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Stock Comparison

INSM vs DBVT vs IQV vs ALKS

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

Live fundamentals10-year financials5-year price chart
INSM
Insmed Incorporated

Biotechnology

HealthcareNASDAQ • US
Market Cap$22.62B
5Y Perf.+331.5%
DBVT
DBV Technologies S.A.

Biotechnology

HealthcareNASDAQ • FR
Market Cap$1712.35T
5Y Perf.-58.8%
IQV
IQVIA Holdings Inc.

Medical - Diagnostics & Research

HealthcareNYSE • US
Market Cap$30.32B
5Y Perf.+19.5%
ALKS
Alkermes plc

Biotechnology

HealthcareNASDAQ • IE
Market Cap$5.90B
5Y Perf.+116.4%

INSM vs DBVT vs IQV vs ALKS — Key Financials

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

Company Snapshot
INSM logoINSM
DBVT logoDBVT
IQV logoIQV
ALKS logoALKS
IndustryBiotechnologyBiotechnologyMedical - Diagnostics & ResearchBiotechnology
Market Cap$22.62B$1712.35T$30.32B$5.90B
Revenue (TTM)$606M$0.00$16.63B$1.56B
Net Income (TTM)$-1.28B$-168M$1.39B$153M
Gross Margin79.4%26.1%65.4%
Operating Margin-194.0%13.9%12.3%
Forward P/E14.1x24.8x
Total Debt$768M$22M$16.17B$70M
Cash & Equiv.$510M$194M$1.98B$1.12B

INSM vs DBVT vs IQV vs ALKSLong-Term Stock Performance

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

INSM
DBVT
IQV
ALKS
StockMay 20May 26Return
Insmed Incorporated (INSM)100431.5+331.5%
DBV Technologies S.… (DBVT)10041.2-58.8%
IQVIA Holdings Inc. (IQV)100119.5+19.5%
Alkermes plc (ALKS)100216.4+116.4%

Price return only. Dividends and distributions are not included.

Quick Verdict: INSM vs DBVT vs IQV vs ALKS

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

Bottom line: INSM and ALKS are tied at the top with 2 categories each — the right choice depends on your priorities. Alkermes plc is the stronger pick specifically for profitability and margin quality and operational efficiency and capital deployment. DBVT and IQV also each lead in at least one category. As sector peers, any of these can serve as alternatives in the same allocation.
INSM
Insmed Incorporated
The Growth Play

INSM has the current edge in this matchup, primarily because of its strength in growth exposure and long-term compounding.

  • Rev growth 66.7%, EPS growth -15.1%, 3Y rev CAGR 35.2%
  • 7.9% 10Y total return vs IQV's 166.5%
  • Lower volatility, beta 0.54, current ratio 3.83x
  • Beta 0.54, current ratio 3.83x
Best for: growth exposure and long-term compounding
DBVT
DBV Technologies S.A.
The Momentum Pick

DBVT is the clearest fit if your priority is momentum.

  • +110.4% vs ALKS's +16.5%
Best for: momentum
IQV
IQVIA Holdings Inc.
The Income Pick

IQV is the clearest fit if your priority is income & stability.

  • Dividend streak 2 yrs, beta 1.33
  • Better valuation composite
Best for: income & stability
ALKS
Alkermes plc
The Quality Compounder

ALKS is the #2 pick in this set and the best alternative if quality and efficiency is your priority.

  • 9.8% margin vs INSM's -210.5%
  • 5.4% ROA vs DBVT's -89.0%
Best for: quality and efficiency
See the full category breakdown
CategoryWinnerWhy
GrowthINSM logoINSM66.7% revenue growth vs DBVT's -100.0%
ValueIQV logoIQVBetter valuation composite
Quality / MarginsALKS logoALKS9.8% margin vs INSM's -210.5%
Stability / SafetyINSM logoINSMBeta 0.54 vs IQV's 1.33, lower leverage
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%

INSM vs DBVT vs IQV vs ALKS — Revenue Breakdown by Segment

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

INSMInsmed Incorporated
FY 2025
Reportable Segment
100.0%$606M
DBVTDBV Technologies S.A.

Segment breakdown not available.

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
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

INSM vs DBVT vs IQV vs ALKS — Financial Metrics

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

BEST OVERALLIQVLAGGINGDBVT

Income & Cash Flow (Last 12 Months)

Evenly matched — INSM and ALKS each lead in 2 of 6 comparable metrics.

IQV and DBVT operate at a comparable scale, with $16.6B and $0 in trailing revenue. ALKS is the more profitable business, keeping 9.8% of every revenue dollar as net income compared to INSM's -2.1%. On growth, INSM holds the edge at +152.6% YoY revenue growth, suggesting stronger near-term business momentum.

