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Stock Comparison

HRTX vs ACRS vs NKTR vs PTGX vs IQV

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

Live fundamentals10-year financials5-year price chart
HRTX
Heron Therapeutics, Inc.

Biotechnology

HealthcareNASDAQ • US
Market Cap$228M
5Y Perf.-93.4%
ACRS
Aclaris Therapeutics, Inc.

Medical - Diagnostics & Research

HealthcareNASDAQ • US
Market Cap$595M
5Y Perf.+249.6%
NKTR
Nektar Therapeutics

Biotechnology

HealthcareNASDAQ • US
Market Cap$1.66B
5Y Perf.-74.8%
PTGX
Protagonist Therapeutics, Inc.

Biotechnology

HealthcareNASDAQ • US
Market Cap$6.39B
5Y Perf.+501.1%
IQV
IQVIA Holdings Inc.

Medical - Diagnostics & Research

HealthcareNYSE • US
Market Cap$30.33B
5Y Perf.+19.5%

HRTX vs ACRS vs NKTR vs PTGX vs IQV — Key Financials

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

Company Snapshot
HRTX logoHRTX
ACRS logoACRS
NKTR logoNKTR
PTGX logoPTGX
IQV logoIQV
IndustryBiotechnologyMedical - Diagnostics & ResearchBiotechnologyBiotechnologyMedical - Diagnostics & Research
Market Cap$228M$595M$1.66B$6.39B$30.33B
Revenue (TTM)$155M$8M$56M$18M$16.63B
Net Income (TTM)$-20M$-70M$-158M$-115M$1.39B
Gross Margin73.3%76.3%80.1%100.0%26.1%
Operating Margin-1.6%-9.6%-226.3%-8.1%13.9%
Forward P/E25.8x14.0x
Total Debt$141M$2M$149M$10M$16.17B
Cash & Equiv.$29M$20M$15M$128M$1.98B

HRTX vs ACRS vs NKTR vs PTGX vs IQVLong-Term Stock Performance

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

HRTX
ACRS
NKTR
PTGX
IQV
StockMay 20May 26Return
Heron Therapeutics,… (HRTX)1006.6-93.4%
Aclaris Therapeutic… (ACRS)100349.6+249.6%
Nektar Therapeutics (NKTR)10025.2-74.8%
Protagonist Therape… (PTGX)100601.1+501.1%
IQVIA Holdings Inc. (IQV)100119.5+19.5%

Price return only. Dividends and distributions are not included.

Quick Verdict: HRTX vs ACRS vs NKTR vs PTGX vs IQV

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

Bottom line: IQV leads in 3 of 7 categories (5-stock set), making it the strongest pick for valuation and capital efficiency and profitability and margin quality. Heron Therapeutics, Inc. is the stronger pick specifically for growth and revenue expansion. ACRS and NKTR also each lead in at least one category. As sector peers, any of these can serve as alternatives in the same allocation.
HRTX
Heron Therapeutics, Inc.
The Growth Play

HRTX is the #2 pick in this set and the best alternative if growth exposure is your priority.

  • Rev growth 7.4%, EPS growth -34.7%, 3Y rev CAGR 12.9%
  • 7.4% revenue growth vs PTGX's -89.4%
Best for: growth exposure
ACRS
Aclaris Therapeutics, Inc.
The Income Pick

ACRS ranks third and is worth considering specifically for income & stability and sleep-well-at-night.

  • beta 0.22
  • Lower volatility, beta 0.22, Low D/E 2.1%, current ratio 5.28x
  • Beta 0.22, current ratio 5.28x
  • Beta 0.22 vs HRTX's 1.81, lower leverage
Best for: income & stability and sleep-well-at-night
NKTR
Nektar Therapeutics
The Momentum Pick

NKTR is the clearest fit if your priority is momentum.

