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Stock Comparison

GRAL vs DBVT vs EXAS vs ALKS

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

Live fundamentals10-year financials5-year price chart
GRAL
GRAIL, Inc.

Medical - Diagnostics & Research

HealthcareNASDAQ • US
Market Cap$2.58B
5Y Perf.+309.4%
DBVT
DBV Technologies S.A.

Biotechnology

HealthcareNASDAQ • FR
Market Cap$1712.35T
5Y Perf.+299.8%
EXAS
Exact Sciences Corporation

Medical - Diagnostics & Research

HealthcareNASDAQ • US
Market Cap$20.02B
5Y Perf.+144.7%
ALKS
Alkermes plc

Biotechnology

HealthcareNASDAQ • IE
Market Cap$5.90B
5Y Perf.+46.9%

GRAL vs DBVT vs EXAS vs ALKS — Key Financials

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

Company Snapshot
GRAL logoGRAL
DBVT logoDBVT
EXAS logoEXAS
ALKS logoALKS
IndustryMedical - Diagnostics & ResearchBiotechnologyMedical - Diagnostics & ResearchBiotechnology
Market Cap$2.58B$1712.35T$20.02B$5.90B
Revenue (TTM)$156M$0.00$3.25B$1.56B
Net Income (TTM)$-395M$-168M$-208M$153M
Gross Margin-14.8%69.7%65.4%
Operating Margin-348.7%-6.4%12.3%
Forward P/E582.8x24.8x
Total Debt$98M$22M$2.52B$70M
Cash & Equiv.$250M$194M$956M$1.12B

GRAL vs DBVT vs EXAS vs ALKSLong-Term Stock Performance

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

GRAL
DBVT
EXAS
ALKS
StockJun 24May 26Return
GRAIL, Inc. (GRAL)100409.4+309.4%
DBV Technologies S.… (DBVT)100399.8+299.8%
Exact Sciences Corp… (EXAS)100244.7+144.7%
Alkermes plc (ALKS)100146.9+46.9%

Price return only. Dividends and distributions are not included.

Quick Verdict: GRAL vs DBVT vs EXAS vs ALKS

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

Bottom line: ALKS leads in 3 of 7 categories, making it the strongest pick for valuation and capital efficiency and profitability and margin quality. Exact Sciences Corporation is the stronger pick specifically for growth and revenue expansion and capital preservation and lower volatility. DBVT also leads in specific categories worth noting. As sector peers, any of these can serve as alternatives in the same allocation.
GRAL
GRAIL, Inc.
The Growth Play

GRAL is the clearest fit if your priority is growth exposure and long-term compounding.

  • Rev growth 17.2%, EPS growth 82.5%, 3Y rev CAGR 38.4%
  • 360.6% 10Y total return vs EXAS's 16.7%
Best for: growth exposure and long-term compounding
DBVT
DBV Technologies S.A.
The Income Pick

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%
Best for: income & stability
EXAS
Exact Sciences Corporation
The Defensive Pick

EXAS is the #2 pick in this set and the best alternative if defensive is your priority.

  • Beta 0.12, current ratio 2.43x
  • 17.7% revenue growth vs DBVT's -100.0%
  • Beta 0.12 vs GRAL's 2.70
Best for: defensive
ALKS
Alkermes plc
The Defensive Pick

ALKS carries the broadest edge in this set and is the clearest fit for sleep-well-at-night.

  • Lower volatility, beta 1.06, Low D/E 3.8%, current ratio 3.55x
  • Lower P/E (24.8x vs 582.8x)
  • 9.8% margin vs GRAL's -253.2%
  • 5.4% ROA vs DBVT's -89.0%
Best for: sleep-well-at-night
See the full category breakdown
CategoryWinnerWhy
GrowthEXAS logoEXAS17.7% revenue growth vs DBVT's -100.0%
ValueALKS logoALKSLower P/E (24.8x vs 582.8x)
Quality / MarginsALKS logoALKS9.8% margin vs GRAL's -253.2%
Stability / SafetyEXAS logoEXASBeta 0.12 vs GRAL's 2.70
DividendsTieNone of these 4 stocks pay a meaningful dividend
Momentum (1Y)DBVT logoDBVT+110.4% vs ALKS's +16.5%
Efficiency (ROA)ALKS logoALKS5.4% ROA vs DBVT's -89.0%

GRAL vs DBVT vs EXAS vs ALKS — Revenue Breakdown by Segment

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

GRALGRAIL, Inc.

