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Companies / Healthcare / MADRIGAL PHARMACEUTICALS, INC.
MDGL

MADRIGAL PHARMACEUTICALS, INC.

HealthcarePharmaceutical Preparations
Ticker MDGLWEST CONSHOHOCKEN, PAFiscal year ends DecemberBook value per share $18.00Diluted shares 29.1M

Madrigal Pharmaceuticals, Inc. (MDGL: Nasdaq) is a biopharmaceutical company focused on developing and commercializing novel therapeutics for metabolic dysfunction-associated steatohepatitis, a serious liver disease characterized by inflammation, cellular damage, and fibrosis that can progress to cirrhosis, liver… From the company’s description.

Fiscal year 2025 · ends 12-31Changes are against fiscal 2024The amber dot is the latest twelve months, to 2026-06-30
Sales & profitability
$958.40M
+432.1% year over year
Last 12 mo $1.28B
-31.31%
+245.1 percentage points
Last 12 mo -25.13%
$-288.28M
+38.1% year over year
Last 12 mo $-325.10M
-47.83%
+13.9 percentage points
Last 12 mo -62.07%
Cash & financing
$-189.55M
+58.4% year over year
Last 12 mo $-197.72M
$-190.02M
+58.4% year over year
Last 12 mo $-206.28M
0.56
Was 0.16× a year earlier
Last 12 mo 0.65
22.4M
+5.5% year over year
Last 12 mo 29.1M

Margins and return on equity change in ; everything else in percent. Fewer shares and less debt are shown plainly, not as bad news — it depends what you make of buybacks. Dotted labels explain each measure. is shown separately from the annual figures.

What MADRIGAL PHARMACEUTICALS, INC. does

In the company’s own words

Madrigal Pharmaceuticals, Inc. (MDGL: Nasdaq) is a biopharmaceutical company focused on developing and commercializing novel therapeutics for metabolic dysfunction-associated steatohepatitis, a serious liver disease characterized by inflammation, cellular damage, and fibrosis that can progress to cirrhosis, liver failure, and liver cancer. The company's website is www.madrigalpharma.com.

Madrigal's primary product is Rezdiffra (resmetirom), a once-daily oral liver-directed thyroid hormone receptor beta agonist approved by the FDA in March 2024 for adults with noncirrhotic MASH with moderate to advanced liver fibrosis. The European Commission granted conditional marketing authorization in August 2025, making Rezdiffra the first medication approved by both regulatory bodies for this indication. The company launched Rezdiffra in the United States in April 2024 and in Germany in September 2025, generating $958.4 million in product revenue during 2025.

Beyond its approved therapy, Madrigal is building a focused pipeline to establish industry leadership in MASH treatment. The company has acquired rights to MGL-2086, an oral glucagon-like peptide-1 receptor agonist; ervogastat, an oral DGAT2 inhibitor; and six small interfering RNA programs designed to target genes implicated in MASH disease progression. These candidates are being evaluated for potential combination therapy with Rezdiffra to enhance efficacy across the MASH spectrum.

The company is advancing two significant clinical trials to expand Rezdiffra's market opportunity. The MAESTRO-NASH OUTCOMES trial, which completed enrollment of 845 patients, is evaluating Rezdiffra in patients with compensated MASH cirrhosis, with results expected in 2027. Positive outcomes could potentially double Rezdiffra's commercial opportunity by supporting approval in this patient population with no currently available treatments. Additionally, the company expects outcomes data from its MAESTRO-NASH trial in 2028 to support full FDA approval.

Madrigal operates under an exclusive worldwide license agreement with Hoffmann-La Roche for resmetirom development and commercialization rights. The company secured $350 million in senior secured financing in July 2025 with access to additional delayed draw and incremental facilities totaling up to $400 million.

Company details
Sector
Healthcare
Industry
Pharmaceutical Preparations
Headquarters
WEST CONSHOHOCKEN, PA
Fiscal year end
December
CIK
1157601
SIC
2834

Financial performance, year by year

Fiscal 2013–2025 · USD
$-640.88M$-115.93M$409.02M$933.97M$1.46B2013201420152016201720182019202020212022202320242025Last 12 moLast 12 monthsLast 12 months

The full income statement, balance sheet and cash flow for each of these years — every figure traceable to its filing — is on the Financials tab with a free account.

Ownership

Who owns MADRIGAL PHARMACEUTICALS, INC. — and what changed

Funds as of 2026Q2 · superinvestors as of 2026-06-30

371
funds hold it
0 of 35
superinvestors hold it
$3.71B
held by funds, at market
30.5%
of shares held by funds

Largest fund holders · MADRIGAL PHARMACEUTICALS, INC.’s weight in each

VANGUARD TOTAL STOCK MARKET INDEX FUND
VTI · VANGUARD INDEX FUNDS
0.01%of fund net assets
VANGUARD SMALL-CAP INDEX FUND
VB · VANGUARD INDEX FUNDS
0.12%of fund net assets
VANGUARD HEALTH CARE FUND
VGHCX · VANGUARD SPECIALIZED FUNDS
0.57%of fund net assets
Janus Henderson Forty Fund
JDCAX · Janus Investment Fund
0.76%of fund net assets
VANGUARD SMALL-CAP GROWTH INDEX FUND
VBK · VANGUARD INDEX FUNDS
0.28%of fund net assets

Fund ownership is a floor, not a census — pensions, insurers and people holding shares directly are not visible here.

Fund ownership counts N-PORT filers only, so it is a floor rather than a census — pensions, insurers and direct holders are not visible here, and the remainder is not “held by individuals”.

Every fund and institutional holder, quarter by quarter, is on the Ownership tab with a free account.

Connected research

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