  • +7.8% vs HRTX's -44.2%
Best for: momentum
PTGX
Protagonist Therapeutics, Inc.
The Long-Run Compounder

PTGX is the clearest fit if your priority is long-term compounding.

  • 7.5% 10Y total return vs IQV's 166.6%
Best for: long-term compounding
IQV
IQVIA Holdings Inc.
The Value Play

IQV carries the broadest edge in this set and is the clearest fit for value and quality.

  • Lower P/E (14.0x vs 25.8x)
  • 8.3% margin vs ACRS's -8.3%
  • 4.7% ROA vs NKTR's -40.7%, ROIC 8.7% vs -57.2%
Best for: value and quality
See the full category breakdown
CategoryWinnerWhy
GrowthHRTX logoHRTX7.4% revenue growth vs PTGX's -89.4%
ValueIQV logoIQVLower P/E (14.0x vs 25.8x)
Quality / MarginsIQV logoIQV8.3% margin vs ACRS's -8.3%
Stability / SafetyACRS logoACRSBeta 0.22 vs HRTX's 1.81, lower leverage
DividendsTieNone of these 5 stocks pay a meaningful dividend
Momentum (1Y)NKTR logoNKTR+7.8% vs HRTX's -44.2%
Efficiency (ROA)IQV logoIQV4.7% ROA vs NKTR's -40.7%, ROIC 8.7% vs -57.2%

HRTX vs ACRS vs NKTR vs PTGX vs IQV — Revenue Breakdown by Segment

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

HRTXHeron Therapeutics, Inc.
FY 2025
C I N V A N T I
67.5%$97M
Z Y N R E L E F
26.6%$38M
S U S T O L
5.9%$9M
ACRSAclaris Therapeutics, Inc.
FY 2025
License and Service
76.1%$6M
Contract research
23.9%$2M
NKTRNektar Therapeutics
FY 2025
Non Cash Royalty Revenue Related To Sale Of Future Royalties
99.5%$55M
License Collaboration And Other Revenue
0.5%$300,000
PTGXProtagonist Therapeutics, Inc.
FY 2024
Development Services
100.0%$15M
IQVIQVIA Holdings Inc.
FY 2025
Research And Development Solutions
54.5%$8.9B
Technology And Analytics Solutions
40.6%$6.6B
Contract Sales And Medical Solutions
4.8%$788M

HRTX vs ACRS vs NKTR vs PTGX vs IQV — Financial Metrics

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

BEST OVERALLIQVLAGGINGPTGX

Income & Cash Flow (Last 12 Months)

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

IQV is the larger business by revenue, generating $16.6B annually — 1987.8x ACRS's $8M. IQV is the more profitable business, keeping 8.3% of every revenue dollar as net income compared to ACRS's -8.3%. On growth, ACRS holds the edge at +37.2% YoY revenue growth, suggesting stronger near-term business momentum.

MetricHRTX logoHRTXHeron Therapeutic…ACRS logoACRSAclaris Therapeut…NKTR logoNKTRNektar Therapeuti…PTGX logoPTGXProtagonist Thera…IQV logoIQVIQVIA Holdings In…
RevenueTrailing 12 months$155M$8M$56M$18M$16.6B
EBITDAEarnings before interest/tax$401,000-$80M-$125M-$141M$3.5B
Net IncomeAfter-tax profit-$20M-$70M-$158M-$115M$1.4B
Free Cash FlowCash after capex-$28M-$52M-$160M-$116M$2.7B
Gross MarginGross profit ÷ Revenue+73.3%+76.3%+80.1%+100.0%+26.1%
Operating MarginEBIT ÷ Revenue-1.6%-9.6%-2.3%-8.1%+13.9%
Net MarginNet income ÷ Revenue-13.0%-8.3%-2.8%-6.5%+8.3%
FCF MarginFCF ÷ Revenue-18.0%-6.2%-2.9%-6.6%+16.1%
Rev. Growth (YoY)Latest quarter vs prior year-0.5%+37.2%+3.8%-100.0%+8.4%
EPS Growth (YoY)Latest quarter vs prior year-183.7%-25.0%+49.7%+126.3%+15.0%
IQV leads this category, winning 3 of 6 comparable metrics.