MetricINSM logoINSMInsmed Incorporat…DBVT logoDBVTDBV Technologies …IQV logoIQVIQVIA Holdings In…ALKS logoALKSAlkermes plc
RevenueTrailing 12 months$606M$0$16.6B$1.6B
EBITDAEarnings before interest/tax-$1.2B-$112M$3.5B$212M
Net IncomeAfter-tax profit-$1.3B-$168M$1.4B$153M
Free Cash FlowCash after capex-$998M-$151M$2.7B$392M
Gross MarginGross profit ÷ Revenue+79.4%+26.1%+65.4%
Operating MarginEBIT ÷ Revenue-194.0%+13.9%+12.3%
Net MarginNet income ÷ Revenue-2.1%+8.3%+9.8%
FCF MarginFCF ÷ Revenue-164.5%+16.1%+25.1%
Rev. Growth (YoY)Latest quarter vs prior year+152.6%+8.4%+28.2%
EPS Growth (YoY)Latest quarter vs prior year-16.7%+91.5%+15.0%-4.1%
Evenly matched — INSM and ALKS each lead in 2 of 6 comparable metrics.

Valuation Metrics

IQV leads this category, winning 2 of 5 comparable metrics.

At 22.8x trailing earnings, IQV trades at a 8% valuation discount to ALKS's 24.8x P/E. On an enterprise value basis, IQV's 13.0x EV/EBITDA is more attractive than ALKS's 17.3x.

MetricINSM logoINSMInsmed Incorporat…DBVT logoDBVTDBV Technologies …IQV logoIQVIQVIA Holdings In…ALKS logoALKSAlkermes plc
Market CapShares × price$22.6B$1712.35T$30.3B$5.9B
Enterprise ValueMkt cap + debt − cash$22.9B$1712.35T$44.5B$4.9B
Trailing P/EPrice ÷ TTM EPS-16.35x-0.76x22.79x24.76x
Forward P/EPrice ÷ next-FY EPS est.14.06x
PEG RatioP/E ÷ EPS growth rate0.56x
EV / EBITDAEnterprise value multiple12.97x17.25x
Price / SalesMarket cap ÷ Revenue37.30x1.86x4.00x
Price / BookPrice ÷ Book value/share30.30x0.66x4.67x3.28x
Price / FCFMarket cap ÷ FCF14.78x12.28x
IQV leads this category, winning 2 of 5 comparable metrics.

Profitability & Efficiency

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

IQV delivers a 22.1% return on equity — every $100 of shareholder capital generates $22 in annual profit, vs $-168 for INSM. ALKS carries lower financial leverage with a 0.04x debt-to-equity ratio, signaling a more conservative balance sheet compared to IQV's 2.44x. On the Piotroski fundamental quality scale (0–9), ALKS scores 7/9 vs IQV's 4/9, reflecting strong financial health.

MetricINSM logoINSMInsmed Incorporat…DBVT logoDBVTDBV Technologies …IQV logoIQVIQVIA Holdings In…ALKS logoALKSAlkermes plc
ROE (TTM)Return on equity-168.4%-130.2%+22.1%+8.8%
ROA (TTM)Return on assets-57.3%-89.0%+4.7%+5.4%
ROICReturn on invested capital-86.5%+8.7%+18.9%
ROCEReturn on capital employed-66.8%-145.7%+11.0%+14.2%
Piotroski ScoreFundamental quality 0–94447
Debt / EquityFinancial leverage1.04x0.13x2.44x0.04x
Net DebtTotal debt minus cash$258M-$172M$14.2B-$1.0B
Cash & Equiv.Liquid assets$510M$194M$2.0B$1.1B
Total DebtShort + long-term debt$768M$22M$16.2B$70M
Interest CoverageEBIT ÷ Interest expense-14.23x-189.82x3.10x32.30x
ALKS leads this category, winning 7 of 9 comparable metrics.

Total Returns (Dividends Reinvested)

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

A $10,000 investment in INSM five years ago would be worth $32,168 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 INSM at 77.0% vs IQV's -2.0% — a key indicator of consistent wealth creation.

MetricINSM logoINSMInsmed Incorporat…DBVT logoDBVTDBV Technologies …IQV logoIQVIQVIA Holdings In…ALKS logoALKSAlkermes plc
YTD ReturnYear-to-date-40.8%+4.9%-20.7%+25.3%
1-Year ReturnPast 12 months+53.5%+110.4%+16.5%+16.5%
3-Year ReturnCumulative with dividends+454.5%+19.7%-5.9%+14.5%
5-Year ReturnCumulative with dividends+221.7%-69.1%-23.8%+60.9%
10-Year ReturnCumulative with dividends+793.5%-87.0%+166.5%-11.0%
CAGR (3Y)Annualised 3-year return+77.0%+6.2%-2.0%+4.6%
INSM leads this category, winning 4 of 6 comparable metrics.

Risk & Volatility

Evenly matched — INSM and ALKS each lead in 1 of 2 comparable metrics.

INSM is the less volatile stock with a 0.54 beta — it tends to amplify market swings less than IQV's 1.33 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 INSM's 49.3% drawdown — a narrower gap to the peak suggests stronger recent price momentum.

