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Stock Comparison

ALT vs TERN vs MDGL vs VKTX vs GPCR

Revenue, margins, valuation, and 5-year total return — side by side.

Live fundamentals10-year financials5-year price chart
ALT
Altimmune, Inc.

Biotechnology

HealthcareNASDAQ • US
Market Cap$337M
5Y Perf.-75.9%
TERN
Terns Pharmaceuticals, Inc.

Biotechnology

HealthcareNASDAQ • US
Market Cap$4.63B
5Y Perf.+422.5%
MDGL
Madrigal Pharmaceuticals, Inc.

Biotechnology

HealthcareNASDAQ • US
Market Cap$12.27B
5Y Perf.+97.4%
VKTX
Viking Therapeutics, Inc.

Biotechnology

HealthcareNASDAQ • US
Market Cap$3.66B
5Y Perf.+186.8%
GPCR
Structure Therapeutics Inc.

Biotechnology

HealthcareNASDAQ • US
Market Cap$2.25B
5Y Perf.+53.2%

ALT vs TERN vs MDGL vs VKTX vs GPCR — Key Financials

Market cap, revenue, margins, and valuation side-by-side.

Company Snapshot
ALT logoALT
TERN logoTERN
MDGL logoMDGL
VKTX logoVKTX
GPCR logoGPCR
IndustryBiotechnologyBiotechnologyBiotechnologyBiotechnologyBiotechnology
Market Cap$337M$4.63B$12.27B$3.66B$2.25B
Revenue (TTM)$41K$0.00$1.13B$0.00$0.00
Net Income (TTM)$-88M$-94M$-309M$-472M$-170M
Gross Margin-364.5%93.1%
Operating Margin-2304.6%-27.7%
Total Debt$34M$1M$354M$137K$6M
Cash & Equiv.$44M$161M$199M$166M$800M

ALT vs TERN vs MDGL vs VKTX vs GPCRLong-Term Stock Performance

Price return indexed to 100 at period start. Dividends excluded.

ALT
TERN
MDGL
VKTX
GPCR
StockFeb 23May 26Return
Altimmune, Inc. (ALT)10024.1-75.9%
Terns Pharmaceutica… (TERN)100522.5+422.5%
Madrigal Pharmaceut… (MDGL)100197.4+97.4%
Viking Therapeutics… (VKTX)100286.8+186.8%
Structure Therapeut… (GPCR)100153.2+53.2%

Price return only. Dividends and distributions are not included.

Quick Verdict: ALT vs TERN vs MDGL vs VKTX vs GPCR

Each card shows where this stock fits in a portfolio — not just who wins on paper.

Bottom line: TERN leads in 2 of 6 categories (5-stock set), making it the strongest pick for capital preservation and lower volatility and recent price momentum and sentiment. Madrigal Pharmaceuticals, Inc. is the stronger pick specifically for growth and revenue expansion. VKTX and GPCR also each lead in at least one category. As sector peers, any of these can serve as alternatives in the same allocation.
ALT
Altimmune, Inc.
The Growth Angle

Among these 5 stocks, ALT doesn't own a clear edge in any measured category.

Best for: healthcare exposure
TERN
Terns Pharmaceuticals, Inc.
The Income Pick

TERN carries the broadest edge in this set and is the clearest fit for income & stability and sleep-well-at-night.

  • beta 0.39
  • Lower volatility, beta 0.39, Low D/E 0.4%, current ratio 23.14x
  • Beta 0.39, current ratio 23.14x
  • Beta 0.39 vs VKTX's 1.61
Best for: income & stability and sleep-well-at-night
MDGL
Madrigal Pharmaceuticals, Inc.
The Growth Play

MDGL is the #2 pick in this set and the best alternative if growth exposure and long-term compounding is your priority.

  • Rev growth 432.1%, EPS growth 41.3%
  • 39.2% 10Y total return vs VKTX's 25.8%
  • 432.1% revenue growth vs VKTX's -270.1%
Best for: growth exposure and long-term compounding
VKTX
Viking Therapeutics, Inc.
The Quality Compounder

VKTX ranks third and is worth considering specifically for quality.

  • 4.7% margin vs ALT's -2.1K%
Best for: quality
GPCR
Structure Therapeutics Inc.
The Niche Pick

GPCR is the clearest fit if your priority is efficiency.

