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Tenax Therapeutics Inc's Competitiveness

A competitive positioning analysis and financial ratio benchmarking of Tenax Therapeutics Inc (TENX) 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
28
Publicly traded peers
Peer Group Market Share
-
Share of combined sales, Q2 2026
Revenue Growth Y/Y
-
Peers: 5.06 %
Net Margin
-
Peers: 6.79 %

Key Findings: Tenax Therapeutics Inc vs Its Competitors

  • Scale: Tenax Therapeutics Inc ranks #296 of 544 companies by market capitalization in the Major Pharmaceutical Preparations industry, holding 0.0% of industry market cap.

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

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

Tenax Therapeutics 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
Tenax Therapeutics Inc - - - Yes
Competitors combined (27) 42% 63% 47% 40%
High-Confidence Competitors (4) 67% 100% 67% 50%
Similar-Size Competitors (10) 0% 0% 0% 78%

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.

TENX Stock Performance relative to its Competitors

TENX Competitors (weighted) Percent change over the selected range

Tenax Therapeutics 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.
61.5%beat U.S.A. 500
Competitors Combined
(16 of 26)
75%beat U.S.A. 500
High-Confidence
(3 of 4)
44.4%beat U.S.A. 500
Similar-Size
(4 of 9)
Entity TTM Share Price Return
(group: median)
vs U.S.A. 500
Tenax Therapeutics Inc -75.20 % Underperformed
Competitors combined (26) 40.4% 63.2%
High-Confidence Competitors (4) 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 Tenax Therapeutics 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.

TENX Stock Performance relative to High-Confidence Competitors

TENX High-Confidence Competitors (equal-weighted, 4) Percent change over the selected range

TENX Stock Performance relative to Similar-Size Competitors

TENX 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 Gossamer Bio Inc 282.9% Outperformed
2 Teva Pharmaceutical Industries Limited 282.9% Outperformed
3 Therapeuticsmd Inc 282.9% Outperformed
4 Puma Biotechnology Inc 282.9% Outperformed
5 Viatris Inc 282.9% Outperformed
Best-Performing Competitor Returns

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

Source: CSIMarket API, trailing 12 months.

Tenax Therapeutics Inc's Comment on Competition and Industry Peers

The company holds a patent for the use of TNX-101/102/103 (levosimendan) to treat pulmonary hypertension with heart failure with preserved ejection fraction (PH-HFpEF), a condition for which no approved therapies currently exist. Success in this area depends on changing established treatment paradigms. Competitive factors include efficacy, safety, cost-effectiveness, hospital formulary approval, marketing exclusivity, and distribution. While levosimendan's mechanism is novel, competition may arise from low-cost generic products with similar therapeutic effects. Named competitors include AstraZeneca, Tectonic, and Merck. The pharmaceutical industry is highly competitive with rapid technological advancements, and developments by competitors, regulatory approvals, or superior marketing efforts could impact the commercial potential and financial results of the company's cardiovascular and pulmonary product candidates. Numerous pharmaceutical, biotechnology companies, and academic groups worldwide are engaged in related research and development.

Publicly Traded Peers of Tenax Therapeutics Inc

Revenue and income for trailing 12 months, in millions of $, except employees
Company Market Cap Revenues Income Employees
Tenax Therapeutics Inc 96.14 - -64.86 16
Novartis Ag 278,724.35 56,674.00 13,967.00 75,267
Amgen Inc 229,301.44 38,095.00 8,743.00 13,000
Pfizer Inc 162,592.47 63,696.00 4,370.00 75,000
Vertex Pharmaceuticals Inc 133,421.11 12,587.20 4,405.20 405
Teva Pharmaceutical Industries Limited 46,134.00 14,105.00 709.00 33,950
SUBTOTAL 908,282.53 204,553.40 32,153.99 231,535
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Sources: Tenax Therapeutics 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 Tenax Therapeutics Inc versus competitors, including market share analysis, are in the navigation menu under Competition. To download the tables, please subscribe.

Tenax Therapeutics Inc's Competitors Named by the Company

Competitive relationships identified from SEC filings and corroborating sources, each with a basis and confidence.
Competitor Basis Confidence Active Sources
Gossamer Bio Inc Named by the company 85% 2022 to 2026 3
Merck Named by the company 85% 2022 to 2026 3
Tectonic Named by the company 85% 2022 to 2026 3
Astra Zeneca Named by the company 85% 2022 to 2026 3
Medicines Co Named by the company 85% 2022 to 2026 3
Pfizer Inc Named by the company 85% 2022 to 2026 3
Novartis Ag Named by the company 85% 2022 to 2026 3
United Therapeutics Corporation Named by the company 85% 2022 to 2026 3
Competitor Evidence Detail

Filing basis, confidence, active dates and source counts for Tenax Therapeutics Inc's named competitors require a Commercial License.

Methodology: relationships are extracted from SEC filings (named-competitor disclosures) and corroborating sources. Named by the company = explicitly disclosed as a competitor; Inferred = derived from corroborating signals. Confidence reflects evidence strength.