Segment breakdown not available.

DBVTDBV Technologies S.A.

Segment breakdown not available.

EXASExact Sciences Corporation
FY 2025
Screening
77.9%$2.5B
Precision Oncology
22.1%$717M
ALKSAlkermes plc
FY 2025
Vivitrol
39.8%$468M
Aristada And Aristada Initio
31.5%$370M
Manufactured Product And Royalty
24.8%$291M
Manufacturing Revenue
3.9%$46M

GRAL vs DBVT vs EXAS vs ALKS — Financial Metrics

Side-by-side numbers across 4 stocks — who leads on profitability, valuation, growth, and risk.

BEST OVERALLALKSLAGGINGDBVT

Income & Cash Flow (Last 12 Months)

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

EXAS and DBVT operate at a comparable scale, with $3.2B and $0 in trailing revenue. ALKS is the more profitable business, keeping 9.8% of every revenue dollar as net income compared to GRAL's -2.5%. On growth, ALKS holds the edge at +28.2% YoY revenue growth, suggesting stronger near-term business momentum.

MetricGRAL logoGRALGRAIL, Inc.DBVT logoDBVTDBV Technologies …EXAS logoEXASExact Sciences Co…ALKS logoALKSAlkermes plc
RevenueTrailing 12 months$156M$0$3.2B$1.6B
EBITDAEarnings before interest/tax-$388M-$112M-$41M$212M
Net IncomeAfter-tax profit-$395M-$168M-$208M$153M
Free Cash FlowCash after capex-$291M-$151M$357M$392M
Gross MarginGross profit ÷ Revenue-14.8%+69.7%+65.4%
Operating MarginEBIT ÷ Revenue-3.5%-6.4%+12.3%
Net MarginNet income ÷ Revenue-2.5%-6.4%+9.8%
FCF MarginFCF ÷ Revenue-186.7%+11.0%+25.1%
Rev. Growth (YoY)Latest quarter vs prior year+28.1%+23.1%+28.2%
EPS Growth (YoY)Latest quarter vs prior year+26.1%+91.5%+90.4%-4.1%
ALKS leads this category, winning 4 of 6 comparable metrics.

Valuation Metrics

ALKS leads this category, winning 2 of 4 comparable metrics.
MetricGRAL logoGRALGRAIL, Inc.DBVT logoDBVTDBV Technologies …EXAS logoEXASExact Sciences Co…ALKS logoALKSAlkermes plc
Market CapShares × price$2.6B$1712.35T$20.0B$5.9B
Enterprise ValueMkt cap + debt − cash$2.4B$1712.35T$21.6B$4.9B
Trailing P/EPrice ÷ TTM EPS-5.66x-0.76x-95.37x24.76x
Forward P/EPrice ÷ next-FY EPS est.582.83x
PEG RatioP/E ÷ EPS growth rate
EV / EBITDAEnterprise value multiple17.25x
Price / SalesMarket cap ÷ Revenue17.54x6.16x4.00x
Price / BookPrice ÷ Book value/share0.90x0.66x8.24x3.28x
Price / FCFMarket cap ÷ FCF56.10x12.28x
ALKS leads this category, winning 2 of 4 comparable metrics.

Profitability & Efficiency

ALKS leads this category, winning 7 of 9 comparable metrics.

ALKS delivers a 8.8% return on equity — every $100 of shareholder capital generates $9 in annual profit, vs $-130 for DBVT. GRAL carries lower financial leverage with a 0.04x debt-to-equity ratio, signaling a more conservative balance sheet compared to EXAS's 1.05x. On the Piotroski fundamental quality scale (0–9), EXAS scores 7/9 vs DBVT's 4/9, reflecting strong financial health.

