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Milestone Pharmaceuticals Inc's Competitiveness

A competitive positioning analysis and financial ratio benchmarking of Milestone Pharmaceuticals Inc (MIST) against its publicly traded competitors: sales growth, net income, profitability, valuation and market share, plus each peer's market capitalization, revenue, income and employees. Free below: the top 5 peers. Subscriber access adds the full competitor list and CSV downloads.

Peer Data As of Q2 2026
Competitors Tracked
128
Publicly traded peers
Peer Group Market Share
0.00 %
Share of combined sales, Q2 2026
Revenue Growth Y/Y
-
Peers: 10.48 %
Net Margin
-5,118.78 %
Peers: 17.57 %

Key Findings: Milestone Pharmaceuticals Inc vs Its Competitors

  • Profitability: Its -5,118.8% net margin compares with 17.6% for the peer group.
  • Scale: Milestone Pharmaceuticals Inc ranks #288 of 544 companies by market capitalization in the Major Pharmaceutical Preparations industry, holding 0.0% of industry market cap.
  • Peer revenue share: Milestone Pharmaceuticals Inc accounted for 0.0% of combined revenue among its tracked peer group.

Every figure above is sourced and cited in detail further down this page (Market Structure, Profitability & Cost Structure, Productivity vs Peers).

MIST Sales vs. its Competitors, Q2 2026

With a net margin of -5,118.78 %, Milestone Pharmaceuticals Inc reported lower profitability than its competitors (17.57 %).

Milestone Pharmaceuticals Inc generated 0.00 % of the combined sales of its peer group.

API endpoints for this dataset
https://api.csimarket.com/api/v1/companies/MIST/competitors
https://api.csimarket.com/api/v1/companies/MIST/relationships
https://api.csimarket.com/api/v1/companies/MIST/similar
Programmatic access for models, analytics, and integration workflows.

Milestone Pharmaceuticals Inc vs. its Competitors, Q2 2026

Net margin

Milestone Pharmaceuticals Inc -5,118.8 %
Competitors combined +17.6 %

TTM = trailing twelve months. Run-rate annualizes the latest quarter (×4) and compares it to TTM. In millions of $. High-Confidence Competitors are named as a competitor directly in an SEC filing; Similar-Size Competitors are the closest peers by market-cap rank within the same industry; Similar Growth & Profitability Competitors are the closest peers by combined revenue growth, operating margin and ROIC, all independent of the competitor list.

Competitor Financial Benchmarking - TTM Commercial

TTM revenue, latest-quarter run-rate and net income/margin benchmarked across Milestone Pharmaceuticals Inc and its 4 competitor groupings. Available under Commercial License.

Entity TTM Revenue Latest Q ×4 Rev Run-rate vs TTM TTM Net Income TTM Net Margin
Milestone Pharmaceuticals Inc $12,345M $12,345M +12.3% · Accelerating $1,234M 12.3%
Competitors combined $12,345M $12,345M +12.3% · Accelerating $1,234M 12.3%
Similar-Size Competitors (9) $12,345M $12,345M +12.3% · Accelerating $1,234M 12.3%
Competitor Financial Benchmarking

TTM revenue, run-rate and net margin benchmarking across Milestone Pharmaceuticals Inc's competitor groups requires a Commercial License.

Milestone Pharmaceuticals Inc's Competitor Quality Breadth

Share of each group, trailing 12 months: profitable (net margin > 0), expanding (revenue growth > 0), growing faster than the industry's own median, and financially distressed (Piotroski F-Score of 2 or below).

Entity Profitable Expanding Above Industry Growth Distressed
Milestone Pharmaceuticals Inc - - - No
Competitors combined (127) 18% 71% 56% 47%
Similar-Size Competitors (10) 0% 50% 50% 67%

Source: CSIMarket API, trailing 12 months. Altman Z-Score is not shown here: it is not populated in the underlying data for any company. Percentages are of companies in each group that report the relevant metric, not of the full group size.