Valuation Metrics

IQV leads this category, winning 3 of 5 comparable metrics.
MetricHRTX logoHRTXHeron Therapeutic…ACRS logoACRSAclaris Therapeut…NKTR logoNKTRNektar Therapeuti…PTGX logoPTGXProtagonist Thera…IQV logoIQVIQVIA Holdings In…
Market CapShares × price$228M$595M$1.7B$6.4B$30.3B
Enterprise ValueMkt cap + debt − cash$340M$577M$1.8B$6.3B$44.5B
Trailing P/EPrice ÷ TTM EPS-10.08x-9.30x-8.42x-48.47x22.79x
Forward P/EPrice ÷ next-FY EPS est.25.80x13.96x
PEG RatioP/E ÷ EPS growth rate0.56x
EV / EBITDAEnterprise value multiple12.98x
Price / SalesMarket cap ÷ Revenue1.47x75.97x30.09x138.86x1.86x
Price / BookPrice ÷ Book value/share14.07x5.87x15.38x10.28x4.68x
Price / FCFMarket cap ÷ FCF113.94x14.79x
IQV leads this category, winning 3 of 5 comparable metrics.

Profitability & Efficiency

IQV leads this category, winning 6 of 9 comparable metrics.

IQV delivers a 22.1% return on equity — every $100 of shareholder capital generates $22 in annual profit, vs $-141 for HRTX. PTGX carries lower financial leverage with a 0.02x debt-to-equity ratio, signaling a more conservative balance sheet compared to HRTX's 9.81x. On the Piotroski fundamental quality scale (0–9), ACRS scores 4/9 vs NKTR's 2/9, reflecting mixed financial health.

MetricHRTX logoHRTXHeron Therapeutic…ACRS logoACRSAclaris Therapeut…NKTR logoNKTRNektar Therapeuti…PTGX logoPTGXProtagonist Thera…IQV logoIQVIQVIA Holdings In…
ROE (TTM)Return on equity-140.9%-55.9%-87.0%-17.8%+22.1%
ROA (TTM)Return on assets-7.9%-38.5%-40.7%-16.5%+4.7%
ROICReturn on invested capital-1.6%-53.0%-57.2%-21.8%+8.7%
ROCEReturn on capital employed-1.7%-47.7%-55.7%-23.9%+11.0%
Piotroski ScoreFundamental quality 0–934244
Debt / EquityFinancial leverage9.81x0.02x1.66x0.02x2.44x
Net DebtTotal debt minus cash$112M-$18M$134M-$118M$14.2B
Cash & Equiv.Liquid assets$29M$20M$15M$128M$2.0B
Total DebtShort + long-term debt$141M$2M$149M$10M$16.2B
Interest CoverageEBIT ÷ Interest expense-2.97x-6.23x3.10x
IQV leads this category, winning 6 of 9 comparable metrics.

Total Returns (Dividends Reinvested)

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

A $10,000 investment in PTGX five years ago would be worth $35,122 today (with dividends reinvested), compared to $689 for HRTX. Over the past 12 months, NKTR leads with a +782.4% total return vs HRTX's -44.2%. The 3-year compound annual growth rate (CAGR) favors NKTR at 92.1% vs HRTX's -20.8% — a key indicator of consistent wealth creation.

