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Castle Biosciences, Inc.

$20.52

+0.06 (+0.29%)

C 41Pipeline Score Diagnostics · Commercial
Market Cap
611.15 M
EPS
-0.43
P/E Ratio
-
Value Trade
10.52 M
SEC Financials
Q1 2026
  • Dilution Risk

    15%
  • Revenue

    83.68 M

  • R&D Expenses

    14.43 M

  • Operating CF

    -22.13 M


  • Total Assets

    547.80 M

  • Total Liabilities

    86.39 M

  • Equity

    461.42 M

  • D/E Ratio

    12,345

7.81 %
Week
-18.49 %
1 Month
-36.25 %
3 Month
-43.56 %
6 Month
-65.98 %
5 Year
0.75 %
All Time
Cash Data
Healthy
  • Cash Position

    261.69 M

  • Monthly Burn

    7.38 M

  • Runway

    34.4 mo

  • Burn Trend

    Accelerating
  • SEC Filing

    May 6, 2026
Overview
Volume
47.62 K
52 Week Range
14.59 - 44.28
% held by Insiders
2.66 %
% held by Institutions
91.45 %
Enterprise Value
386.19 M
Total Shares
30.28 M
Short %
5.24 %
Float Shares
28.32 M
Company Description
HQ: 1500 W. PARKWOOD AVE., FRIENDS...
Employees:942

locked

Upcoming Catalyst
Catalyst Drug/Treatment Stage Probability of Approval Description Drug Type Therapeutic Area Source
Example Drug Treatment for example condition requiring FDA review
Phase 3
-%
Small Molecule
Oncology
Example Drug Treatment for example condition requiring FDA review
Phase 3
-%
Small Molecule
Oncology
Example Drug Treatment for example condition requiring FDA review
Phase 3
-%
Small Molecule
Oncology
Unlock Upcoming Catalyst data
Drug Pipeline Intelligence
C41
Pipeline Score
$484M
Pipeline Value
Valuation Signal
6
Drugs Scored
0.8x
rNPV / MCap
Top 61%
Micro Cap
(rank 354 of 905)
Percentile Rank
Castle Biosciences, Inc. carries a moderate pipeline score (41/100), with $1.2B risk-adjusted pipeline value, led by Berberine in Schizophrenia (Phase 2).
Showing 1 of 1 assets
DrugIndicationPhaseNCT IDPTRSrNPVStatusEnrollmentVelocityDesignCompletionML SignalLast Change
Berberine
Small molecule
SchizophreniaPhase 2NCT0298318843% $377M COMPLETED 113 - -Jan 4, 2021 -Jan 22, 2021
Unlock Drug Pipeline Intelligence
Clinical Trial Results
Drug Name Indications Phase Date Trial Results Summary Title Source
Example Drug
Example indication for clinical evaluation
Phase 3
2025-12-01
Example Drug
Example indication for clinical evaluation
Phase 3
2025-12-01
Example Drug
Example indication for clinical evaluation
Phase 3
2025-12-01
Unlock Clinical Trial Results data
Inside Trades
TREND
CORPORATE INSIDERS BOUGHT SHARES WORTH 1.8M IN THE LAST 3 MONTHS
YEARLY INSIDER TRANSACTIONS
Sector Avg.
INSIDERS
SOLD
INSIDERS
BOUGHT
POSITIVE SENTIMENT Based on 22 Insiders Transactions
Unlock Inside Trades data
Hedge Funds
TREND
HEDGE FUNDS INCREASED HOLDINGS BY 200.0K SHARES IN THE LAST QUARTER
Shares Held
2040.00B1530.00B1020.00B510.00B0
Q3
2024
Q4
2024
Q1
2025
Q2
2025
HEDGE FUNDS
SOLD
HEDGE FUNDS
BOUGHT
POSITIVE SENTIMENT Based on 27 hedge funds in the last quarter
18 buying (3 new)·9 selling (1 exited)·2 unchanged
Fund Count
60%
Share Volume
25%
Conviction
15%
HedgeFund Name
( 3 )
% of Portfolio Current MV
-
Shares Owned
-
Activity
Avg Price $0

