Biotechnology
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ADPT vs DBVT vs NTRA vs ALKS
Revenue, margins, valuation, and 5-year total return — side by side.
Biotechnology
Medical - Diagnostics & Research
Biotechnology
ADPT vs DBVT vs NTRA vs ALKS — Key Financials
Market cap, revenue, margins, and valuation side-by-side.
| Company Snapshot | ||||
|---|---|---|---|---|
| Industry | Biotechnology | Biotechnology | Medical - Diagnostics & Research | Biotechnology |
| Market Cap | $2.35B | $1712.35T | $31.16B | $5.90B |
| Revenue (TTM) | $295M | $0.00 | $2.31B | $1.56B |
| Net Income (TTM) | $-50M | $-168M | $-208M | $153M |
| Gross Margin | 75.3% | — | 64.8% | 65.4% |
| Operating Margin | -15.8% | — | -13.4% | 12.3% |
| Forward P/E | — | — | — | 24.8x |
| Total Debt | $281M | $22M | $214M | $70M |
| Cash & Equiv. | $70M | $194M | $1.08B | $1.12B |
ADPT vs DBVT vs NTRA vs ALKS — Long-Term Stock Performance
Price return indexed to 100 at period start. Dividends excluded.
| Stock | May 20 | May 26 | Return |
|---|---|---|---|
| Adaptive Biotechnol… (ADPT) | 100 | 38.0 | -62.0% |
| DBV Technologies S.… (DBVT) | 100 | 41.2 | -58.8% |
| Natera, Inc. (NTRA) | 100 | 501.3 | +401.3% |
| Alkermes plc (ALKS) | 100 | 216.4 | +116.4% |
Price return only. Dividends and distributions are not included.
Quick Verdict: ADPT vs DBVT vs NTRA vs ALKS
Each card shows where this stock fits in a portfolio — not just who wins on paper.
ADPT is the #2 pick in this set and the best alternative if growth exposure is your priority.
- Rev growth 54.8%, EPS growth 63.9%, 3Y rev CAGR 14.3%
- 54.8% revenue growth vs DBVT's -100.0%
DBVT is the clearest fit if your priority is income & stability.
- Dividend streak 0 yrs, beta 1.26
- +110.4% vs ALKS's +16.5%
NTRA is the clearest fit if your priority is long-term compounding.
- 20.9% 10Y total return vs ALKS's -11.0%
ALKS carries the broadest edge in this set and is the clearest fit for sleep-well-at-night and defensive.
- Lower volatility, beta 1.06, Low D/E 3.8%, current ratio 3.55x
- Beta 1.06, current ratio 3.55x
- Better valuation composite
- 9.8% margin vs ADPT's -16.8%
See the full category breakdown
| Category | Winner | Why |
|---|---|---|
| Growth | 54.8% revenue growth vs DBVT's -100.0% | |
| Value | Better valuation composite | |
| Quality / Margins | 9.8% margin vs ADPT's -16.8% | |
| Stability / Safety | Beta 1.06 vs ADPT's 2.07, lower leverage | |
| Dividends | Tie | None of these 4 stocks pay a meaningful dividend |
| Momentum (1Y) | +110.4% vs ALKS's +16.5% | |
| Efficiency (ROA) | 5.4% ROA vs DBVT's -89.0% |
ADPT vs DBVT vs NTRA vs ALKS — Revenue Breakdown by Segment
How each company's revenue is distributed across its business units
Segment breakdown not available.
ADPT vs DBVT vs NTRA vs ALKS — Financial Metrics
Side-by-side numbers across 4 stocks — who leads on profitability, valuation, growth, and risk.
Who Leads Where
ALKS leads in 4 of 6 categories
NTRA leads 1 • ADPT leads 0 • DBVT leads 0
Explore the data ↓Income & Cash Flow (Last 12 Months)
ALKS leads this category, winning 3 of 6 comparable metrics.