Market Share of the Peer Group, Q2 2026

0%market share
  • Milestone Pharmaceuticals Inc0.0%
  • Competitors combined100.0%

Share of combined quarterly revenue of Milestone Pharmaceuticals Inc and its 128 tracked competitors.

See Milestone Pharmaceuticals Inc's full market share breakdown »

MIST Stock Performance relative to its Competitors

MIST Competitors (weighted) Percent change over the selected range

Milestone Pharmaceuticals Inc's Share Price Performance vs Peer Groups

Trailing 12-month total share price return, and the share of each group that outperformed the U.S.A. 500 over the same period. Similar Growth & Profitability Competitors are the closest peers by combined revenue growth, operating margin and ROIC.
44.7%beat U.S.A. 500
Competitors Combined
(51 of 114)
33.3%beat U.S.A. 500
Similar-Size
(3 of 9)
Entity TTM Share Price Return
(group: median)
vs U.S.A. 500
Milestone Pharmaceuticals Inc -59.30 % Underperformed
Competitors combined (114) 40.4% 63.2%
High-Confidence Competitors (0) 40.4% 63.2%
Similar-Size Competitors (9) 40.4% 63.2%
Similar Growth & Profitability (0) 40.4% 63.2%
Peer Group Share Price Returns

TTM share price return and U.S.A. 500 outperformance for Milestone Pharmaceuticals Inc's competitor groups requires a Commercial License.

Source: CSIMarket API (daily market-structure computation). Outperformance is trailing-12-month total return vs the U.S.A. 500 over the same window, not risk-adjusted.

MIST Stock Performance relative to Similar-Size Competitors

MIST Similar-Size Competitors (equal-weighted, 10) Percent change over the selected range

5 Best-Performing Tracked Competitors, Trailing 12 Months

#CompetitorTTM Share Price Returnvs U.S.A. 500
1 Cypherpunk Technologies Inc 282.9% Outperformed
2 Adlai Nortye Ltd 282.9% Outperformed
3 Erasca Inc 282.9% Outperformed
4 Sellas Life Sciences Group Inc 282.9% Outperformed
5 Climb Bio Inc 282.9% Outperformed
Best-Performing Competitor Returns

TTM share price return and U.S.A. 500 outperformance for Milestone Pharmaceuticals Inc's best-performing tracked competitors requires a Commercial License.

Source: CSIMarket API, trailing 12 months.

Milestone Pharmaceuticals Inc's Comment on Competition and Industry Peers

The competitive environment for etripamil includes pharmaceutical and biotechnology companies, academic institutions, and government agencies. Competition is based on the ability to complete clinical trials, secure regulatory approvals, and market drugs effectively. Key factors influencing competition are product differentiation in terms of efficacy, safety, tolerability, dosing convenience, price, coverage, and reimbursement. Many competitors possess greater financial, technical, and human resources, as well as more experience in drug discovery, development, regulatory approval, and commercialization. Competitors may develop cures or more effective treatments that could make current or future products non-competitive or obsolete. Currently, no approved drug or drug candidate in clinical development allows patients with PSVT to self-administer treatment to terminate PSVT episodes.

Publicly Traded Peers of Milestone Pharmaceuticals Inc

Revenue and income for trailing 12 months, in millions of $, except employees
Company Market Cap Revenues Income Employees
Milestone Pharmaceuticals Inc 107.78 - -84.01 38
Astrazeneca Plc 252,216.14 58,739.00 10,233.00 83,100
Vertex Pharmaceuticals Inc 133,421.11 12,587.20 4,405.20 405
Bristol myers Squibb Company 127,795.20 49,186.00 9,274.00 32,500
Regeneron Pharmaceuticals Inc 80,376.62 15,534.70 4,328.70 15,410
Madrigal Pharmaceuticals Inc 14,688.05 1,283.94 -325.10 915
SUBTOTAL 739,871.02 144,016.51 19,020.77 145,440
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Sources: Milestone Pharmaceuticals Inc's official press releases and regulatory filings; CSIMarket.com's market research; and the financial filings and press releases of the other companies cited.
Updated on:
Focus of this report: publicly traded companies. Ten additional tables on Milestone Pharmaceuticals Inc versus competitors, including market share analysis, are in the navigation menu under Competition. To download the tables, please subscribe.

