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Stock Comparison

NRSN vs ANVS vs PRTA vs SAVA vs IONS

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

Live fundamentals10-year financials5-year price chart
NRSN
NeuroSense Therapeutics Ltd.

Biotechnology

HealthcareNASDAQ • IL
Market Cap$20M
5Y Perf.-64.2%
ANVS
Annovis Bio, Inc.

Biotechnology

HealthcareNYSE • US
Market Cap$62M
5Y Perf.-87.0%
PRTA
Prothena Corporation plc

Biotechnology

HealthcareNASDAQ • IE
Market Cap$578M
5Y Perf.-78.3%
SAVA
Cassava Sciences, Inc.

Biotechnology

HealthcareNASDAQ • US
Market Cap$94M
5Y Perf.-63.5%
IONS
Ionis Pharmaceuticals, Inc.

Biotechnology

HealthcareNASDAQ • US
Market Cap$12.51B
5Y Perf.+148.8%

NRSN vs ANVS vs PRTA vs SAVA vs IONS — Key Financials

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

Company Snapshot
NRSN logoNRSN
ANVS logoANVS
PRTA logoPRTA
SAVA logoSAVA
IONS logoIONS
IndustryBiotechnologyBiotechnologyBiotechnologyBiotechnologyBiotechnology
Market Cap$20M$62M$578M$94M$12.51B
Revenue (TTM)$0.00$0.00$58M$0.00$1.06B
Net Income (TTM)$-9M$-29M$-151M$-106M$-327M
Gross Margin-39.7%98.3%
Operating Margin-210.6%-33.3%
Forward P/E43.2x
Total Debt$73K$0.00$14M$0.00$2.61B
Cash & Equiv.$3M$19.53B$308M$129M$372M

NRSN vs ANVS vs PRTA vs SAVA vs IONSLong-Term Stock Performance

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

NRSN
ANVS
PRTA
SAVA
IONS
StockDec 21May 26Return
NeuroSense Therapeu… (NRSN)10035.8-64.2%
Annovis Bio, Inc. (ANVS)10013.0-87.0%
Prothena Corporatio… (PRTA)10021.7-78.3%
Cassava Sciences, I… (SAVA)10036.5-63.5%
Ionis Pharmaceutica… (IONS)100248.8+148.8%

Price return only. Dividends and distributions are not included.

Quick Verdict: NRSN vs ANVS vs PRTA vs SAVA vs IONS

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

Bottom line: ANVS and IONS are tied at the top with 2 categories each (5-stock set) — the right choice depends on your priorities. Ionis Pharmaceuticals, Inc. is the stronger pick specifically for capital preservation and lower volatility and recent price momentum and sentiment. SAVA also leads in specific categories worth noting. As sector peers, any of these can serve as alternatives in the same allocation.
NRSN
NeuroSense Therapeutics Ltd.
The Healthcare Pick

NRSN lags the leaders in this set but could rank higher in a more targeted comparison.

Best for: healthcare exposure
ANVS
Annovis Bio, Inc.
The Growth Leader

ANVS carries the broadest edge in this set and is the clearest fit for growth and efficiency.

  • 100.4% revenue growth vs SAVA's -5.4%
  • -0.5% ROA vs NRSN's -5.1%
Best for: growth and efficiency
PRTA
Prothena Corporation plc
The Defensive Pick

PRTA is the clearest fit if your priority is sleep-well-at-night and defensive.

  • Lower volatility, beta 0.96, Low D/E 4.9%, current ratio 7.72x
  • Beta 0.96, current ratio 7.72x
Best for: sleep-well-at-night and defensive
SAVA
Cassava Sciences, Inc.
The Quality Compounder

SAVA ranks third and is worth considering specifically for quality.

  • 5.4% margin vs PRTA's -260.9%
Best for: quality
IONS
Ionis Pharmaceuticals, Inc.
The Income Pick

IONS is the #2 pick in this set and the best alternative if income & stability and growth exposure is your priority.