Income & Cash Flow (Last 12 Months)
NTRA and DBVT operate at a comparable scale, with $2.3B and $0 in trailing revenue. ALKS is the more profitable business, keeping 9.8% of every revenue dollar as net income compared to ADPT's -16.8%. On growth, NTRA holds the edge at +39.8% YoY revenue growth, suggesting stronger near-term business momentum.
| Metric | ||||
|---|---|---|---|---|
| RevenueTrailing 12 months | $295M | $0 | $2.3B | $1.6B |
| EBITDAEarnings before interest/tax | -$34M | -$112M | -$310M | $212M |
| Net IncomeAfter-tax profit | -$50M | -$168M | -$208M | $153M |
| Free Cash FlowCash after capex | -$30M | -$151M | $97M | $392M |
| Gross MarginGross profit ÷ Revenue | +75.3% | — | +64.8% | +65.4% |
| Operating MarginEBIT ÷ Revenue | -15.8% | — | -13.4% | +12.3% |
| Net MarginNet income ÷ Revenue | -16.8% | — | -9.0% | +9.8% |
| FCF MarginFCF ÷ Revenue | -10.0% | — | +4.2% | +25.1% |
| Rev. Growth (YoY)Latest quarter vs prior year | +35.1% | — | +39.8% | +28.2% |
| EPS Growth (YoY)Latest quarter vs prior year | +35.0% | +91.5% | +185.4% | -4.1% |
Valuation Metrics
ALKS leads this category, winning 2 of 4 comparable metrics.
Valuation Metrics
| Metric | ||||
|---|---|---|---|---|
| Market CapShares × price | $2.4B | $1712.35T | $31.2B | $5.9B |
| Enterprise ValueMkt cap + debt − cash | $2.6B | $1712.35T | $30.3B | $4.9B |
| Trailing P/EPrice ÷ TTM EPS | -37.67x | -0.76x | -144.62x | 24.76x |
| Forward P/EPrice ÷ next-FY EPS est. | — | — | — | — |
| PEG RatioP/E ÷ EPS growth rate | — | — | — | — |
| EV / EBITDAEnterprise value multiple | — | — | — | 17.25x |
| Price / SalesMarket cap ÷ Revenue | 8.49x | — | 13.51x | 4.00x |
| Price / BookPrice ÷ Book value/share | 9.91x | 0.66x | 17.55x | 3.28x |
| Price / FCFMarket cap ÷ FCF | — | — | 285.53x | 12.28x |
Profitability & Efficiency
ALKS leads this category, winning 8 of 9 comparable metrics.
Profitability & Efficiency
ALKS delivers a 8.8% return on equity — every $100 of shareholder capital generates $9 in annual profit, vs $-130 for DBVT. ALKS carries lower financial leverage with a 0.04x debt-to-equity ratio, signaling a more conservative balance sheet compared to ADPT's 1.25x. On the Piotroski fundamental quality scale (0–9), ALKS scores 7/9 vs DBVT's 4/9, reflecting strong financial health.
| Metric | ||||
|---|---|---|---|---|
| ROE (TTM)Return on equity | -23.9% | -130.2% | -15.3% | +8.8% |
| ROA (TTM)Return on assets | -9.9% | -89.0% | -10.6% | +5.4% |
| ROICReturn on invested capital | -12.6% | — | -36.1% | +18.9% |
| ROCEReturn on capital employed | -13.2% | -145.7% | -18.3% | +14.2% |
| Piotroski ScoreFundamental quality 0–9 | 5 | 4 | 5 | 7 |
| Debt / EquityFinancial leverage | 1.25x | 0.13x | 0.13x | 0.04x |
| Net DebtTotal debt minus cash | $210M | -$172M | -$862M | -$1.0B |
| Cash & Equiv.Liquid assets | $70M | $194M | $1.1B | $1.1B |
| Total DebtShort + long-term debt | $281M | $22M | $214M | $70M |
| Interest CoverageEBIT ÷ Interest expense | -6.68x | -189.82x | -25.21x | 32.30x |
Total Returns (Dividends Reinvested)
NTRA leads this category, winning 4 of 6 comparable metrics.