Milestone Pharmaceuticals Inc's Business Segment Mix vs Peers

Revenue by operating segment or division, as named and reported by each company. Segment names are the filer's own and are not standardized across companies. Do not assume a same-named or similarly-named segment is defined identically between two companies. Shares are of each company's own total revenue and are not required to sum to 100% (intersegment revenue, unallocated items).
Company Largest Segment 2nd Segment 3rd Segment
Milestone Pharmaceuticals Inc Single Reportable Segment 100.00 % - -
Vertex Pharmaceuticals Inc Pharmaceuticals 100.00 % - -
Madrigal Pharmaceuticals Inc Reportable 100.00 % - -
Blueprint Medicines Corporation Single Reportable Segment 100.00 % - -
Rhythm Pharmaceuticals Inc Single Reportable 100.00 % - -
Acadia Pharmaceuticals Inc Reportable Segment Aggregation Before Other Operating Segment 100.00 % - -

Source: operating segment revenue as reported in each company's SEC filings (10-K/10-Q), via the CSIMarket API, leaf-level reportable segments only (parent roll-up segments are excluded where sub-segments are separately disclosed).

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Milestone Pharmaceuticals Inc's Productivity vs Peers Comparison

Revenue and income per employee, trailing 12 months, in $; market cap in millions of $
CompanyMarket CapRevenue / EmployeeIncome / Employee
Milestone Pharmaceuticals Inc 108 - -2,210,816
Astrazeneca Plc 252,216 706,847 123,141
Vertex Pharmaceuticals Inc 133,421 31,079,506 10,877,037
Bristol myers Squibb Company 127,795 1,513,415 285,354
Regeneron Pharmaceuticals Inc 80,377 1,008,092 280,902
Madrigal Pharmaceuticals Inc 14,688 1,403,213 -355,295
PEERS TOTAL 739,763 990,471 131,393
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Milestone Pharmaceuticals Inc's Geographic Revenue Exposure vs Peers

Revenue by country/region as reported in each company's most recent filing. Disclosure granularity varies by filer (some report by country, others by broad region) and is shown as disclosed.
Company Largest Market 2nd Market 3rd Market
Vertex Pharmaceuticals Inc United States 61.68 % Europe 29.33 % Other Countries Outside of the United States and Europe 8.99 %
Bristol myers Squibb Company United States 67.79 % Non-US 29.98 % Other Region 2.24 %
Xoma Royalty Corporation CH 54.36 % US 45.64 % -
Adc Therapeutics Sa United States 96.08 % EMEA 3.92 % -
Durect Corp Europe 72.48 % Other Foreign Countries 14.09 % US 13.42 %

Source: revenue geography as reported in each company's SEC filings (10-K/10-Q), via the CSIMarket API. Percentages are of that company's own total consolidated revenue for its most recent reported period.

Milestone Pharmaceuticals Inc's Position in Industry Market Structure

Market-capitalization share and concentration across all 498 companies in Milestone Pharmaceuticals Inc's industry classification, broader than the peer set above. Market cap in millions of $.

Milestone Pharmaceuticals Inc ranks #288 of 498 companies by market capitalization in its industry, holding 0.00 % of total industry market cap. The industry's Herfindahl-Hirschman Index (HHI) is 827, indicating a unconcentrated market structure (U.S. antitrust guidance: below 1,500 unconcentrated, 1,500 to 2,500 moderately concentrated, above 2,500 highly concentrated).