MetricGRAL logoGRALGRAIL, Inc.DBVT logoDBVTDBV Technologies …EXAS logoEXASExact Sciences Co…ALKS logoALKSAlkermes plc
ROE (TTM)Return on equity-16.4%-130.2%-8.7%+8.8%
ROA (TTM)Return on assets-14.3%-89.0%-3.5%+5.4%
ROICReturn on invested capital-16.8%-3.6%+18.9%
ROCEReturn on capital employed-18.6%-145.7%-4.0%+14.2%
Piotroski ScoreFundamental quality 0–95477
Debt / EquityFinancial leverage0.04x0.13x1.05x0.04x
Net DebtTotal debt minus cash-$152M-$172M$1.6B-$1.0B
Cash & Equiv.Liquid assets$250M$194M$956M$1.1B
Total DebtShort + long-term debt$98M$22M$2.5B$70M
Interest CoverageEBIT ÷ Interest expense-189.82x-5.47x32.30x
ALKS leads this category, winning 7 of 9 comparable metrics.

Total Returns (Dividends Reinvested)

GRAL leads this category, winning 3 of 6 comparable metrics.

A $10,000 investment in GRAL five years ago would be worth $46,061 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 GRAL at 66.4% vs ALKS's 4.6% — a key indicator of consistent wealth creation.

MetricGRAL logoGRALGRAIL, Inc.DBVT logoDBVTDBV Technologies …EXAS logoEXASExact Sciences Co…ALKS logoALKSAlkermes plc
YTD ReturnYear-to-date-29.2%+4.9%+3.1%+25.3%
1-Year ReturnPast 12 months+81.3%+110.4%+96.9%+16.5%
3-Year ReturnCumulative with dividends+360.6%+19.7%+53.0%+14.5%
5-Year ReturnCumulative with dividends+360.6%-69.1%+0.4%+60.9%
10-Year ReturnCumulative with dividends+360.6%-87.0%+1669.1%-11.0%
CAGR (3Y)Annualised 3-year return+66.4%+6.2%+15.2%+4.6%
GRAL leads this category, winning 3 of 6 comparable metrics.

Risk & Volatility

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

EXAS is the less volatile stock with a 0.12 beta — it tends to amplify market swings less than GRAL's 2.70 beta. A beta below 1.0 means the stock typically moves less than the S&P 500. EXAS currently trades 99.9% from its 52-week high vs GRAL's 52.9% drawdown — a narrower gap to the peak suggests stronger recent price momentum.

MetricGRAL logoGRALGRAIL, Inc.DBVT logoDBVTDBV Technologies …EXAS logoEXASExact Sciences Co…ALKS logoALKSAlkermes plc
Beta (5Y)Sensitivity to S&P 5002.70x1.26x0.12x1.06x
52-Week HighHighest price in past year$118.84$26.18$104.98$36.60
52-Week LowLowest price in past year$29.95$7.53$38.81$25.17
% of 52W HighCurrent price vs 52-week peak+52.9%+76.3%+99.9%+96.7%
RSI (14)Momentum oscillator 0–10064.148.176.460.2
Avg Volume (50D)Average daily shares traded856K252K4.2M2.3M
EXAS leads this category, winning 2 of 2 comparable metrics.

Analyst Outlook

Insufficient data to determine a leader in this category.

Analyst consensus: GRAL as "Buy", DBVT as "Buy", EXAS as "Buy", ALKS as "Buy". Consensus price targets imply 131.8% upside for DBVT (target: $46) vs -1.6% for EXAS (target: $103).

MetricGRAL logoGRALGRAIL, Inc.DBVT logoDBVTDBV Technologies …EXAS logoEXASExact Sciences Co…ALKS logoALKSAlkermes plc
Analyst RatingConsensus buy/hold/sellBuyBuyBuyBuy
Price TargetConsensus 12-month target$77.33$46.33$103.18$44.00
# AnalystsCovering analysts4154128
Dividend YieldAnnual dividend ÷ price
Dividend StreakConsecutive years of raises00
Dividend / ShareAnnual DPS
Buyback YieldShare repurchases ÷ mkt cap0.0%0.0%+0.1%+0.5%
Insufficient data to determine a leader in this category.
Key Takeaway

ALKS leads in 3 of 6 categories (Income & Cash Flow, Valuation Metrics). GRAL leads in 1 (Total Returns).

