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Madrigal Pharmaceuticals Reports Third-Quarter 2025 Financial Results and Provides Corporate Updates

Key Takeaway: Madrigal Pharmaceuticals reported strong third-quarter 2025 financial results, highlighting the success of its drug Rezdiffra, which has over 29,500 patients on therapy. The company anticipates continued growth with annualized sales exceeding $1 billion and a significant portion of the target population yet to be treated. Additionally, Madrigal is advancing its pipeline to enhance treatment efficacy for metabolic dysfunction-associated steatohepatitis (MASH).
Price reaction · baseline $412.35 (2025-11-03 close) · hit pre-market · 1 other MDGL headline(s) in the window, move may be shared
day 0 close
+7.8%
day 1
+15.4%
day 3 · peak
+18.7%

Market Sentiment Analysis

POSITIVE FACTORS

  • Rezdiffra has over 29,500 patients on therapy.
  • Quarterly sales are annualizing above $1 billion.
  • Madrigal is positioned for growth with a strong pipeline.
  • The company has U.S. patent protection for Rezdiffra until 2045.

BiopharmaWatch Analysis

From our catalyst data and publicly available data · not financial advice
Best trade, last catalyst
+125%
120-day peak, hindsight
Typical move
4.2%
average across 7 past catalysts
Cash runway
~45 mo
Minimal dilution risk
Lead asset
Resmetirom
Phase 3 · Non-Alcoholic Fatty Liver Disease

Full Press Release Details

CONSHOHOCKEN, Pa., Nov. 04, 2025 (GLOBE NEWSWIRE) -- Madrigal Pharmaceuticals, Inc. (NASDAQ: MDGL), a biopharmaceutical company focused on delivering novel therapeutics for metabolic dysfunction-associated steatohepatitis (MASH), today reports third-quarter 2025 financial results and provides corporate updates.
Bill Sibold, Chief Executive Officer of Madrigal, stated: “Six quarters into Rezdiffra’s launch, we continue to execute on all fronts. Most gratifying is the impact we’re having, with more than 29,500 patients on therapy and more than 10,000 healthcare providers prescribing Rezdiffra. With quarterly sales now annualizing above $1 billion, Rezdiffra is quickly becoming one of the most successful specialty launches in the industry and we’re still early, with greater than 90 percent of our target population yet to be treated. As we look ahead to 2026, Rezdiffra is poised for growth and continued broad, first-line access for patients.”
Sibold continued: “We’re advancing a focused strategy to extend our leadership by building a pipeline of complementary therapies. We recently added an oral GLP-1 that we intend to develop in combination with Rezdiffra to drive greater efficacy while maintaining strong tolerability. Like other large therapeutic areas, we believe MASH will require multiple mechanisms and tailored treatment regimens – and we’re well-positioned to lead that evolution. Alongside this, our pivotal Phase 3 Rezdiffra trial in F4c continues to advance and could make Rezdiffra the first approved treatment in compensated MASH cirrhosis. With U.S. patent protection for Rezdiffra into 2045, we can thoughtfully invest, innovate and lead the fight against MASH for years to come.”

Third-Quarter2025and Recent Corporate Updates

Third-Quarter2025Financial Results

Conference Call and WebcastAt 8 a.m. EST today, Nov. 4, Madrigal will host a webcast to review its financial and operating results and provide a general business update. To access the webcast, please visit the investor relations section of the Madrigal website orclick hereto register. An archived webcast will be available on the Madrigal website following the event.
About MASHMetabolic dysfunction-associated steatohepatitis (MASH), formerly known as nonalcoholic steatohepatitis (NASH), is a serious liver disease that can progress to cirrhosis, liver failure, liver cancer, need for liver transplantation, and premature mortality. MASH is the leading cause of liver transplantation in women and the second leading cause of all liver transplantation in the U.S. It is the fastest-growing indication for liver transplantation in Europe.
Once patients progress to MASH with moderate to advanced liver fibrosis (consistent with stages F2 to F3 fibrosis), the risk of adverse liver outcomes increases dramatically: these patients have a 10 to 17 times higher risk of liver-related mortality as compared to patients without fibrosis. Madrigal is focused on reaching approximately 315,000 patients with moderate to advanced fibrosis who are under the care of liver specialists in the U.S.
Patients with MASH who progress to cirrhosis face a 42 times higher risk of liver-related mortality, underscoring the need to treat MASH before complications of cirrhosis develop. An estimated 245,000 patients with compensated MASH cirrhosis (consistent with F4c fibrosis) are currently under the care of liver specialists in the U.S.
As disease awareness improves and disease prevalence increases, the number of diagnosed patients with F2 to F4c MASH is expected to grow.

About Madrigal

Madrigal Pharmaceuticals, Inc. (Nasdaq: MDGL) is a biopharmaceutical company focused on delivering novel therapeutics for metabolic dysfunction-associated steatohepatitis (MASH), a liver disease with high unmet medical need. Madrigal’s medication, Rezdiffra (resmetirom), is a once-daily, oral, liver-directed THR-β agonist designed to target key underlying causes of MASH. Rezdiffra is the first and only medication approved by both the FDA and European Commission for the treatment of MASH with moderate to advanced fibrosis (F2 to F3). An ongoing Phase 3 outcomes trial is evaluating Rezdiffra for the treatment of compensated MASH cirrhosis (F4c). For more information, visitwww.madrigalpharma.com.

