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SPRO vs VNDA vs PRAX vs NAOV vs AGEN

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

Live fundamentals10-year financials5-year price chart
SPRO
Spero Therapeutics, Inc.

Biotechnology

HealthcareNASDAQ • US
Market Cap$141M
5Y Perf.-80.9%
VNDA
Vanda Pharmaceuticals Inc.

Biotechnology

HealthcareNASDAQ • US
Market Cap$378M
5Y Perf.-40.2%
PRAX
Praxis Precision Medicines, Inc.

Biotechnology

HealthcareNASDAQ • US
Market Cap$9.63B
5Y Perf.-36.5%
NAOV
NanoVibronix, Inc.

Medical - Devices

HealthcareNASDAQ • US
Market Cap$513K
5Y Perf.-99.7%
AGEN
Agenus Inc.

Biotechnology

HealthcareNASDAQ • US
Market Cap$132M
5Y Perf.-94.9%

SPRO vs VNDA vs PRAX vs NAOV vs AGEN — Key Financials

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

Company Snapshot
SPRO logoSPRO
VNDA logoVNDA
PRAX logoPRAX
NAOV logoNAOV
AGEN logoAGEN
IndustryBiotechnologyBiotechnologyBiotechnologyMedical - DevicesBiotechnology
Market Cap$141M$378M$9.63B$513K$132M
Revenue (TTM)$36M$218M$-92K$3M$114M
Net Income (TTM)$-44M$-240M$-327M$-4M$115K
Gross Margin-202.6%71.1%30.0%35.7%
Operating Margin-130.9%-73.6%-351.8%-17.7%
Forward P/E3.7x1.8x
Total Debt$4M$13M$110K$116K$10M
Cash & Equiv.$53M$85M$357M$752K$3M

SPRO vs VNDA vs PRAX vs NAOV vs AGENLong-Term Stock Performance

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

SPRO
VNDA
PRAX
NAOV
AGEN
StockOct 20May 26Return
Spero Therapeutics,… (SPRO)10019.1-80.9%
Vanda Pharmaceutica… (VNDA)10059.8-40.2%
Praxis Precision Me… (PRAX)10063.5-36.5%
NanoVibronix, Inc. (NAOV)1000.3-99.7%
Agenus Inc. (AGEN)1005.1-94.9%

Price return only. Dividends and distributions are not included.

Quick Verdict: SPRO vs VNDA vs PRAX vs NAOV vs AGEN

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

Bottom line: PRAX and AGEN are tied at the top with 2 categories each (5-stock set) — the right choice depends on your priorities. Agenus Inc. is the stronger pick specifically for valuation and capital efficiency and operational efficiency and capital deployment. SPRO and NAOV also each lead in at least one category. As sector peers, any of these can serve as alternatives in the same allocation.
SPRO
Spero Therapeutics, Inc.
The Income Pick

SPRO ranks third and is worth considering specifically for income & stability and defensive.

  • beta 0.90
  • Beta 0.90, current ratio 2.19x
  • Beta 0.90 vs AGEN's 2.72
Best for: income & stability and defensive
VNDA
Vanda Pharmaceuticals Inc.
The Defensive Pick

VNDA is the clearest fit if your priority is sleep-well-at-night.

  • Lower volatility, beta 1.04, Low D/E 3.9%, current ratio 2.39x
Best for: sleep-well-at-night
PRAX
Praxis Precision Medicines, Inc.
The Long-Run Compounder

PRAX has the current edge in this matchup, primarily because of its strength in long-term compounding.

  • -20.1% 10Y total return vs VNDA's -26.8%
  • 2.4% margin vs NAOV's -133.0%
  • +7.7% vs NAOV's -95.7%
Best for: long-term compounding
NAOV
NanoVibronix, Inc.
The Growth Play

NAOV is the clearest fit if your priority is growth exposure.

  • Rev growth 12.0%, EPS growth 35.2%, 3Y rev CAGR 14.7%
  • 12.0% revenue growth vs PRAX's -100.0%
Best for: growth exposure
AGEN
Agenus Inc.
The Value Play

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

  • Better valuation composite
  • 0.1% ROA vs SPRO's -80.9%
Best for: value and efficiency
See the full category breakdown
CategoryWinnerWhy
GrowthNAOV logoNAOV12.0% revenue growth vs PRAX's -100.0%
ValueAGEN logoAGENBetter valuation composite
Quality / MarginsPRAX logoPRAX2.4% margin vs NAOV's -133.0%
Stability / SafetySPRO logoSPROBeta 0.90 vs AGEN's 2.72
DividendsTieNone of these 5 stocks pay a meaningful dividend
Momentum (1Y)PRAX logoPRAX+7.7% vs NAOV's -95.7%
Efficiency (ROA)AGEN logoAGEN0.1% ROA vs SPRO's -80.9%