  • beta 0.51
  • Rev growth 33.9%, EPS growth 21.7%, 3Y rev CAGR 17.1%
  • 120.2% 10Y total return vs SAVA's -19.5%
  • Beta 0.51 vs ANVS's 2.08
Best for: income & stability and growth exposure
See the full category breakdown
CategoryWinnerWhy
GrowthANVS logoANVS100.4% revenue growth vs SAVA's -5.4%
Quality / MarginsSAVA logoSAVA5.4% margin vs PRTA's -260.9%
Stability / SafetyIONS logoIONSBeta 0.51 vs ANVS's 2.08
DividendsTieNone of these 5 stocks pay a meaningful dividend
Momentum (1Y)IONS logoIONS+131.2% vs NRSN's -16.2%
Efficiency (ROA)ANVS logoANVS-0.5% ROA vs NRSN's -5.1%

NRSN vs ANVS vs PRTA vs SAVA vs IONS — Revenue Breakdown by Segment

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

NRSNNeuroSense Therapeutics Ltd.

Segment breakdown not available.

ANVSAnnovis Bio, Inc.

Segment breakdown not available.

PRTAProthena Corporation plc
FY 2025
Collaboration
99.5%$10M
License
0.5%$50,000
SAVACassava Sciences, Inc.

Segment breakdown not available.

IONSIonis Pharmaceuticals, Inc.
FY 2025
Commercial Member
52.1%$436M
Royalty
34.1%$286M
Product
13.8%$115M

NRSN vs ANVS vs PRTA vs SAVA vs IONS — Financial Metrics

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

BEST OVERALLIONSLAGGINGSAVA

Income & Cash Flow (Last 12 Months)

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

IONS and SAVA operate at a comparable scale, with $1.1B and $0 in trailing revenue. Profitability is closely matched — net margins range from -30.9% (IONS) to -2.6% (PRTA). On growth, PRTA holds the edge at +17.1% YoY revenue growth, suggesting stronger near-term business momentum.

MetricNRSN logoNRSNNeuroSense Therap…ANVS logoANVSAnnovis Bio, Inc.PRTA logoPRTAProthena Corporat…SAVA logoSAVACassava Sciences,…IONS logoIONSIonis Pharmaceuti…
RevenueTrailing 12 months$0$0$58M$0$1.1B
EBITDAEarnings before interest/tax-$9M-$30M-$121M-$110M$4.5B
Net IncomeAfter-tax profit-$9M-$29M-$151M-$106M-$327M
Free Cash FlowCash after capex-$2,000-$853M-$81M-$84M-$971M
Gross MarginGross profit ÷ Revenue-39.7%+98.3%
Operating MarginEBIT ÷ Revenue-2.1%-33.3%
Net MarginNet income ÷ Revenue-2.6%-30.9%
FCF MarginFCF ÷ Revenue-140.6%-91.8%
Rev. Growth (YoY)Latest quarter vs prior year+17.1%+87.0%
EPS Growth (YoY)Latest quarter vs prior year-95.2%+16.7%+153.6%+62.1%+39.8%
IONS leads this category, winning 4 of 6 comparable metrics.

Valuation Metrics

IONS leads this category, winning 2 of 3 comparable metrics.
MetricNRSN logoNRSNNeuroSense Therap…ANVS logoANVSAnnovis Bio, Inc.PRTA logoPRTAProthena Corporat…SAVA logoSAVACassava Sciences,…IONS logoIONSIonis Pharmaceuti…
Market CapShares × price$20M$62M$578M$94M$12.5B
Enterprise ValueMkt cap + debt − cash$17M-$19.5B$284M-$34M$14.8B
Trailing P/EPrice ÷ TTM EPS-1.60x-1.63x-2.37x-3.76x-31.81x
Forward P/EPrice ÷ next-FY EPS est.43.21x
PEG RatioP/E ÷ EPS growth rate
EV / EBITDAEnterprise value multiple
Price / SalesMarket cap ÷ Revenue59.65x13.25x
Price / BookPrice ÷ Book value/share6.34x0.00x2.06x0.63x24.77x
Price / FCFMarket cap ÷ FCF
IONS leads this category, winning 2 of 3 comparable metrics.

Profitability & Efficiency

ANVS leads this category, winning 5 of 9 comparable metrics.

ANVS delivers a -0.7% return on equity — every $100 of shareholder capital generates $-1 in annual profit, vs $-29 for NRSN. NRSN carries lower financial leverage with a 0.03x debt-to-equity ratio, signaling a more conservative balance sheet compared to IONS's 5.35x. On the Piotroski fundamental quality scale (0–9), NRSN scores 3/9 vs PRTA's 1/9, reflecting mixed financial health.