Total Returns (Dividends Reinvested)
A $10,000 investment in NTRA five years ago would be worth $21,587 today (with dividends reinvested), compared to $3,090 for DBVT. Over the past 12 months, DBVT leads with a +110.4% total return vs ALKS's +16.5%. The 3-year compound annual growth rate (CAGR) favors NTRA at 60.6% vs ALKS's 4.6% — a key indicator of consistent wealth creation.
| Metric | ||||
|---|---|---|---|---|
| YTD ReturnYear-to-date | -7.7% | +4.9% | -3.9% | +25.3% |
| 1-Year ReturnPast 12 months | +66.7% | +110.4% | +37.3% | +16.5% |
| 3-Year ReturnCumulative with dividends | +122.6% | +19.7% | +314.0% | +14.5% |
| 5-Year ReturnCumulative with dividends | -58.0% | -69.1% | +115.9% | +60.9% |
| 10-Year ReturnCumulative with dividends | -63.5% | -87.0% | +2089.4% | -11.0% |
| CAGR (3Y)Annualised 3-year return | +30.6% | +6.2% | +60.6% | +4.6% |
Risk & Volatility
ALKS leads this category, winning 2 of 2 comparable metrics.
Risk & Volatility
ALKS is the less volatile stock with a 1.06 beta — it tends to amplify market swings less than ADPT's 2.07 beta. A beta below 1.0 means the stock typically moves less than the S&P 500. ALKS currently trades 96.7% from its 52-week high vs ADPT's 70.8% drawdown — a narrower gap to the peak suggests stronger recent price momentum.
| Metric | ||||
|---|---|---|---|---|
| Beta (5Y)Sensitivity to S&P 500 | 2.07x | 1.26x | 1.26x | 1.06x |
| 52-Week HighHighest price in past year | $20.76 | $26.18 | $256.36 | $36.60 |
| 52-Week LowLowest price in past year | $8.38 | $7.53 | $131.81 | $25.17 |
| % of 52W HighCurrent price vs 52-week peak | +70.8% | +76.3% | +85.7% | +96.7% |
| RSI (14)Momentum oscillator 0–100 | 52.3 | 48.1 | 57.1 | 60.2 |
| Avg Volume (50D)Average daily shares traded | 2.0M | 252K | 1.3M | 2.3M |
Analyst Outlook
Insufficient data to determine a leader in this category.
Analyst Outlook
Analyst consensus: ADPT as "Buy", DBVT as "Buy", NTRA as "Buy", ALKS as "Buy". Consensus price targets imply 131.8% upside for DBVT (target: $46) vs 19.4% for NTRA (target: $263).
| Metric | ||||
|---|---|---|---|---|
| Analyst RatingConsensus buy/hold/sell | Buy | Buy | Buy | Buy |
| Price TargetConsensus 12-month target | $21.25 | $46.33 | $262.50 | $44.00 |
| # AnalystsCovering analysts | 17 | 15 | 27 | 28 |
| Dividend YieldAnnual dividend ÷ price | — | — | — | — |
| Dividend StreakConsecutive years of raises | — | 0 | — | 0 |
| Dividend / ShareAnnual DPS | — | — | — | — |
| Buyback YieldShare repurchases ÷ mkt cap | 0.0% | 0.0% | 0.0% | +0.5% |
ALKS leads in 4 of 6 categories (Income & Cash Flow, Valuation Metrics). NTRA leads in 1 (Total Returns).
ADPT vs DBVT vs NTRA vs ALKS: Key Questions Answered
8 questions · data-driven answers · updated daily
01Is ADPT or DBVT or NTRA or ALKS a better buy right now?
For growth investors, Adaptive Biotechnologies Corporation (ADPT) is the stronger pick with 54.
8% revenue growth year-over-year, versus -5. 2% for Alkermes plc (ALKS). Alkermes plc (ALKS) offers the better valuation at 24. 8x trailing P/E, making it the more compelling value choice. Analysts rate Adaptive Biotechnologies Corporation (ADPT) a "Buy" — based on 17 analyst ratings — the highest consensus in this comparison. The "better buy" depends entirely on your goals: growth investors should weight revenue trajectory, value investors should weight P/E and PEG, and income investors should weight dividend yield and streak.