  • -14.4% ROA vs VKTX's -65.3%, ROIC -30.3% vs -44.4%
Best for: efficiency
See the full category breakdown
CategoryWinnerWhy
GrowthMDGL logoMDGL432.1% revenue growth vs VKTX's -270.1%
Quality / MarginsVKTX logoVKTX4.7% margin vs ALT's -2.1K%
Stability / SafetyTERN logoTERNBeta 0.39 vs VKTX's 1.61
DividendsTieNone of these 5 stocks pay a meaningful dividend
Momentum (1Y)TERN logoTERN+16.5% vs ALT's -43.3%
Efficiency (ROA)GPCR logoGPCR-14.4% ROA vs VKTX's -65.3%, ROIC -30.3% vs -44.4%

ALT vs TERN vs MDGL vs VKTX vs GPCR — Revenue Breakdown by Segment

How each company's revenue is distributed across its business units

ALTAltimmune, Inc.
FY 2021
Grant
100.0%$4M
TERNTerns Pharmaceuticals, Inc.

Segment breakdown not available.

MDGLMadrigal Pharmaceuticals, Inc.
FY 2025
Reportable Segment
100.0%$958M
VKTXViking Therapeutics, Inc.

Segment breakdown not available.

GPCRStructure Therapeutics Inc.

Segment breakdown not available.

ALT vs TERN vs MDGL vs VKTX vs GPCR — Financial Metrics

Side-by-side numbers across 5 stocks — who leads on profitability, valuation, growth, and risk.

BEST OVERALLTERNLAGGINGVKTX

Income & Cash Flow (Last 12 Months)

MDGL leads this category, winning 4 of 6 comparable metrics.

MDGL and GPCR operate at a comparable scale, with $1.1B and $0 in trailing revenue. MDGL is the more profitable business, keeping -27.3% of every revenue dollar as net income compared to ALT's -2148.6%. On growth, ALT holds the edge at +4.2% YoY revenue growth, suggesting stronger near-term business momentum.

MetricALT logoALTAltimmune, Inc.TERN logoTERNTerns Pharmaceuti…MDGL logoMDGLMadrigal Pharmace…VKTX logoVKTXViking Therapeuti…GPCR logoGPCRStructure Therape…
RevenueTrailing 12 months$41,000$0$1.1B$0$0
EBITDAEarnings before interest/tax-$94M-$108M-$312M-$502M-$209M
Net IncomeAfter-tax profit-$88M-$94M-$309M-$472M-$170M
Free Cash FlowCash after capex-$68M-$78M-$272M-$340M-$159M
Gross MarginGross profit ÷ Revenue-364.5%+93.1%
Operating MarginEBIT ÷ Revenue-2304.6%-27.7%
Net MarginNet income ÷ Revenue-2148.6%-27.3%
FCF MarginFCF ÷ Revenue-1654.7%-24.1%
Rev. Growth (YoY)Latest quarter vs prior year+4.2%+126.8%
EPS Growth (YoY)Latest quarter vs prior year+18.2%+3.6%+2.1%-2.3%-29.6%
MDGL leads this category, winning 4 of 6 comparable metrics.

Valuation Metrics

Evenly matched — ALT and TERN and MDGL each lead in 1 of 3 comparable metrics.
MetricALT logoALTAltimmune, Inc.TERN logoTERNTerns Pharmaceuti…MDGL logoMDGLMadrigal Pharmace…VKTX logoVKTXViking Therapeuti…GPCR logoGPCRStructure Therape…
Market CapShares × price$337M$4.6B$12.3B$3.7B$2.3B
Enterprise ValueMkt cap + debt − cash$328M$4.5B$12.4B$3.5B$1.5B
Trailing P/EPrice ÷ TTM EPS-3.04x-47.28x-41.62x-9.90x-16.31x
Forward P/EPrice ÷ next-FY EPS est.
PEG RatioP/E ÷ EPS growth rate
EV / EBITDAEnterprise value multiple
Price / SalesMarket cap ÷ Revenue8221.55x12.80x
Price / BookPrice ÷ Book value/share1.19x12.17x19.91x5.57x1.53x
Price / FCFMarket cap ÷ FCF
Evenly matched — ALT and TERN and MDGL each lead in 1 of 3 comparable metrics.

Profitability & Efficiency

GPCR leads this category, winning 4 of 9 comparable metrics.

GPCR delivers a -15.1% return on equity — every $100 of shareholder capital generates $-15 in annual profit, vs $-71 for VKTX. VKTX carries lower financial leverage with a 0.00x debt-to-equity ratio, signaling a more conservative balance sheet compared to MDGL's 0.59x. On the Piotroski fundamental quality scale (0–9), ALT scores 4/9 vs VKTX's 2/9, reflecting mixed financial health.