Rank Company Market Cap Industry Share
1 Eli Lilly And Company 1,060,478 19.39 %
2 Johnson and Johnson 652,141 11.92 %
3 Beone Medicines Ltd 560,341 10.24 %
4 Abbvie Inc 468,722 8.57 %
5 Merck and Co Inc 1,234 5.2%
6 Novartis Ag 1,234 5.2%
7 Abbott Laboratories 1,234 5.2%
8 Novo Nordisk A 1,234 5.2%
9 Pfizer Inc 1,234 5.2%
10 Vertex Pharmaceuticals Inc 1,234 5.2%
288 Milestone Pharmaceuticals Inc 103 0.00 %
Full Industry Market Structure

Market cap and industry share for the rest of Milestone Pharmaceuticals Inc's industry peers requires a Commercial License.

Source: CSIMarket API (daily market-structure computation) across CSIMarket's industry classification, market capitalization as of 2026-09-30.

Milestone Pharmaceuticals Inc's Same-Size Peers & Stock Performance

Peers chosen by closeness in market-cap rank within the same industry classification (not the named-competitor list above). Trailing 12-month total return, 3-month price momentum, beta and Sharpe ratio vs the broad U.S. market.
Rank Company Market Cap TTM Return 3M Momentum Beta Sharpe (1Y)
283 Aardvark Therapeutics Inc 117 -60.70 % -1.17 % - -0.07
284 Cumberland Pharmaceuticals Inc 116 145.25 % 23.21 % 0.75 1.41
285 Nrx Pharmaceuticals Inc 113 -8.00 % -28.12 % 1.25 0.30
286 Genelux Corporation 112 -41.18 % -15.82 % 1.53 -0.29
287 Tiziana Life Sciences Ltd 1,234 12.3% 4.5% 1.10 0.80
288 Milestone Pharmaceuticals Inc 103 -59.34 % -36.02 % 1.41 -0.92
289 Verrica Pharmaceuticals Inc 1,234 12.3% 4.5% 1.10 0.80
290 Connect Biopharma Holdings Limited 1,234 12.3% 4.5% 1.10 0.80
291 Rallybio Corporation 1,234 12.3% 4.5% 1.10 0.80
292 Polaryx Therapeutics Inc 1,234 12.3% 4.5% 1.10 0.80
293 Promis Neurosciences inc 1,234 12.3% 4.5% 1.10 0.80
Full Same-Size Peer Performance

Market cap, return, momentum, beta and Sharpe ratio for the rest of Milestone Pharmaceuticals Inc's same-size peers requires a Commercial License.

Source: CSIMarket API (daily market-structure computation); returns and risk metrics as of 2026-09-30. Beta and Sharpe ratio are versus the broad U.S. equity market, not this industry.

Milestone Pharmaceuticals Inc's Valuation vs Competitive Position

Valuation multiples vs the Major Pharmaceutical Preparations industry average (341 companies, excluding loss-making/negative-equity outliers), alongside returns on capital for context on whether a premium or discount lines up with measurably stronger or weaker returns. See the full Major Pharmaceutical Preparations industry valuation benchmarks.
Metric Company Industry Average Difference
P/E 137.8x 25.5x +112.3x
EV / EBITDA - 17.3x -
P/B 5.9x 4.5x +1.4x
Return on Equity -288.36 % industry aggregate -305.61 %
Return on Invested Capital -44.55 % -2.97 % (avg) -41.58 %

Source: CSIMarket API, trailing 12 months. A valuation premium or discount is not, by itself, a judgment of over- or under-valuation. Compare it against the return and growth context shown elsewhere on this page.

Milestone Pharmaceuticals Inc's Multi-Year Financial Trajectory

Fiscal-year revenue growth, operating margin, return on invested capital and P/E, as reported in SEC filings.
Metric 2019202020212022202320242025
Revenue Growth -------
Operating Margin -------
Return on Invested Capital --23.38 %-16.80 %-35.78 %-50.92 %-39.13 %-82.23 %
P/E -----32.0x-

Source: CSIMarket API, fiscal-year figures. P/E is this company's own historical ratio at each fiscal year end and can swing sharply around an earnings trough: that is real, not a data error.