Example Capital Management

2.5 %
15.00 M
250.00 K

Example Capital Management

2.5 %
15.00 M
250.00 K

Example Capital Management

2.5 %
15.00 M
250.00 K
Unlock Hedge Funds table data
Biotech Analyst Ratings
Symbol
Firm
Rating
Action
Price Target
Upside
date
CSTL
Example Securities
Buy
Initiated
$150.00
+25%
2026-01-15
CSTL
Example Securities
Buy
Initiated
$150.00
+25%
2026-01-15
CSTL
Example Securities
Buy
Initiated
$150.00
+25%
2026-01-15
Unlock Biotech Analyst Ratings data
CSTL Stock Forecast & Analyst Consensus
BUY
Analyst Ratings
Buy65.0%
Hold25.0%
Sell10.0%
Price Target Trend
Average$24.00
Low$18.00
High$32.00
Unlock Price Target Trend
CSTL Institutional Ownership Trends
Current Insider %
5.20%
+0.00%
Current Institutional %
62.40%
+0.00%
Total Ownership
67.60%
Insider + Institutional
Data Points
1
1 Ticker(s)
Option Chain Statistics
ExpirationVolumeOpen InterestImplied Volatility CallsImplied Volatility Puts
CallsPutsPut-Call RatioCallsPutsPut-Call RatioIVOiWaIvVWaIvIVOiWaIvVWaIv
2026-07-17 0.00 0 - - - - - -
2026-07-17 0.00 0 - - - - - -
2026-07-17 0.00 0 - - - - - -
Unlock Option Chain Statistics data
Option Chain
CallsStrikePuts
Last PriceVolumeOpen InterestLast PriceVolumeOpen Interest
No data available
Unlock Option Chain data
Unlock Options Chart data
Open interest
0 600K 1.2M 1.8M Avg OI 1.00 M Open Interest
0 1 2 3 1.1 Put-Call Ratio
Today's Open Interest
1.00 M
Put-Call Ratio
1.1
Put Open Interest
480.00 K
Call Open Interest
520.00 K
Open Interest Avg (30-day)
900,000
Today vs Open Interest Avg (30-day)
11.11%
Option Volume
0 450K 900K 1.4M Avg OV 750.00 K Option Volume
0 1 2 3 0.95 Put-Call Ratio
Today's Volume
750.00 K
Put-Call Ratio
0.95
Put Volume
360.00 K
Call Volume
390.00 K
Volume Avg (30-day)
800,000
Today vs Volume Avg (30-day)
-6.25%
Company News
CSTL
Jun 16, 2026
CSTLGeneral

Castle Biosciences' TissueCypher® Test Surpasses 100,000 Orders, Advancing Precision Risk Assessment for Patients with Barrett's Esophagus

Castle Biosciences announced that its TissueCypher Barrett's Esophagus Test has surpassed 100,000 clinical test orders. This AI-derived test predicts the five-year risk of progression from Barrett's esophagus to high-grade dysplasia or esophageal adenocarcinoma, aiding clinicians in personalizing patient management. The milestone reflects increasing adoption and positive patient feedback.

Read more →
CSTL
Jun 10, 2026
CSTLPhases

First Patient Enrolled in New Study Assessing early prediction of flares in Atopic Dermatitis by Castle Biosciences in Collaboration with SciBase

SciBase has enrolled the first patient in a clinical study aimed at predicting flare-ups in atopic dermatitis. The DETECT-AD study will utilize Electrical Impedance Spectroscopy to identify early signs of flares, shifting from reactive to proactive treatment approaches. This initiative seeks to improve patient quality of life and reduce the unpredictability of flare-ups.