02Which is the better long-term investment — ADPT or DBVT or NTRA or ALKS?
Over the past 5 years, Natera, Inc.
(NTRA) delivered a total return of +115. 9%, compared to -69. 1% for DBV Technologies S. A. (DBVT). Over 10 years, the gap is even starker: NTRA returned +20. 9% versus DBVT's -87. 0%. Past returns do not guarantee future results, and the stock with the higher historical return may already have its best growth priced in.
03Which is safer — ADPT or DBVT or NTRA or ALKS?
By beta (market sensitivity over 5 years), Alkermes plc (ALKS) is the lower-risk stock at 1.
06β versus Adaptive Biotechnologies Corporation's 2. 07β — meaning ADPT is approximately 96% more volatile than ALKS relative to the S&P 500. On balance sheet safety, Alkermes plc (ALKS) carries a lower debt/equity ratio of 4% versus 125% for Adaptive Biotechnologies Corporation — giving it more financial flexibility in a downturn.
04Which is growing faster — ADPT or DBVT or NTRA or ALKS?
By revenue growth (latest reported year), Adaptive Biotechnologies Corporation (ADPT) is pulling ahead at 54.
8% versus -5. 2% for Alkermes plc (ALKS). On earnings-per-share growth, the picture is similar: Adaptive Biotechnologies Corporation grew EPS 63. 9% year-over-year, compared to -347. 5% for DBV Technologies S. A.. Over a 3-year CAGR, NTRA leads at 41. 1% annualised revenue growth. Higher growth typically commands a higher valuation multiple — check whether the premium P/E or P/S is justified by the growth rate using the PEG ratio.
05Which has better profit margins — ADPT or DBVT or NTRA or ALKS?
Alkermes plc (ALKS) is the more profitable company, earning 16.
4% net margin versus -21. 5% for Adaptive Biotechnologies Corporation — meaning it keeps 16. 4% of every revenue dollar as bottom-line profit. Operating margin tells a similar story: ALKS leads at 17. 2% versus -20. 6% for ADPT. At the gross margin level — before operating expenses — ALKS leads at 86. 7%, reflecting greater pricing power or product mix advantage. Stronger margins indicate durable pricing power, lower cost of revenue, or higher mix of software/services. They are one of the clearest signs of business quality.
06Which pays a better dividend — ADPT or DBVT or NTRA or ALKS?
None of the stocks in this comparison currently pay a material dividend.
All are effectively zero-yield and should be held for capital appreciation rather than income.
07Is ADPT or DBVT or NTRA or ALKS better for a retirement portfolio?
For long-horizon retirement investors, Alkermes plc (ALKS) is the stronger choice — it scores higher on the combination of lower volatility, dividend reliability, and long-term compounding (low volatility (β 1.
06)). Adaptive Biotechnologies Corporation (ADPT) carries a higher beta of 2. 07 — meaning larger drawdowns in market downturns, which matters significantly when you cannot wait years for a recovery. Both have compounded well over 10 years (ALKS: -11. 0%, ADPT: -63. 5%), confirming both are viable long-term holds — but the lower-volatility option typically results in less emotional selling during corrections. Retirement portfolios generally favour predictability over maximum returns. Consult a financial advisor before making allocation decisions.
08What are the main differences between ADPT and DBVT and NTRA and ALKS?
Both stocks operate in the Healthcare sector, making this a peer-level intra-sector comparison — the same macro tailwinds and headwinds will affect both.
In terms of investment character: ADPT is a small-cap high-growth stock; DBVT is a mega-cap quality compounder stock; NTRA is a mid-cap high-growth stock; ALKS is a small-cap quality compounder stock. These fundamental differences mean investors should not choose between them on a single metric — the "better stock" depends entirely on which of these characteristics aligns with your investment strategy.
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