Forward Looking Statements

This press release includes “forward-looking statements” made pursuant to the safe harbor provisions of the Private Securities Litigation Reform Act of 1995, as amended, including statements related to commercial coverage for Rezdiffra in 2026, the expected benefit of Madrigal’s newly issued patent, expected growth of Rezdiffra sales, Madrigal’s clinical development plans and timelines, Madrigal’s leadership position in the MASH sector and the potential benefit of Rezdiffra in patients with compensated MASH cirrhosis. Forward-looking statements are subject to a number of risks and uncertainties including, but not limited to: the assumptions underlying the forward-looking statements; risks related to obtaining and maintaining regulatory approvals, including, but not limited to, potential regulatory delays or rejections; our history of operating losses and the possibility that we may never achieve or maintain profitability; risks associated with meeting the objectives of Madrigal’s clinical trials, including, but not limited to Madrigal’s ability to achieve enrollment objectives concerning patient numbers (including an adequate safety database), outcomes objectives and/or timing objectives for Madrigal’s trials; any delays or failures in enrollment, and the occurrence of adverse safety events; risks related to the effects of Rezdiffra’s (resmetirom’s) mechanism of action or of any other product candidate; market demand for and acceptance of Rezdiffra; our ability to service indebtedness and otherwise comply with debt covenants; outcomes or trends from competitors; future topline data timing or results; our ability to prevent and/or mitigate cyber-attacks; the timing and outcomes of clinical trials of Rezdiffra (resmetirom) and of any other product candidate; the uncertainties inherent in clinical testing; uncertainties concerning analyses or assessments outside of a controlled clinical trial; and changes in laws and regulations applicable to our business and our ability to comply with such laws and regulations. Undue reliance should not be placed on forward-looking statements, which speak only as of the date they are made. Madrigal undertakes no obligation to update any forward-looking statements to reflect new information, events, or circumstances after the date they are made, or to reflect the occurrence of unanticipated events. Please refer to Madrigal’s submissions filed with the U.S. Securities and Exchange Commission(“SEC”), for more detailed information regarding these risks and uncertainties and other factors that may cause actual results to differ materially from those expressed or implied. Madrigal specifically discusses these risks and uncertainties in greater detail in the sections appearing in Part 1A of its Annual Report on Form 10-K for the year ended December 31, 2024, filed with the SEC on February 26, 2025, and as updated from time to time by Madrigal’s other filings with the SEC.
Madrigal may use its website to comply with its disclosure obligations under Regulation FD. Therefore, investors should monitor Madrigal’s website in addition to following its press releases, filings with the SEC, public conference calls, and webcasts.
Madrigal Pharmaceuticals, Rezdiffra™ and associated logos are trademarks of Madrigal Pharmaceuticals, Inc.

Investor ContactTina Ventura,IR@madrigalpharma.com

Media ContactChristopher Frates,media@madrigalpharma.com

(tables follow)

Madrigal Pharmaceuticals, Inc.
Condensed Consolidated Statement of Operations
(in thousands, except share and per share amounts)
(unaudited)
Three Months Ended Nine Months Ended
September 30, September 30,
2025 2024 2025 2024
Revenues:
Product revenue, net $ 287,268 $ 62,175 $ 637,320 $ 76,813
Operating expenses:
Cost of sales 18,122 2,152 31,700 2,788
Research and development 174,004 68,742 272,257 211,070
Selling, general and administrative 209,117 107,585 573,851 293,834
Total operating expenses 401,243 178,479 877,808 507,692
Loss from operations (113,975 ) (116,304 ) (240,488 ) (430,879 )
Interest income 10,308 13,019 27,905 35,575
Interest expense (7,451 ) (3,679 ) (14,012 ) (11,172 )
Loss on extinguishment of debt (2,779 ) - (2,779 ) -
Other expense, net (293 ) - (335 ) -
Net loss $ (114,190 ) $ (106,964 ) $ (229,709 ) $ (406,476 )
Basic and diluted net loss per common share $ (5.08 ) $ (4.92 ) $ (10.32 ) $ (19.31 )
Basic and diluted weighted average number of common shares outstanding 22,482,502 21,745,929 22,261,718 21,052,544
Madrigal Pharmaceuticals, Inc.
Condensed Consolidated Balance Sheets
(in thousands)
(unaudited)
September 30, December 31,
2025 2024
Cash, cash equivalents, restricted cash and marketable securities $ 1,114,749 $ 931,251
Trade receivables, net 113,285 53,822
Other current assets 118,646 47,854
Other non-current assets 15,777 9,320
Total assets $ 1,362,457 $ 1,042,247
Liabilities and Equity
Current liabilities $ 391,406 $ 169,277
Long-term liabilities 345,319 118,587
Stockholders’ equity 625,732 754,383
Total liabilities and stockholders’ equity $ 1,362,457 $ 1,042,247

Frequently Asked Questions

What are the key financial results for Q3 2025?

Madrigal reported quarterly sales annualizing above $1 billion and over 29,500 patients on Rezdiffra.

What is the significance of Rezdiffra?

Rezdiffra is a leading treatment for metabolic dysfunction-associated steatohepatitis (MASH) with a strong market presence.

What future plans does Madrigal have for Rezdiffra?

Madrigal plans to develop an oral GLP-1 therapy in combination with Rezdiffra to enhance treatment efficacy.

What is the target population for MASH treatment?

Madrigal aims to reach approximately 315,000 patients with moderate to advanced fibrosis in the U.S.

Last updated: Nov 4, 2025