Read more →
CSTL
May 13, 2026
CSTLConferences/Events

Castle Biosciences to Present at the 2026 Jefferies Global Healthcare Conference

Castle Biosciences, Inc. will present at the 2026 Jefferies Global Healthcare Conference on June 3, 2026. The presentation will provide an overview of the company's innovative diagnostics aimed at improving patient care. A live audio webcast will be available, along with a replay post-event. The company specializes in dermatologic and gastroenterological disease management.

Read more →
CSTL
May 12, 2026
CSTLGeneral

Castle Biosciences' AdvanceAD-Tx™ Test Receives 2026 MedTech Breakthrough Award for Genomics Innovation

Castle Biosciences has been awarded the 'Genomics Innovation Award' for its AdvanceAD-Tx test, which aids in treatment decisions for moderate-to-severe atopic dermatitis. This non-invasive test measures gene expression to guide therapy selection, resulting in improved patient outcomes. The award highlights Castle's ongoing commitment to innovation in healthcare technology.

Read more →
CSTL
Apr 15, 2026
CSTLConferences/Events

Castle Biosciences to Release First Quarter 2026 Financial Results and Host Webcast on Wednesday, May 6, 2026

Castle Biosciences, Inc. announced it will release its financial results for Q1 2026 on May 6, 2026. The results will be shared after market close, followed by a webcast at 4:30 p.m. ET. This event will include a Q&A session, promoting engagement with investors and stakeholders.

Read more →
CSTL
Apr 10, 2026
CSTLGeneral

Castle Biosciences Earns 2026 USA TODAY Top Workplaces Award for Fifth Consecutive Year

Castle Biosciences has been awarded the 2026 USA TODAY Top Workplaces Award for the fifth consecutive year, highlighting its commitment to a people-first culture. The award is based on employee feedback and reflects the company's dedication to improving patient care. CEO Derek Maetzold emphasized the importance of valuing and empowering team members.

Read more →
CSTL
Mar 30, 2026
CSTLConferences/Events

Castle Biosciences’ DecisionDx®-Melanoma Test Significantly Improves Risk Prediction Within AJCC Stages to Support Personalized, Risk-Aligned Management of Cutaneous Melanoma, Data to Be Presented at AAD 2026

Castle Biosciences will present data at the AAD 2026 showing that its DecisionDx-Melanoma test enhances risk stratification for cutaneous melanoma patients. The test identifies significant differences in mortality risk within AJCC stages, allowing for more personalized management. This could lead to better care for high-risk patients while reducing unnecessary interventions for those at lower risk.

Read more →
CSTL
Mar 9, 2026
CSTLPhases

DecisionDx®-Melanoma’s i31-SLNB: Report from the Largest Prospective Multicenter Study to Date Confirms 2.6% Nodal Positivity in Patients Predicted to Have Less Than 5% Risk

Recent findings from the largest prospective multicenter study on DecisionDx-Melanoma's i31-SLNB test reveal a 2.6% actual sentinel lymph node (SLN) positivity rate in patients predicted to have less than 5% risk. This supports the test's effectiveness in identifying low-risk patients who may safely avoid unnecessary SLNB procedures. The study highlights the test's role in enhancing decision-making for melanoma management.

Read more →
CSTL
Mar 5, 2026
CSTLConferences/Events

Castle Biosciences to Present Data at SSO 2026 on DecisionDx®-Melanoma’s i31-SLNB, Identifying T1b–T2a Melanoma Patients Who May Safely Avoid SLNB

Castle Biosciences will present new data on the DecisionDx-Melanoma's i31-SLNB test at the SSO 2026 Annual Meeting. This test helps identify T1b–T2a melanoma patients who may safely avoid sentinel lymph node biopsy. The data supports the test's role in guiding risk-aligned management decisions consistent with established guidelines.