MetricNRSN logoNRSNNeuroSense Therap…ANVS logoANVSAnnovis Bio, Inc.PRTA logoPRTAProthena Corporat…SAVA logoSAVACassava Sciences,…IONS logoIONSIonis Pharmaceuti…
ROE (TTM)Return on equity-28.8%-0.7%-49.9%-95.8%-58.6%
ROA (TTM)Return on assets-5.1%-0.5%-42.3%-75.3%-10.1%
ROICReturn on invested capital-21.0%-6.3%-12.8%
ROCEReturn on capital employed-8.6%-0.3%-47.0%-99.9%-14.1%
Piotroski ScoreFundamental quality 0–932123
Debt / EquityFinancial leverage0.03x0.05x5.35x
Net DebtTotal debt minus cash-$3M-$19.5B-$294M-$129M$2.2B
Cash & Equiv.Liquid assets$3M$19.5B$308M$129M$372M
Total DebtShort + long-term debt$73,000$0$14M$0$2.6B
Interest CoverageEBIT ÷ Interest expense-97.39x-3.64x
ANVS leads this category, winning 5 of 9 comparable metrics.

Total Returns (Dividends Reinvested)

IONS leads this category, winning 5 of 6 comparable metrics.

A $10,000 investment in IONS five years ago would be worth $20,891 today (with dividends reinvested), compared to $797 for ANVS. Over the past 12 months, IONS leads with a +131.2% total return vs NRSN's -16.2%. The 3-year compound annual growth rate (CAGR) favors IONS at 29.1% vs PRTA's -48.1% — a key indicator of consistent wealth creation.

MetricNRSN logoNRSNNeuroSense Therap…ANVS logoANVSAnnovis Bio, Inc.PRTA logoPRTAProthena Corporat…SAVA logoSAVACassava Sciences,…IONS logoIONSIonis Pharmaceuti…
YTD ReturnYear-to-date+12.8%-37.5%+16.6%-6.5%-5.0%
1-Year ReturnPast 12 months-16.2%+42.5%+51.1%+15.0%+131.2%
3-Year ReturnCumulative with dividends-49.1%-84.6%-86.0%-40.8%+115.2%
5-Year ReturnCumulative with dividends-78.2%-92.0%-54.1%-64.6%+108.9%
10-Year ReturnCumulative with dividends-78.2%-76.2%-72.5%-19.5%+120.2%
CAGR (3Y)Annualised 3-year return-20.2%-46.4%-48.1%-16.0%+29.1%
IONS leads this category, winning 5 of 6 comparable metrics.

Risk & Volatility

Evenly matched — PRTA and IONS each lead in 1 of 2 comparable metrics.

IONS is the less volatile stock with a 0.51 beta — it tends to amplify market swings less than ANVS's 2.08 beta. A beta below 1.0 means the stock typically moves less than the S&P 500. PRTA currently trades 90.9% from its 52-week high vs NRSN's 33.8% drawdown — a narrower gap to the peak suggests stronger recent price momentum.

MetricNRSN logoNRSNNeuroSense Therap…ANVS logoANVSAnnovis Bio, Inc.PRTA logoPRTAProthena Corporat…SAVA logoSAVACassava Sciences,…IONS logoIONSIonis Pharmaceuti…
Beta (5Y)Sensitivity to S&P 5001.26x2.08x0.96x1.99x0.51x
52-Week HighHighest price in past year$2.60$5.50$11.80$4.98$86.74
52-Week LowLowest price in past year$0.63$1.48$4.32$1.54$31.66
% of 52W HighCurrent price vs 52-week peak+33.8%+41.5%+90.9%+39.3%+87.3%
RSI (14)Momentum oscillator 0–10059.957.549.646.854.7
Avg Volume (50D)Average daily shares traded156K896K483K727K2.0M
Evenly matched — PRTA and IONS each lead in 1 of 2 comparable metrics.

Analyst Outlook

Insufficient data to determine a leader in this category.

Analyst consensus: PRTA as "Buy", SAVA as "Buy", IONS as "Buy". Consensus price targets imply 77.1% upside for PRTA (target: $19) vs 41.7% for IONS (target: $107).