SPRO vs VNDA vs PRAX vs NAOV vs AGEN — Revenue Breakdown by Segment

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

SPROSpero Therapeutics, Inc.
FY 2024
Collaboration Revenue Related Party
56.3%$27M
Grant Revenue
42.9%$21M
Collaboration Revenue
0.8%$371,000
VNDAVanda Pharmaceuticals Inc.
FY 2025
Fanapt
62.2%$117M
Hetlioz
37.8%$71M
PRAXPraxis Precision Medicines, Inc.
FY 2024
License
76.8%$9M
Upfront Payment
23.2%$3M
NAOVNanoVibronix, Inc.

Segment breakdown not available.

AGENAgenus Inc.
FY 2025
Non Cash Royalty Revenue
99.1%$109M
Other
0.9%$1M

SPRO vs VNDA vs PRAX vs NAOV vs AGEN — Financial Metrics

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

BEST OVERALLPRAXLAGGINGAGEN

Who Leads Where

PRAX leads in 1 of 6 categories

SPRO leads 0 • VNDA leads 0 • NAOV leads 0 • AGEN leads 0 • 4 tied

Explore the data ↓
AGENAgenus Inc.
0leads
NAOVNanoVibronix, Inc.
0leads
VNDAVanda Pharmaceuticals…
0leads
SPROSpero Therapeutics, I…
0leads
PRAXPraxis Precision Medi…
1leads
6 Total Categories

Income & Cash Flow (Last 12 Months)

Evenly matched — VNDA and NAOV and AGEN each lead in 2 of 6 comparable metrics.

VNDA and PRAX operate at a comparable scale, with $218M and -$92,000 in trailing revenue. AGEN is the more profitable business, keeping 0.1% of every revenue dollar as net income compared to NAOV's -133.0%. On growth, NAOV holds the edge at +92.0% YoY revenue growth, suggesting stronger near-term business momentum.

MetricSPRO logoSPROSpero Therapeutic…VNDA logoVNDAVanda Pharmaceuti…PRAX logoPRAXPraxis Precision …NAOV logoNAOVNanoVibronix, Inc.AGEN logoAGENAgenus Inc.
RevenueTrailing 12 months$36M$218M-$92,000$3M$114M
EBITDAEarnings before interest/tax-$45M-$150M-$357M-$9M-$10M
Net IncomeAfter-tax profit-$44M-$240M-$327M-$4M$115,000
Free Cash FlowCash after capex-$28M-$127M-$283M-$7M-$159M
Gross MarginGross profit ÷ Revenue-2.0%+71.1%+30.0%+35.7%
Operating MarginEBIT ÷ Revenue-130.9%-73.6%-3.5%-17.7%
Net MarginNet income ÷ Revenue-122.6%-110.0%-133.0%+0.1%
FCF MarginFCF ÷ Revenue-77.4%-58.5%-2.7%-139.1%
Rev. Growth (YoY)Latest quarter vs prior year-77.4%+3.4%+92.0%+27.5%
EPS Growth (YoY)Latest quarter vs prior year+59.4%-64.0%+2.7%+129.2%+85.3%
Evenly matched — VNDA and NAOV and AGEN each lead in 2 of 6 comparable metrics.

Valuation Metrics

Evenly matched — NAOV and AGEN each lead in 2 of 4 comparable metrics.
MetricSPRO logoSPROSpero Therapeutic…VNDA logoVNDAVanda Pharmaceuti…PRAX logoPRAXPraxis Precision …NAOV logoNAOVNanoVibronix, Inc.AGEN logoAGENAgenus Inc.
Market CapShares × price$141M$378M$9.6B$512,711$132M
Enterprise ValueMkt cap + debt − cash$93M$305M$9.3B-$123,289$140M
Trailing P/EPrice ÷ TTM EPS-1.98x-1.71x-24.72x-0.14x-1102.94x
Forward P/EPrice ÷ next-FY EPS est.3.75x1.79x
PEG RatioP/E ÷ EPS growth rate
EV / EBITDAEnterprise value multiple
Price / SalesMarket cap ÷ Revenue2.95x1.75x0.20x1.16x
Price / BookPrice ÷ Book value/share2.94x1.15x8.54x0.82x
Price / FCFMarket cap ÷ FCF
Evenly matched — NAOV and AGEN each lead in 2 of 4 comparable metrics.

Profitability & Efficiency

Evenly matched — PRAX and AGEN each lead in 3 of 9 comparable metrics.