Read more →
CSTL
Mar 4, 2026
CSTLGeneral

Castle Biosciences Announces Grand Opening of New Corporate Headquarters in Friendswood, Texas

Castle Biosciences has announced the grand opening of its new corporate headquarters in Friendswood, Texas, scheduled for March 24, 2026. The facility aims to foster collaboration and innovation among employees while supporting the company's growth in molecular diagnostics. Local officials will attend the event, highlighting the company's commitment to the community. The new campus features modern workspaces and sustainable design elements.

Read more →
CSTL
Feb 5, 2026
CSTLConferences/Events

Castle Biosciences to Release Fourth Quarter and Full-Year 2025 Financial Results and Host Conference Call on Thursday, Feb. 26, 2026

Castle Biosciences, Inc. will announce its fourth quarter and full-year 2025 financial results on February 26, 2026. The results will be shared after market close, followed by a conference call at 4:30 p.m. ET. Investors can access the call via phone or webcast, with a Q&A session included.

Read more →
CSTL
Dec 22, 2025
CSTLGeneral

Castle Biosciences Reports Inducement Grants Under Nasdaq Listing Rule 5635(c)(4) - December 19, 2025

Castle Biosciences announced the granting of restricted stock units (RSUs) to 83 employees as an inducement for their employment. The RSUs, totaling 139,494 shares, will vest over four years, aligning employee retention with company growth. This initiative is part of the company's 2022 Inducement Plan, adhering to Nasdaq Listing Rule 5635(c)(4).

Read more →
CSTL
Dec 19, 2025
CSTLGeneral

Castle Biosciences Reports Inducement Grants Under Nasdaq Listing Rule 5635(c)(4)

Castle Biosciences, Inc. has granted restricted stock units (RSUs) to 83 employees as part of its 2022 Inducement Plan, in accordance with Nasdaq Listing Rule 5635(c)(4). The RSUs, covering 139,494 shares, will vest over four years, incentivizing employee retention. This initiative underscores the company's commitment to enhancing its workforce while focusing on innovative diagnostic solutions.

Read more →
CSTL
Dec 17, 2025
CSTLGeneral

Landmark Study Shows Combination of Castle Biosciences' DecisionDx®-UM and PRAME Outperforms Gene Mutation Analysis in Predicting Survival Outcomes in Uveal Melanoma

Castle Biosciences announced results from a landmark study showing that the combination of DecisionDx-UM and PRAME gene expression analysis outperforms traditional gene mutation analysis in predicting survival outcomes for uveal melanoma patients. This study, the largest of its kind, highlights the importance of precise risk stratification in guiding treatment decisions. The findings support the use of these tests in clinical practice for better patient management.

Read more →
CSTL
Nov 11, 2025
CSTLConferences/Events

Castle Biosciences to Present at the Piper Sandler 37th Annual Healthcare Conference

Castle Biosciences, a diagnostics company, will present at the Piper Sandler 37th Annual Healthcare Conference on December 2, 2025. The presentation will provide an overview of the company's innovative tests aimed at improving patient care. A live audio webcast will be available for those unable to attend in person.

Read more →
CSTL
Nov 3, 2025
CSTLGeneral

Castle Biosciences Reports Third Quarter 2025 Results

Castle Biosciences reported strong financial results for Q3 2025, achieving $83 million in revenue and a 67% increase in non-dermatologic revenue compared to the previous year. The company raised its full-year revenue guidance to $327-335 million, highlighting the success of its core tests, including DecisionDx-Melanoma and TissueCypher. Additionally, the launch of AdvanceAD-Tx aims to improve treatment decisions for patients with moderate-to-severe atopic dermatitis.

Read more →
CSTL
Nov 3, 2025
CSTLGeneral

Castle Biosciences Launches AdvanceAD-Tx™ to Help Guide Systemic Treatment Decision Making in Patients with Moderate-to-Severe Atopic Dermatitis

Castle Biosciences has launched AdvanceAD-Tx, a gene expression profile test aimed at guiding systemic treatment decisions for patients aged 12 and older with moderate-to-severe atopic dermatitis. The test identifies patients likely to benefit from JAK inhibitors, showing improved outcomes compared to traditional therapies. This launch reflects the company's strategy to address unmet needs in dermatology and is expected to tap into a significant market opportunity.