MetricNRSN logoNRSNNeuroSense Therap…ANVS logoANVSAnnovis Bio, Inc.PRTA logoPRTAProthena Corporat…SAVA logoSAVACassava Sciences,…IONS logoIONSIonis Pharmaceuti…
Analyst RatingConsensus buy/hold/sellBuyBuyBuy
Price TargetConsensus 12-month target$19.00$107.27
# AnalystsCovering analysts281232
Dividend YieldAnnual dividend ÷ price
Dividend StreakConsecutive years of raises1
Dividend / ShareAnnual DPS
Buyback YieldShare repurchases ÷ mkt cap0.0%0.0%0.0%0.0%0.0%
Insufficient data to determine a leader in this category.
Key Takeaway

IONS leads in 3 of 6 categories (Income & Cash Flow, Valuation Metrics). ANVS leads in 1 (Profitability & Efficiency). 1 tied.

Best OverallIonis Pharmaceuticals, Inc. (IONS)Leads 3 of 6 categories
Loading custom metrics...

NRSN vs ANVS vs PRTA vs SAVA vs IONS: Key Questions Answered

9 questions · data-driven answers · updated daily

01

Is NRSN or ANVS or PRTA or SAVA or IONS a better buy right now?

For growth investors, Ionis Pharmaceuticals, Inc.

(IONS) is the stronger pick with 33. 9% revenue growth year-over-year, versus -92. 8% for Prothena Corporation plc (PRTA). Analysts rate Prothena Corporation plc (PRTA) a "Buy" — based on 28 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 — NRSN or ANVS or PRTA or SAVA or IONS?

Over the past 5 years, Ionis Pharmaceuticals, Inc.

(IONS) delivered a total return of +108. 9%, compared to -92. 0% for Annovis Bio, Inc. (ANVS). Over 10 years, the gap is even starker: IONS returned +120. 2% versus NRSN's -78. 2%. 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 — NRSN or ANVS or PRTA or SAVA or IONS?

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

(IONS) is the lower-risk stock at 0. 51β versus Annovis Bio, Inc. 's 2. 08β — meaning ANVS is approximately 311% more volatile than IONS relative to the S&P 500. On balance sheet safety, NeuroSense Therapeutics Ltd. (NRSN) carries a lower debt/equity ratio of 3% versus 5% for Ionis Pharmaceuticals, Inc. — giving it more financial flexibility in a downturn.

04

Which is growing faster — NRSN or ANVS or PRTA or SAVA or IONS?

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

(IONS) is pulling ahead at 33. 9% versus -92. 8% for Prothena Corporation plc (PRTA). On earnings-per-share growth, the picture is similar: Annovis Bio, Inc. grew EPS 99. 9% year-over-year, compared to -99. 6% for Prothena Corporation plc. Over a 3-year CAGR, IONS leads at 17. 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.

05

Which has better profit margins — NRSN or ANVS or PRTA or SAVA or IONS?

NeuroSense Therapeutics Ltd.

(NRSN) is the more profitable company, earning 0. 0% net margin versus -25. 2% for Prothena Corporation plc — meaning it keeps 0. 0% of every revenue dollar as bottom-line profit. Operating margin tells a similar story: NRSN leads at 0. 0% versus -1905. 8% for PRTA. At the gross margin level — before operating expenses — IONS leads at 98. 3%, 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 NRSN or ANVS or PRTA or SAVA or IONS more undervalued right now?

Analyst consensus price targets imply the most upside for PRTA: 77.

1% to $19. 00.

07

Which pays a better dividend — NRSN or ANVS or PRTA or SAVA or IONS?

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 NRSN or ANVS or PRTA or SAVA or IONS better for a retirement portfolio?

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

(IONS) is the stronger choice — it scores higher on the combination of lower volatility, dividend reliability, and long-term compounding (low volatility (β 0. 51), +120. 2% 10Y return). Annovis Bio, Inc. (ANVS) carries a higher beta of 2. 08 — meaning larger drawdowns in market downturns, which matters significantly when you cannot wait years for a recovery. Both have compounded well over 10 years (IONS: +120. 2%, ANVS: -76. 2%), 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 NRSN and ANVS and PRTA and SAVA and IONS?

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: NRSN is a small-cap quality compounder stock; ANVS is a small-cap quality compounder stock; PRTA is a small-cap quality compounder stock; SAVA is a small-cap quality compounder stock; IONS is a mid-cap high-growth 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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