MetricINSM logoINSMInsmed Incorporat…DBVT logoDBVTDBV Technologies …IQV logoIQVIQVIA Holdings In…ALKS logoALKSAlkermes plc
Beta (5Y)Sensitivity to S&P 5000.54x1.26x1.33x1.06x
52-Week HighHighest price in past year$212.75$26.18$247.05$36.60
52-Week LowLowest price in past year$63.81$7.53$134.65$25.17
% of 52W HighCurrent price vs 52-week peak+49.3%+76.3%+72.3%+96.7%
RSI (14)Momentum oscillator 0–10041.948.158.560.2
Avg Volume (50D)Average daily shares traded2.3M252K1.6M2.3M
Evenly matched — INSM and ALKS each lead in 1 of 2 comparable metrics.

Analyst Outlook

IQV leads this category, winning 1 of 1 comparable metric.

Analyst consensus: INSM as "Buy", DBVT as "Buy", IQV as "Buy", ALKS as "Buy". Consensus price targets imply 131.8% upside for DBVT (target: $46) vs 24.3% for ALKS (target: $44).

MetricINSM logoINSMInsmed Incorporat…DBVT logoDBVTDBV Technologies …IQV logoIQVIQVIA Holdings In…ALKS logoALKSAlkermes plc
Analyst RatingConsensus buy/hold/sellBuyBuyBuyBuy
Price TargetConsensus 12-month target$217.11$46.33$225.63$44.00
# AnalystsCovering analysts35154428
Dividend YieldAnnual dividend ÷ price
Dividend StreakConsecutive years of raises020
Dividend / ShareAnnual DPS
Buyback YieldShare repurchases ÷ mkt cap0.0%0.0%+4.1%+0.5%
IQV leads this category, winning 1 of 1 comparable metric.
Key Takeaway

IQV leads in 2 of 6 categories (Valuation Metrics, Analyst Outlook). ALKS leads in 1 (Profitability & Efficiency). 2 tied.

Best OverallIQVIA Holdings Inc. (IQV)Leads 2 of 6 categories
Loading custom metrics...

INSM vs DBVT vs IQV vs ALKS: Key Questions Answered

10 questions · data-driven answers · updated daily

01

Is INSM or DBVT or IQV or ALKS a better buy right now?

For growth investors, Insmed Incorporated (INSM) is the stronger pick with 66.

7% revenue growth year-over-year, versus -5. 2% for Alkermes plc (ALKS). IQVIA Holdings Inc. (IQV) offers the better valuation at 22. 8x trailing P/E (14. 1x forward), making it the more compelling value choice. Analysts rate Insmed Incorporated (INSM) a "Buy" — based on 35 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 — INSM or DBVT or IQV or ALKS?

On trailing P/E, IQVIA Holdings Inc.

(IQV) is the cheapest at 22. 8x versus Alkermes plc at 24. 8x.

03

Which is the better long-term investment — INSM or DBVT or IQV or ALKS?

Over the past 5 years, Insmed Incorporated (INSM) delivered a total return of +221.

7%, compared to -69. 1% for DBV Technologies S. A. (DBVT). Over 10 years, the gap is even starker: INSM returned +793. 5% 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.

04

Which is safer — INSM or DBVT or IQV or ALKS?

By beta (market sensitivity over 5 years), Insmed Incorporated (INSM) is the lower-risk stock at 0.

54β versus IQVIA Holdings Inc. 's 1. 33β — meaning IQV is approximately 147% more volatile than INSM relative to the S&P 500. On balance sheet safety, Alkermes plc (ALKS) carries a lower debt/equity ratio of 4% versus 2% for IQVIA Holdings Inc. — giving it more financial flexibility in a downturn.

05

Which is growing faster — INSM or DBVT or IQV or ALKS?

By revenue growth (latest reported year), Insmed Incorporated (INSM) is pulling ahead at 66.

7% versus -5. 2% for Alkermes plc (ALKS). On earnings-per-share growth, the picture is similar: IQVIA Holdings Inc. grew EPS 4. 7% year-over-year, compared to -347. 5% for DBV Technologies S. A.. Over a 3-year CAGR, INSM leads at 35. 2% 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 — INSM or DBVT or IQV or ALKS?

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

4% net margin versus -210. 5% for Insmed Incorporated — 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 -194. 0% for INSM. 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.

07

Is INSM or DBVT or IQV or ALKS more undervalued right now?

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

8% to $46. 33.

08

Which pays a better dividend — INSM or DBVT or IQV 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.

09

Is INSM or DBVT or IQV or ALKS better for a retirement portfolio?

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

54), +793. 5% 10Y return). Both have compounded well over 10 years (INSM: +793. 5%, DBVT: -87. 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 INSM and DBVT and IQV 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: INSM is a mid-cap high-growth stock; DBVT is a mega-cap quality compounder stock; IQV is a mid-cap quality compounder 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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