MetricALT logoALTAltimmune, Inc.TERN logoTERNTerns Pharmaceuti…MDGL logoMDGLMadrigal Pharmace…VKTX logoVKTXViking Therapeuti…GPCR logoGPCRStructure Therape…
ROE (TTM)Return on equity-49.4%-30.0%-50.2%-71.3%-15.1%
ROA (TTM)Return on assets-41.7%-28.5%-25.4%-65.3%-14.4%
ROICReturn on invested capital-46.7%-42.2%-29.4%-44.4%-30.3%
ROCEReturn on capital employed-48.0%-33.7%-32.9%-51.8%-24.1%
Piotroski ScoreFundamental quality 0–943323
Debt / EquityFinancial leverage0.15x0.00x0.59x0.00x0.00x
Net DebtTotal debt minus cash-$9M-$160M$156M-$166M-$793M
Cash & Equiv.Liquid assets$44M$161M$199M$166M$800M
Total DebtShort + long-term debt$34M$1M$354M$137,000$6M
Interest CoverageEBIT ÷ Interest expense-54.74x-17.51x-15687.44x
GPCR leads this category, winning 4 of 9 comparable metrics.

Total Returns (Dividends Reinvested)

TERN leads this category, winning 4 of 6 comparable metrics.

A $10,000 investment in VKTX five years ago would be worth $53,526 today (with dividends reinvested), compared to $2,291 for ALT. Over the past 12 months, TERN leads with a +1647.5% total return vs ALT's -43.3%. The 3-year compound annual growth rate (CAGR) favors TERN at 59.1% vs ALT's -14.8% — a key indicator of consistent wealth creation.

MetricALT logoALTAltimmune, Inc.TERN logoTERNTerns Pharmaceuti…MDGL logoMDGLMadrigal Pharmace…VKTX logoVKTXViking Therapeuti…GPCR logoGPCRStructure Therape…
YTD ReturnYear-to-date-13.4%+32.0%-9.9%-10.8%-42.5%
1-Year ReturnPast 12 months-43.3%+1647.5%+79.0%+14.6%+47.2%
3-Year ReturnCumulative with dividends-38.2%+302.7%+73.2%+38.1%+63.1%
5-Year ReturnCumulative with dividends-77.1%+218.6%+310.1%+435.3%+50.6%
10-Year ReturnCumulative with dividends+1213.1%+187.9%+3921.5%+2576.3%+50.6%
CAGR (3Y)Annualised 3-year return-14.8%+59.1%+20.1%+11.4%+17.7%
TERN leads this category, winning 4 of 6 comparable metrics.

Risk & Volatility

TERN leads this category, winning 2 of 2 comparable metrics.

TERN is the less volatile stock with a 0.39 beta — it tends to amplify market swings less than VKTX's 1.61 beta. A beta below 1.0 means the stock typically moves less than the S&P 500. TERN currently trades 99.6% from its 52-week high vs ALT's 39.3% drawdown — a narrower gap to the peak suggests stronger recent price momentum.

MetricALT logoALTAltimmune, Inc.TERN logoTERNTerns Pharmaceuti…MDGL logoMDGLMadrigal Pharmace…VKTX logoVKTXViking Therapeuti…GPCR logoGPCRStructure Therape…
Beta (5Y)Sensitivity to S&P 5001.54x0.39x0.57x1.61x0.96x
52-Week HighHighest price in past year$7.73$53.18$615.00$43.15$94.90
52-Week LowLowest price in past year$2.56$2.66$265.00$22.96$15.80
% of 52W HighCurrent price vs 52-week peak+39.3%+99.6%+87.0%+73.2%+41.3%
RSI (14)Momentum oscillator 0–10052.974.261.247.130.2
Avg Volume (50D)Average daily shares traded4.1M6.7M310K2.3M953K
TERN leads this category, winning 2 of 2 comparable metrics.

Analyst Outlook

Insufficient data to determine a leader in this category.

Analyst consensus: ALT as "Buy", TERN as "Buy", MDGL as "Buy", VKTX as "Buy", GPCR as "Buy". Consensus price targets imply 270.1% upside for ALT (target: $11) vs 4.9% for TERN (target: $56).