MetricHRTX logoHRTXHeron Therapeutic…ACRS logoACRSAclaris Therapeut…NKTR logoNKTRNektar Therapeuti…PTGX logoPTGXProtagonist Thera…IQV logoIQVIQVIA Holdings In…
YTD ReturnYear-to-date-4.0%+71.2%+88.6%+14.0%-20.7%
1-Year ReturnPast 12 months-44.2%+276.3%+782.4%+126.2%+16.6%
3-Year ReturnCumulative with dividends-50.4%-41.3%+609.0%+298.6%-5.9%
5-Year ReturnCumulative with dividends-93.1%-78.9%-72.3%+251.2%-22.8%
10-Year ReturnCumulative with dividends-93.0%-76.0%-59.8%+749.2%+166.6%
CAGR (3Y)Annualised 3-year return-20.8%-16.3%+92.1%+58.5%-2.0%
NKTR leads this category, winning 4 of 6 comparable metrics.

Risk & Volatility

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

ACRS is the less volatile stock with a 0.22 beta — it tends to amplify market swings less than HRTX's 1.81 beta. A beta below 1.0 means the stock typically moves less than the S&P 500. ACRS currently trades 99.8% from its 52-week high vs HRTX's 52.2% drawdown — a narrower gap to the peak suggests stronger recent price momentum.

MetricHRTX logoHRTXHeron Therapeutic…ACRS logoACRSAclaris Therapeut…NKTR logoNKTRNektar Therapeuti…PTGX logoPTGXProtagonist Thera…IQV logoIQVIQVIA Holdings In…
Beta (5Y)Sensitivity to S&P 5001.81x0.22x1.80x0.23x1.32x
52-Week HighHighest price in past year$2.32$4.94$109.00$107.84$247.05
52-Week LowLowest price in past year$0.74$1.16$7.99$41.60$134.65
% of 52W HighCurrent price vs 52-week peak+52.2%+99.8%+75.1%+92.1%+72.3%
RSI (14)Momentum oscillator 0–10064.267.450.546.960.3
Avg Volume (50D)Average daily shares traded2.0M1.9M977K747K1.5M
ACRS leads this category, winning 2 of 2 comparable metrics.

Analyst Outlook

Insufficient data to determine a leader in this category.

Analyst consensus: HRTX as "Buy", ACRS as "Buy", NKTR as "Buy", PTGX as "Buy", IQV as "Buy". Consensus price targets imply 451.2% upside for HRTX (target: $7) vs 16.1% for PTGX (target: $115).

MetricHRTX logoHRTXHeron Therapeutic…ACRS logoACRSAclaris Therapeut…NKTR logoNKTRNektar Therapeuti…PTGX logoPTGXProtagonist Thera…IQV logoIQVIQVIA Holdings In…
Analyst RatingConsensus buy/hold/sellBuyBuyBuyBuyBuy
Price TargetConsensus 12-month target$6.67$10.60$147.33$115.40$223.75
# AnalystsCovering analysts1916332644
Dividend YieldAnnual dividend ÷ price
Dividend StreakConsecutive years of raises2
Dividend / ShareAnnual DPS
Buyback YieldShare repurchases ÷ mkt cap0.0%0.0%0.0%0.0%+4.1%
Insufficient data to determine a leader in this category.
Key Takeaway

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

Best OverallIQVIA Holdings Inc. (IQV)Leads 3 of 6 categories
Loading custom metrics...

HRTX vs ACRS vs NKTR vs PTGX vs IQV: Key Questions Answered

10 questions · data-driven answers · updated daily

01

Is HRTX or ACRS or NKTR or PTGX or IQV a better buy right now?

For growth investors, Heron Therapeutics, Inc.

(HRTX) is the stronger pick with 7. 4% revenue growth year-over-year, versus -89. 4% for Protagonist Therapeutics, Inc. (PTGX). IQVIA Holdings Inc. (IQV) offers the better valuation at 22. 8x trailing P/E (14. 0x forward), making it the more compelling value choice. Analysts rate Heron Therapeutics, Inc. (HRTX) a "Buy" — based on 19 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 has the better valuation — HRTX or ACRS or NKTR or PTGX or IQV?

On forward P/E, IQVIA Holdings Inc.

is actually cheaper at 14. 0x.