Best OverallAlkermes plc (ALKS)Leads 3 of 6 categories
Loading custom metrics...

GRAL vs DBVT vs EXAS vs ALKS: Key Questions Answered

9 questions · data-driven answers · updated daily

01

Is GRAL or DBVT or EXAS or ALKS a better buy right now?

For growth investors, Exact Sciences Corporation (EXAS) is the stronger pick with 17.

7% 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 GRAIL, Inc. (GRAL) a "Buy" — based on 4 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 — GRAL or DBVT or EXAS or ALKS?

Over the past 5 years, GRAIL, Inc.

(GRAL) delivered a total return of +360. 6%, compared to -69. 1% for DBV Technologies S. A. (DBVT). Over 10 years, the gap is even starker: EXAS returned +1669% 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.

03

Which is safer — GRAL or DBVT or EXAS or ALKS?

By beta (market sensitivity over 5 years), Exact Sciences Corporation (EXAS) is the lower-risk stock at 0.

12β versus GRAIL, Inc. 's 2. 70β — meaning GRAL is approximately 2145% more volatile than EXAS relative to the S&P 500. On balance sheet safety, GRAIL, Inc. (GRAL) carries a lower debt/equity ratio of 4% versus 105% for Exact Sciences Corporation — giving it more financial flexibility in a downturn.

04

Which is growing faster — GRAL or DBVT or EXAS or ALKS?

By revenue growth (latest reported year), Exact Sciences Corporation (EXAS) is pulling ahead at 17.

7% versus -5. 2% for Alkermes plc (ALKS). On earnings-per-share growth, the picture is similar: GRAIL, Inc. grew EPS 82. 5% year-over-year, compared to -347. 5% for DBV Technologies S. A.. Over a 3-year CAGR, GRAL leads at 38. 4% 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.

05

Which has better profit margins — GRAL or DBVT or EXAS or ALKS?

Alkermes plc (ALKS) is the more profitable company, earning 16.

4% net margin versus -277. 5% for GRAIL, Inc. — 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 -363. 0% for GRAL. 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.

06

Is GRAL or DBVT or EXAS or ALKS more undervalued right now?

Analyst consensus price targets imply the most upside for DBVT: 131.

8% to $46. 33.

07

Which pays a better dividend — GRAL or DBVT or EXAS 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.

08

Is GRAL or DBVT or EXAS or ALKS better for a retirement portfolio?

For long-horizon retirement investors, Exact Sciences Corporation (EXAS) is the stronger choice — it scores higher on the combination of lower volatility, dividend reliability, and long-term compounding (low volatility (β 0.

12), +1669% 10Y return). GRAIL, Inc. (GRAL) carries a higher beta of 2. 70 — meaning larger drawdowns in market downturns, which matters significantly when you cannot wait years for a recovery. Both have compounded well over 10 years (EXAS: +1669%, GRAL: +360. 6%), 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.

09

What are the main differences between GRAL and DBVT and EXAS 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: GRAL is a small-cap high-growth stock; DBVT is a mega-cap quality compounder stock; EXAS 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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GRAL

High-Growth Disruptor

  • Sector: Healthcare
  • Market Cap > $100B
  • Revenue Growth > 14%
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DBVT

Quality Business

  • Sector: Healthcare
  • Market Cap > $100B
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EXAS

High-Growth Disruptor

  • Sector: Healthcare
  • Market Cap > $100B
  • Revenue Growth > 11%
  • Gross Margin > 41%
Run This Screen
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ALKS

High-Growth Disruptor

  • Sector: Healthcare
  • Market Cap > $100B
  • Revenue Growth > 14%
  • Net Margin > 5%
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