Milestone Pharmaceuticals Inc's BCG Growth-Share Matrix

Relative market share (vs Milestone Pharmaceuticals Inc's largest competitor by market cap) against industry revenue growth, using the standard textbook thresholds (1.0x share, 10% growth) a common framework, not a precision instrument.

Question Mark Star Dog Cash Cow Relative Market Share (vs largest competitor) Industry Revenue Growth (%) Milestone Pharmaceuticals Inc

Milestone Pharmaceuticals Inc falls in the Dog quadrant: relative market share of 0.00x vs its largest competitor, in an industry growing revenue 8.1% (median, trailing 12 months).

Source: CSIMarket API (market-cap share and industry revenue growth). The 10% growth and 1.0x share lines are standard textbook thresholds, not derived from this industry's own distribution.

Milestone Pharmaceuticals Inc's Competitive Forces (Porter's Five Forces)

Only the forces this data can support honestly are shown; the other three are marked as such rather than guessed.
Force Assessment Basis
Competitive Rivalry High Industry HHI of 827 (see Industry Market Structure & Concentration above)
Supplier Power Not covered on this page See Milestone Pharmaceuticals Inc's dedicated suppliers page for concentration and dependency data
Buyer Power Not covered on this page See Milestone Pharmaceuticals Inc's dedicated customers page for concentration and dependency data
Threat of Substitutes - No systematic data source for cross-product substitution exists in this system; not estimated

Note: this is a partial, data-grounded application of the framework, not a complete strategic assessment. Rivalry and barriers-to-entry readings are mechanical translations of the HHI and capital-intensity figures shown elsewhere on this page, not independent judgments.

Milestone Pharmaceuticals Inc's Industry Attractiveness & Competitive Strength

A CSIMarket composite, not a standard field: each axis is an equal-weighted average of three factors already shown elsewhere on this page (industry growth, industry profitability and rivalry for attractiveness; relative market share, profitability and growth vs industry for strength). Disclosed as a designed methodology, not a precision measurement.

High Strength
Medium Strength
Low Strength
High Attractiveness
Invest / Grow
Invest / Grow
Selective
Medium Attractiveness
Invest / Grow
Selective
Harvest
Low Attractiveness
Selective
Harvest
Harvest / Divest Milestone Pharmaceuticals Inc

Milestone Pharmaceuticals Inc falls in the Low attractiveness / Low strength cell: Harvest / Divest.

Source: CSIMarket API, trailing 12 months. Each axis score is a simple 1(low)/2(medium)/3(high) average across its three inputs -- a transparent, disclosed simplification, not a validated academic scoring model.

Milestone Pharmaceuticals Inc's SWOT

Every point below is a fixed rule applied to a metric already shown elsewhere on this page (Market Structure, Profitability, Valuation, Run-Rate, Stock Performance, Quality Breadth) not an independent strategic assessment. A blank quadrant means no rule was met, not that none apply.

Strengths

No rule matched.

Weaknesses

  • Return on equity 305.6 points below the industry aggregate.
  • Underperforming the U.S.A. 500 over the trailing 12 months.
  • Low relative market share vs the industry leader (0.00x).

Opportunities

  • A meaningful share of tracked competitors (46.60 %) show financial-distress signals, a possible opening to gain share.

Threats

No rule matched.

Methodology: mechanical, rule-based SWOT. Each bullet reuses a figure already sourced and cited elsewhere on this page; nothing here is generated narrative or independent analyst judgment.

Milestone Pharmaceuticals Inc's Financial Strength vs Peers Comparison

Quick ratio, working capital, debt to equity and asset turnover, trailing 12 months
CompanyQuick RatioWorking CapitalDebt / EquityAsset Turnover
Milestone Pharmaceuticals Inc 5.35 8.45 1.98 -
Astrazeneca Plc 0.19 0.94 0.51 0.51
Vertex Pharmaceuticals Inc 1.34 2.85 - 0.48
Bristol myers Squibb Company 0.49 1.35 2.31 0.54
Regeneron Pharmaceuticals Inc 0.57 3.74 0.06 0.38
Madrigal Pharmaceuticals Inc 0.72 3.52 0.60 1.01
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Quick ratio = cash / current liabilities; working capital ratio = current assets / current liabilities; asset turnover = revenue / total assets. Peers in the Blank Checks industry are excluded.