MetricALT logoALTAltimmune, Inc.TERN logoTERNTerns Pharmaceuti…MDGL logoMDGLMadrigal Pharmace…VKTX logoVKTXViking Therapeuti…GPCR logoGPCRStructure Therape…
Analyst RatingConsensus buy/hold/sellBuyBuyBuyBuyBuy
Price TargetConsensus 12-month target$11.25$55.56$705.67$100.75$114.75
# AnalystsCovering analysts1516232414
Dividend YieldAnnual dividend ÷ price
Dividend StreakConsecutive years of raises1
Dividend / ShareAnnual DPS
Buyback YieldShare repurchases ÷ mkt cap+0.1%0.0%0.0%0.0%0.0%
Insufficient data to determine a leader in this category.
Key Takeaway

TERN leads in 2 of 6 categories (Total Returns, Risk & Volatility). MDGL leads in 1 (Income & Cash Flow). 1 tied.

Best OverallTerns Pharmaceuticals, Inc. (TERN)Leads 2 of 6 categories
Loading custom metrics...

ALT vs TERN vs MDGL vs VKTX vs GPCR: Key Questions Answered

8 questions · data-driven answers · updated daily

01

Is ALT or TERN or MDGL or VKTX or GPCR a better buy right now?

For growth investors, Madrigal Pharmaceuticals, Inc.

(MDGL) is the stronger pick with 432. 1% revenue growth year-over-year, versus 105. 0% for Altimmune, Inc. (ALT). Analysts rate Altimmune, Inc. (ALT) a "Buy" — based on 15 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.

02

Which is the better long-term investment — ALT or TERN or MDGL or VKTX or GPCR?

Over the past 5 years, Viking Therapeutics, Inc.

(VKTX) delivered a total return of +435. 3%, compared to -77. 1% for Altimmune, Inc. (ALT). Over 10 years, the gap is even starker: MDGL returned +39. 2% versus GPCR's +50. 6%. Past returns do not guarantee future results, and the stock with the higher historical return may already have its best growth priced in.

03

Which is safer — ALT or TERN or MDGL or VKTX or GPCR?

By beta (market sensitivity over 5 years), Terns Pharmaceuticals, Inc.

(TERN) is the lower-risk stock at 0. 39β versus Viking Therapeutics, Inc. 's 1. 61β — meaning VKTX is approximately 307% more volatile than TERN relative to the S&P 500. On balance sheet safety, Viking Therapeutics, Inc. (VKTX) carries a lower debt/equity ratio of 0% versus 59% for Madrigal Pharmaceuticals, Inc. — giving it more financial flexibility in a downturn.

04

Which is growing faster — ALT or TERN or MDGL or VKTX or GPCR?

By revenue growth (latest reported year), Madrigal Pharmaceuticals, Inc.

(MDGL) is pulling ahead at 432. 1% versus 105. 0% for Altimmune, Inc. (ALT). On earnings-per-share growth, the picture is similar: Madrigal Pharmaceuticals, Inc. grew EPS 41. 3% year-over-year, compared to -215. 8% for Viking Therapeutics, Inc.. 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.

05

Which has better profit margins — ALT or TERN or MDGL or VKTX or GPCR?

Terns Pharmaceuticals, Inc.

(TERN) is the more profitable company, earning 0. 0% net margin versus -2148. 6% for Altimmune, Inc. — meaning it keeps 0. 0% of every revenue dollar as bottom-line profit. Operating margin tells a similar story: TERN leads at 0. 0% versus -2304. 6% for ALT. At the gross margin level — before operating expenses — MDGL leads at 94. 1%, 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.

06

Which pays a better dividend — ALT or TERN or MDGL or VKTX or GPCR?

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.

07

Is ALT or TERN or MDGL or VKTX or GPCR better for a retirement portfolio?

For long-horizon retirement investors, Terns Pharmaceuticals, Inc.

(TERN) is the stronger choice — it scores higher on the combination of lower volatility, dividend reliability, and long-term compounding (low volatility (β 0. 39), +187. 9% 10Y return). Viking Therapeutics, Inc. (VKTX) carries a higher beta of 1. 61 — meaning larger drawdowns in market downturns, which matters significantly when you cannot wait years for a recovery. Both have compounded well over 10 years (TERN: +187. 9%, VKTX: +25. 8%), 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.

08

What are the main differences between ALT and TERN and MDGL and VKTX and GPCR?

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: ALT is a small-cap high-growth stock; TERN is a small-cap quality compounder stock; MDGL is a mid-cap high-growth stock; VKTX is a small-cap quality compounder stock; GPCR 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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