NAOV delivers a -8.4% return on equity — every $100 of shareholder capital generates $-8 in annual profit, vs $-165 for SPRO. PRAX carries lower financial leverage with a 0.00x debt-to-equity ratio, signaling a more conservative balance sheet compared to NAOV's 0.19x. On the Piotroski fundamental quality scale (0–9), AGEN scores 6/9 vs SPRO's 1/9, reflecting solid financial health.

MetricSPRO logoSPROSpero Therapeutic…VNDA logoVNDAVanda Pharmaceuti…PRAX logoPRAXPraxis Precision …NAOV logoNAOVNanoVibronix, Inc.AGEN logoAGENAgenus Inc.
ROE (TTM)Return on equity-165.5%-61.4%-43.0%-8.4%
ROA (TTM)Return on assets-80.9%-44.6%-40.2%-6.6%+0.1%
ROICReturn on invested capital-3.3%-32.2%-65.0%-7.7%
ROCEReturn on capital employed-71.0%-33.6%-49.3%-139.7%
Piotroski ScoreFundamental quality 0–912326
Debt / EquityFinancial leverage0.09x0.04x0.00x0.19x
Net DebtTotal debt minus cash-$49M-$72M-$357M-$636,000$7M
Cash & Equiv.Liquid assets$53M$85M$357M$752,000$3M
Total DebtShort + long-term debt$4M$13M$110,000$116,000$10M
Interest CoverageEBIT ÷ Interest expense-23.76x1.11x
Evenly matched — PRAX and AGEN each lead in 3 of 9 comparable metrics.

Total Returns (Dividends Reinvested)

PRAX leads this category, winning 6 of 6 comparable metrics.

A $10,000 investment in PRAX five years ago would be worth $7,918 today (with dividends reinvested), compared to $9 for NAOV. Over the past 12 months, PRAX leads with a +775.0% total return vs NAOV's -95.7%. The 3-year compound annual growth rate (CAGR) favors PRAX at 174.9% vs NAOV's -83.3% — a key indicator of consistent wealth creation.

MetricSPRO logoSPROSpero Therapeutic…VNDA logoVNDAVanda Pharmaceuti…PRAX logoPRAXPraxis Precision …NAOV logoNAOVNanoVibronix, Inc.AGEN logoAGENAgenus Inc.
YTD ReturnYear-to-date+6.8%-22.5%+16.4%-22.4%+16.1%
1-Year ReturnPast 12 months+334.3%+45.9%+775.0%-95.7%+27.1%
3-Year ReturnCumulative with dividends+32.1%-7.8%+1976.5%-99.5%-88.2%
5-Year ReturnCumulative with dividends-81.3%-64.2%-20.8%-99.9%-93.9%
10-Year ReturnCumulative with dividends-78.2%-26.8%-20.1%-100.0%-94.3%
CAGR (3Y)Annualised 3-year return+9.7%-2.7%+174.9%-83.3%-51.0%
PRAX leads this category, winning 6 of 6 comparable metrics.

Risk & Volatility

Evenly matched — SPRO and PRAX each lead in 1 of 2 comparable metrics.

SPRO is the less volatile stock with a 0.90 beta — it tends to amplify market swings less than AGEN's 2.72 beta. A beta below 1.0 means the stock typically moves less than the S&P 500. PRAX currently trades 93.6% from its 52-week high vs NAOV's 4.3% drawdown — a narrower gap to the peak suggests stronger recent price momentum.

MetricSPRO logoSPROSpero Therapeutic…VNDA logoVNDAVanda Pharmaceuti…PRAX logoPRAXPraxis Precision …NAOV logoNAOVNanoVibronix, Inc.AGEN logoAGENAgenus Inc.
Beta (5Y)Sensitivity to S&P 5000.90x1.04x1.55x1.49x2.72x
52-Week HighHighest price in past year$3.22$9.94$356.00$44.50$7.34
52-Week LowLowest price in past year$0.57$3.81$35.18$0.99$2.71
% of 52W HighCurrent price vs 52-week peak+78.0%+64.3%+93.6%+4.3%+51.1%
RSI (14)Momentum oscillator 0–10046.654.955.645.148.8
Avg Volume (50D)Average daily shares traded384K1.6M378K335K814K
Evenly matched — SPRO and PRAX each lead in 1 of 2 comparable metrics.

Analyst Outlook

Insufficient data to determine a leader in this category.

Analyst consensus: SPRO as "Buy", VNDA as "Buy", PRAX as "Buy", AGEN as "Buy". Consensus price targets imply 121.8% upside for VNDA (target: $14) vs 63.3% for PRAX (target: $544).