Milestone Pharmaceuticals Inc's Revenue and Income Growth vs Peers

Quarterly revenue and net income growth, year over year and quarter over quarter
CompanyPeriodRevenue Y/YRevenue Q/QIncome Y/YIncome Q/Q
Milestone Pharmaceuticals Inc Q2 2026-+134.9 %--
Astrazeneca PlcQ4 2025+8.6 %+8.6 %+45.3 %+45.3 %
Vertex Pharmaceuticals IncQ2 2026+12.5 %+11.6 %+6.5 %+6.6 %
Bristol myers Squibb CompanyQ2 2026+5.7 %+12.9 %+152.6 %+23.8 %
Regeneron Pharmaceuticals Inc Q2 2026+16.7 %+19.0 %-6.8 %+78.3 %
Madrigal Pharmaceuticals Inc Q2 2026+71.2 %+17.0 %--
PEERS TOTAL+9.4 %+10.0 %+75.3 %+93.6 %
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Growth is shown only where both periods are positive. Peers in the Blank Checks industry are excluded.

Milestone Pharmaceuticals Inc's Peers' Costs of Sales and Capital Expenditures

Context for revenue growth: peer costs and capex, year over year and quarter over quarter
CompanyPeriodCosts Y/YCosts Q/QCapex Y/YCapex Q/Q
Milestone Pharmaceuticals Inc Q2 2026-+128.6 %+136.4 %-42.2 %
Astrazeneca PlcQ4 2025+11.2 %+11.2 %+46.0 %+46.0 %
Vertex Pharmaceuticals IncQ2 2026+20.0 %+24.5 %-23.0 %-15.9 %
Bristol myers Squibb CompanyQ2 2026+10.5 %+8.9 %-15.5 %-12.1 %
Regeneron Pharmaceuticals Inc Q2 2026+109.2 %+54.4 %+9.7 %+4.2 %
Madrigal Pharmaceuticals Inc Q2 2026---+10.5 %
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Milestone Pharmaceuticals Inc's Returns and Turnover vs Peers

ROA, ROI and ROE (trailing 12 months), receivables and inventory turnover
CompanyROAROIROEReceivables TurnoverInventory Turnover
Milestone Pharmaceuticals Inc -----
Astrazeneca Plc8.97%19.67%21.00%3.87-
Vertex Pharmaceuticals Inc16.88%19.97%23.31%6.191.03
Bristol myers Squibb Company10.27%13.58%46.65%4.605.37
Regeneron Pharmaceuticals Inc 10.60%11.83%13.81%2.620.49
Madrigal Pharmaceuticals Inc ---8.190.12
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ROA = net income / total assets; ROI = net income / investments; ROE = net income / equity; turnover ratios use trailing 12 month revenue (receivables) and cost of sales (inventory).

Milestone Pharmaceuticals Inc's Valuation vs Peers

P/E, price to sales, PEG, price to cash flow and price to book
CompanyP/EPrice / SalesPEGP/CFPrice / Book
Milestone Pharmaceuticals Inc 86.57--0.855.92
Astrazeneca Plc24.674.290.3440.905.18
Vertex Pharmaceuticals Inc30.4810.60-113.836.59
Bristol myers Squibb Company13.742.600.20-5.73
Regeneron Pharmaceuticals Inc 18.785.176.18178.462.53
Madrigal Pharmaceuticals Inc -11.44-144.4428.05
PEERS AVERAGE38.905.14119.945.11
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P/E = price / diluted EPS (trailing 12 months); PEG = P/E divided by EPS growth; the average row divides the peers' combined market cap by their combined income, sales, cash flow and equity.

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