Read more →
CSTL
Oct 28, 2025
CSTLConferences/Events

Castle Biosciences to Participate in Upcoming Investor Conferences

Castle Biosciences, Inc. announced its participation in the Stephens 27th Annual Investment Conference on November 19, 2025, where the executive management will present a company overview. Additionally, the company will hold one-on-one meetings during the Jefferies Global Healthcare Conference from November 18-20, 2025. The firm focuses on innovative diagnostic tests for various health conditions.

Read more →
CSTL
Oct 26, 2025
CSTLConferences/Events

New Data at American College of Gastroenterology Annual Meeting Show TissueCypher® Provides Actionable Risk Insights that Influence Clinical Management and Prompt Risk-Aligned Intervention in Barrett’s Esophagus

Castle Biosciences presented new data at the ACG 2025 Annual Meeting, showcasing its TissueCypher Barrett's Esophagus test. This test offers risk insights that extend beyond traditional pathology, allowing for personalized clinical management and timely interventions for patients at higher risk of esophageal cancer. The findings emphasize the importance of individualized patient care in managing Barrett's esophagus.

Read more →
CSTL
Oct 24, 2025
CSTLConferences/Events

New Analysis of 13,560 Patients Demonstrates DecisionDx®-Melanoma Stratifies Risk Across Histological Subtypes; Findings to be Presented at Fall Clinical Dermatology Conference

Castle Biosciences announced the presentation of new data on its DecisionDx-Melanoma test at the Fall Clinical Dermatology Conference. The study, involving 13,560 patients, confirms the test's ability to stratify melanoma risk across different histological subtypes. This finding reinforces the test's clinical value in guiding patient management and treatment decisions.

Read more →
CSTL
Oct 13, 2025
CSTLConferences/Events

Castle Biosciences to Release Third Quarter 2025 Financial Results and Host Conference Call on Monday, Nov. 3, 2025

Castle Biosciences, Inc. will announce its third quarter financial results on November 3, 2025. Following the release, management will host a conference call and webcast at 4:30 p.m. ET to discuss the results. The company is focused on innovative tests that improve patient care and has a diverse portfolio in diagnostics.

Read more →
CSTL
Oct 1, 2025
CSTLGeneral

Castle Biosciences’ Founder, President and CEO Derek Maetzold Honored with the CEO of the Year Award by The CEO Magazine

Derek Maetzold, founder and CEO of Castle Biosciences, has been awarded CEO of the Year by The CEO Magazine. This recognition highlights his innovative leadership and commitment to patient care, which has transformed Castle from a startup into a leading diagnostics company. Under his guidance, the company has fostered a strong workplace culture and developed a portfolio of tests for critical health challenges.

Read more →
CSTL
Sep 23, 2025
CSTLGeneral

Castle Biosciences Honored with a Greater Pittsburgh Top Workplaces 2025 Award

Castle Biosciences has been awarded the Greater Pittsburgh Top Workplace for 2025, based on anonymous employee feedback. This recognition reflects the company's strong workplace culture, which prioritizes employee satisfaction and engagement. CEO Derek Maetzold attributes this honor to the dedication of their employees in enhancing patient care. Castle has received multiple accolades this year, showcasing its commitment to a positive work environment.

Read more →
CSTL
Sep 17, 2025
CSTLGeneral

Castle Biosciences Named One of Newsweek’s America’s Greatest Companies 2025

Castle Biosciences has been recognized in Newsweek's inaugural list of America's Greatest Companies for 2025. The company was honored for its strong performance in financial strength, workforce dedication, innovation, and commitment to sustainability. CEO Derek Maetzold emphasized the company's dedication to patient care and innovation. This recognition reflects the company's efforts to transform disease management.

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