB REBECCA M.D. ·240 shr ·$3,792
Sell · FRIEDMAN PAUL A ·24,800 shr ·$13,694,158
Exercise · FRIEDMAN PAUL A ·24,800 shr ·$391,840
Other · TAUB REBECCA M.D. ·5,455 shr
Sell · TAUB REBECCA M.D. ·18,650 shr ·$10,297,573
Exercise · TAUB REBECCA M.D. ·18,650 shr ·$294,670
Sell · SIBOLD WILLIAM JOHN ·2,400 shr ·$1,380,816
Other · SIBOLD WILLIAM JOHN ·50,000 shr
Sell · DIER MARDI C ·4,173 shr ·$2,413,416
Exercise · DIER MARDI C ·4,173 shr ·$1,050,052
Sell · HUNTSMAN CAROLE A ·1,958 shr ·$1,082,986
Sell · LEVY RICHARD S ·8,500 shr ·$4,428,198
Exercise · LEVY RICHARD S ·8,500 shr ·$117,160
Sell · BATE KENNETH M ·16,575 shr ·$8,027,354
Exercise · BATE KENNETH M ·16,575 shr ·$3,399,036
Sell · SIBOLD WILLIAM JOHN ·7,279 shr ·$3,243,741
Sell · SIBOLD WILLIAM JOHN ·7,616 shr ·$3,047,756
Buy · BAKER BROS ADVISORS, L.P. ·97,065 shr ·$36,941,197
Sell · KELLEY SHANNON T ·1,304 shr ·$479,627
Buy · BAKER BROS ADVISORS, L.P. ·68,618 shr ·$24,979,827
Sell · BATE KENNETH M ·10,000 shr ·$3,652,009
Sell · WALTERMIRE ROBERT E. ·442 shr ·$120,847
Exercise · BATE KENNETH M ·10,000 shr ·$164,600
Sell · FRIEDMAN PAUL A ·129,172 shr ·$47,825,149
Exercise · FRIEDMAN PAUL A ·129,172 shr ·$1,220,675
Sell · FRIEDMAN PAUL A ·46,808 shr ·$16,631,386
Exercise · FRIEDMAN PAUL A ·46,808 shr ·$442,336
Sell · TAUB REBECCA M.D. ·46,463 shr ·$16,509,032
Exercise · TAUB REBECCA M.D. ·46,463 shr ·$439,075
Award · BRENNAN DANIEL J ·967 shr
Sell · FRIEDMAN PAUL A ·1,400 shr ·$490,044
Exercise · FRIEDMAN PAUL A ·1,400 shr ·$13,230
Sell · TAUB REBECCA M.D. ·1,000 shr ·$350,005
Exercise · TAUB REBECCA M.D. ·1,000 shr ·$9,450
Sell · FRIEDMAN PAUL A ·28,876 shr ·$10,198,844
Exercise · FRIEDMAN PAUL A ·28,876 shr ·$272,878
Sell · TAUB REBECCA M.D. ·29,101 shr ·$10,278,098
Exercise · TAUB REBECCA M.D. ·29,101 shr ·$275,004
Award · FRIEDMAN PAUL A ·715 shr
Award · BATE KENNETH M ·715 shr
Award · FOUSE JACQUALYN A. ·203 shr
Award · LEVY RICHARD S ·715 shr
Award · DALY JAMES M. ·715 shr
Award · BAKER BROS ADVISORS, L.P. ·2,860 shr
Award · SOERGEL DAVID M.D. ·7,545 shr
Sell · CRAVES FREDERICK B ·15,470 shr ·$5,082,480
Exercise · CRAVES FREDERICK B ·15,470 shr ·$1,282,478
Award · FOUSE JACQUALYN A. ·894 shr
Sell · DIER MARDI C ·258 shr ·$83,344
Award · WALTERMIRE ROBERT E. ·2,061 shr
Sell · WALTERMIRE ROBERT E. ·14,113 shr ·$4,817,104
Exercise · WALTERMIRE ROBERT E. ·14,113 shr ·$1,234,766
Award · HUNTSMAN CAROLE A ·3,386 shr
Award · KELLEY SHANNON T ·3,187 shr
Award · TAUB REBECCA M.D. ·4,382 shr
Award · SIBOLD WILLIAM JOHN ·13,066 shr
Award · DIER MARDI C ·3,784 shr
Sell · HUNTSMAN CAROLE A ·1,834 shr ·$597,840
Sell · KELLEY SHANNON T ·415 shr ·$139,025
Sell · DIER MARDI C ·1,961 shr ·$637,248
Sell · WALTERMIRE ROBERT E. ·1,227 shr ·$418,488
Sell · BATE KENNETH M ·20,000 shr ·$7,128,759
Exercise · BATE KENNETH M ·20,000 shr ·$1,325,287
Sell · DALY JAMES M. ·15,470 shr ·$5,375,126
Exercise · DALY JAMES M. ·15,470 shr ·$1,282,478
Sell · WALTERMIRE ROBERT E. ·103 shr ·$34,530
Sell · HUNTSMAN CAROLE A ·347 shr ·$116,328
Sell · TAUB REBECCA M.D. ·648 shr ·$217,236
Sell · SIBOLD WILLIAM JOHN ·1,584 shr ·$531,020
Sell · KELLEY SHANNON T ·277 shr ·$75,735
Sell · TAUB REBECCA M.D. ·1,689 shr ·$461,789
Sell · CRAVES FREDERICK B ·3,600 shr ·$1,135,122
Sell · CRAVES FREDERICK B ·3,400 shr ·$1,191,028
Sell · HUNTSMAN CAROLE A ·688 shr ·$218,041
Sell · LEVY RICHARD S ·5,000 shr ·$1,750,000
Exercise · LEVY RICHARD S ·5,000 shr ·$36,800
Sell · LEVY RICHARD S ·5,000 shr ·$1,504,703
Other · CRAVES FREDERICK B ·15,000 shr
Sell · SIBOLD WILLIAM JOHN ·6,363 shr ·$1,551,490
Award · KELLEY SHANNON T ·5,215 shr
Award · CRAVES FREDERICK B ·714 shr
Award · FRIEDMAN PAUL A ·714 shr
Award · BATE KENNETH M ·714 shr
Award · LEVY RICHARD S ·714 shr
Award · DALY JAMES M. ·714 shr
Award · BAKER BROS ADVISORS, L.P. ·2,856 shr
Sell · WALTERMIRE ROBERT E. ·1,900 shr ·$532,000
Exercise · WALTERMIRE ROBERT E. ·1,900 shr ·$165,471
Sell · WALTERMIRE ROBERT E. ·2,000 shr ·$570,000
Exercise · WALTERMIRE ROBERT E. ·2,000 shr ·$175,840
Other · CRAVES FREDERICK B ·84,852 shr
Sell · WALTERMIRE ROBERT E. ·1,036 shr ·$239,668
Sell · CRAVES FREDERICK B ·22,489 shr ·$4,787,404
Exercise · CRAVES FREDERICK B ·22,489 shr ·$2,316,844