03

Which is the better long-term investment — HRTX or ACRS or NKTR or PTGX or IQV?

Over the past 5 years, Protagonist Therapeutics, Inc.

(PTGX) delivered a total return of +251. 2%, compared to -93. 1% for Heron Therapeutics, Inc. (HRTX). Over 10 years, the gap is even starker: PTGX returned +749. 2% versus HRTX's -93. 0%. Past returns do not guarantee future results, and the stock with the higher historical return may already have its best growth priced in.

04

Which is safer — HRTX or ACRS or NKTR or PTGX or IQV?

By beta (market sensitivity over 5 years), Aclaris Therapeutics, Inc.

(ACRS) is the lower-risk stock at 0. 22β versus Heron Therapeutics, Inc. 's 1. 81β — meaning HRTX is approximately 723% more volatile than ACRS relative to the S&P 500. On balance sheet safety, Protagonist Therapeutics, Inc. (PTGX) carries a lower debt/equity ratio of 2% versus 10% for Heron Therapeutics, Inc. — giving it more financial flexibility in a downturn.

05

Which is growing faster — HRTX or ACRS or NKTR or PTGX or IQV?

By revenue growth (latest reported year), Heron Therapeutics, Inc.

(HRTX) is pulling ahead at 7. 4% versus -89. 4% for Protagonist Therapeutics, Inc. (PTGX). On earnings-per-share growth, the picture is similar: Aclaris Therapeutics, Inc. grew EPS 69. 0% year-over-year, compared to -148. 5% for Protagonist Therapeutics, Inc.. Over a 3-year CAGR, PTGX leads at 20. 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.

06

Which has better profit margins — HRTX or ACRS or NKTR or PTGX or IQV?

IQVIA Holdings Inc.

(IQV) is the more profitable company, earning 8. 3% net margin versus -829. 6% for Aclaris Therapeutics, Inc. — meaning it keeps 8. 3% of every revenue dollar as bottom-line profit. Operating margin tells a similar story: IQV leads at 14. 0% versus -975. 9% for ACRS. At the gross margin level — before operating expenses — NKTR leads at 100. 0%, 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.

07

Is HRTX or ACRS or NKTR or PTGX or IQV more undervalued right now?

On forward earnings alone, IQVIA Holdings Inc.

(IQV) trades at 14. 0x forward P/E versus 25. 8x for Protagonist Therapeutics, Inc. — 11. 8x cheaper on a one-year earnings basis. Analyst consensus price targets imply the most upside for HRTX: 451. 2% to $6. 67.

08

Which pays a better dividend — HRTX or ACRS or NKTR or PTGX or IQV?

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.

09

Is HRTX or ACRS or NKTR or PTGX or IQV better for a retirement portfolio?

For long-horizon retirement investors, Protagonist Therapeutics, Inc.

(PTGX) is the stronger choice — it scores higher on the combination of lower volatility, dividend reliability, and long-term compounding (low volatility (β 0. 23), +749. 2% 10Y return). Heron Therapeutics, Inc. (HRTX) carries a higher beta of 1. 81 — meaning larger drawdowns in market downturns, which matters significantly when you cannot wait years for a recovery. Both have compounded well over 10 years (PTGX: +749. 2%, HRTX: -93. 0%), 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.

10

What are the main differences between HRTX and ACRS and NKTR and PTGX and IQV?

Both stocks operate in the Healthcare sector, making this a peer-level intra-sector comparison — the same macro tailwinds and headwinds will affect both.

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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HRTX

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  • Gross Margin > 43%
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  • Market Cap > $100B
  • Revenue Growth > 18%
  • Gross Margin > 45%
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NKTR

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  • Sector: Healthcare
  • Market Cap > $100B
  • Gross Margin > 48%
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PTGX

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  • Gross Margin > 60%
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  • Sector: Healthcare
  • Market Cap > $100B
  • Revenue Growth > 5%
  • Net Margin > 5%
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