MetricSPRO logoSPROSpero Therapeutic…VNDA logoVNDAVanda Pharmaceuti…PRAX logoPRAXPraxis Precision …NAOV logoNAOVNanoVibronix, Inc.AGEN logoAGENAgenus Inc.
Analyst RatingConsensus buy/hold/sellBuyBuyBuyBuy
Price TargetConsensus 12-month target$14.17$544.40$7.33
# AnalystsCovering analysts13191611
Dividend YieldAnnual dividend ÷ price
Dividend StreakConsecutive years of raises1
Dividend / ShareAnnual DPS
Buyback YieldShare repurchases ÷ mkt cap0.0%0.0%0.0%0.0%+0.1%
Insufficient data to determine a leader in this category.
Key Takeaway

PRAX leads in 1 of 6 categories — strongest in Total Returns. 4 categories are tied.

Best OverallPraxis Precision Medicines,… (PRAX)Leads 1 of 6 categories
Loading custom metrics...

SPRO vs VNDA vs PRAX vs NAOV vs AGEN: Key Questions Answered

9 questions · data-driven answers · updated daily

01

Is SPRO or VNDA or PRAX or NAOV or AGEN a better buy right now?

For growth investors, NanoVibronix, Inc.

(NAOV) is the stronger pick with 12. 0% revenue growth year-over-year, versus -100. 0% for Praxis Precision Medicines, Inc. (PRAX). Analysts rate Spero Therapeutics, Inc. (SPRO) a "Buy" — based on 13 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 — SPRO or VNDA or PRAX or NAOV or AGEN?

Over the past 5 years, Praxis Precision Medicines, Inc.

(PRAX) delivered a total return of -20. 8%, compared to -99. 9% for NanoVibronix, Inc. (NAOV). Over 10 years, the gap is even starker: PRAX returned -20. 1% versus NAOV's -100. 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 — SPRO or VNDA or PRAX or NAOV or AGEN?

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

(SPRO) is the lower-risk stock at 0. 90β versus Agenus Inc. 's 2. 72β — meaning AGEN is approximately 201% more volatile than SPRO relative to the S&P 500. On balance sheet safety, Praxis Precision Medicines, Inc. (PRAX) carries a lower debt/equity ratio of 0% versus 19% for NanoVibronix, Inc. — giving it more financial flexibility in a downturn.

04

Which is growing faster — SPRO or VNDA or PRAX or NAOV or AGEN?

By revenue growth (latest reported year), NanoVibronix, Inc.

(NAOV) is pulling ahead at 12. 0% versus -100. 0% for Praxis Precision Medicines, Inc. (PRAX). On earnings-per-share growth, the picture is similar: Agenus Inc. grew EPS 100. 0% year-over-year, compared to -1068. 8% for Vanda Pharmaceuticals Inc.. Over a 3-year CAGR, SPRO leads at 150. 0% 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 — SPRO or VNDA or PRAX or NAOV or AGEN?

Agenus Inc.

(AGEN) is the more profitable company, earning 0. 1% net margin versus -144. 8% for NanoVibronix, Inc. — meaning it keeps 0. 1% of every revenue dollar as bottom-line profit. Operating margin tells a similar story: PRAX leads at 0. 0% versus -152. 9% for SPRO. At the gross margin level — before operating expenses — VNDA leads at 94. 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.

06

Is SPRO or VNDA or PRAX or NAOV or AGEN more undervalued right now?

On forward earnings alone, Agenus Inc.

(AGEN) trades at 1. 8x forward P/E versus 3. 7x for Spero Therapeutics, Inc. — 2. 0x cheaper on a one-year earnings basis. Analyst consensus price targets imply the most upside for VNDA: 121. 8% to $14. 17.

07

Which pays a better dividend — SPRO or VNDA or PRAX or NAOV or AGEN?

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 SPRO or VNDA or PRAX or NAOV or AGEN better for a retirement portfolio?

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

(SPRO) is the stronger choice — it scores higher on the combination of lower volatility, dividend reliability, and long-term compounding (low volatility (β 0. 90)). Agenus Inc. (AGEN) carries a higher beta of 2. 72 — meaning larger drawdowns in market downturns, which matters significantly when you cannot wait years for a recovery. Both have compounded well over 10 years (SPRO: -78. 2%, AGEN: -94. 3%), 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 SPRO and VNDA and PRAX and NAOV and AGEN?

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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  • Sector: Healthcare
  • Market Cap > $100B
  • Gross Margin > 42%
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PRAX

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  • Market Cap > $100B
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NAOV

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  • Sector: Healthcare
  • Market Cap > $100B
  • Revenue Growth > 46%
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AGEN

High-Growth Disruptor

  • Sector: Healthcare
  • Market Cap > $100B
  • Revenue Growth > 13%
  • Gross Margin > 21%
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Beat Both

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Revenue Growth>
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(SPRO: -77.4% · VNDA: 3.4%)

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