Tenax Therapeutics 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
Amgen Inc Reportable 100.00 % - -
Pfizer Inc U.S. Commercial Division 52.92 % International Commercial Division 36.88 % Global Hospital and Biosimilars Division 7.72 %
Vertex Pharmaceuticals Inc Pharmaceuticals 100.00 % - -
Teva Pharmaceutical Industries Limited United States Segment 41.09 % Europe Segment 30.49 % Other activities 15.14 %
Viatris Inc Developed Markets 57.61 % Greater China 19.34 % Emerging Markets 15.28 %

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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Tenax Therapeutics Inc's Productivity vs Peers Comparison

Revenue and income per employee, trailing 12 months, in $; market cap in millions of $
CompanyMarket CapRevenue / EmployeeIncome / Employee
Tenax Therapeutics Inc 96 - -4,053,938
Novartis Ag 278,724 752,973 185,566
Amgen Inc 229,301 2,930,385 672,538
Pfizer Inc 162,592 849,280 58,267
Vertex Pharmaceuticals Inc 133,421 31,079,506 10,877,037
Teva Pharmaceutical Industries Limited 46,134 415,464 20,884
PEERS TOTAL 908,186 883,528 139,163
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Tenax Therapeutics 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
Pfizer Inc United States 58.91 % International Developed Markets 24.90 % International Emerging Markets 16.19 %
Vertex Pharmaceuticals Inc United States 61.68 % Europe 29.33 % Other Countries Outside of the United States and Europe 8.99 %
Teva Pharmaceutical Industries Limited Europe 30.49 % - -
United Therapeutics Corporation UNITED STATES 95.23 % Non-US 4.77 % -
Pulmonx Corporation United States 62.30 % EMEA 33.96 % Asia Pacific 3.19 %

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.

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Tenax Therapeutics Inc's Position in Industry Market Structure

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

Tenax Therapeutics Inc ranks #296 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 817, 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 1,034,082 19.14 %
2 Johnson and Johnson 645,992 11.96 %
3 Beone Medicines Ltd 550,872 10.19 %
4 Abbvie Inc 463,276 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%
296 Tenax Therapeutics Inc 96 0.00 %
Full Industry Market Structure

Market cap and industry share for the rest of Tenax Therapeutics 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.

Tenax Therapeutics 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)
291 Polaryx Therapeutics Inc 100 - -20.11 % - -1.13
292 Rallybio Corporation 100 279.82 % 8.01 % 1.13 1.87
293 Inovio Pharmaceuticals Inc 100 -53.48 % -6.20 % 1.07 -0.34
294 Promis Neurosciences inc 99 -3.27 % -21.48 % 0.49 0.40
295 Biomea Fusion Inc 1,234 12.3% 4.5% 1.10 0.80
296 Tenax Therapeutics Inc 96 -75.15 % -89.59 % 0.46 0.28
297 Pmv Pharmaceuticals Inc 1,234 12.3% 4.5% 1.10 0.80
298 Talphera Inc 1,234 12.3% 4.5% 1.10 0.80
299 Acrivon Therapeutics Inc 1,234 12.3% 4.5% 1.10 0.80
300 Longeveron Inc 1,234 12.3% 4.5% 1.10 0.80
301 Neonc Technologies Holdings 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 Tenax Therapeutics 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.

Tenax Therapeutics Inc's Valuation vs Competitive Position

Valuation multiples vs the Major Pharmaceutical Preparations industry average (345 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 - 24.9x -
EV / EBITDA - 17.1x -
P/B 6.4x 4.5x +1.9x
Return on Equity -61.55 % industry aggregate -78.80 %
Return on Invested Capital -32.55 % -2.85 % (avg) -29.70 %

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.

Tenax Therapeutics 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 20182019202020212022202320242025
Revenue Growth --------
Operating Margin --------
Return on Invested Capital 44.55 %58.08 %105.37 %399.55 %154.18 %35.12 %18.52 %-27.78 %
P/E 23.2x-------

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.

Tenax Therapeutics Inc's BCG Growth-Share Matrix

Relative market share (vs Tenax Therapeutics 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 (%) Tenax Therapeutics Inc

Tenax Therapeutics 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.

Tenax Therapeutics 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 817 (see Industry Market Structure & Concentration above)
Supplier Power Not covered on this page See Tenax Therapeutics Inc's dedicated suppliers page for concentration and dependency data
Buyer Power Not covered on this page See Tenax Therapeutics 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.

Tenax Therapeutics 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 Tenax Therapeutics Inc

Tenax Therapeutics 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.

Tenax Therapeutics 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 78.8 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).
  • Piotroski F-Score of 2 or below, the standard financial-distress signal.

Opportunities

  • A meaningful share of tracked competitors (40.00 %) 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.

Tenax Therapeutics 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
Tenax Therapeutics Inc 3.89 14.91 - -
Novartis Ag 0.42 1.12 0.02 0.51
Amgen Inc 0.46 1.26 5.86 0.41
Pfizer Inc 0.04 1.24 0.71 0.31
Vertex Pharmaceuticals Inc 1.34 2.85 - 0.48
Teva Pharmaceutical Industries Limited 0.24 1.00 2.15 0.35
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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.

Tenax Therapeutics 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
Tenax Therapeutics Inc Q2 2026----
Novartis AgQ4 2025+9.6 %+9.6 %+17.0 %+17.0 %
Amgen Inc Q2 2026+9.5 %+16.7 %+65.9 %+30.6 %
Pfizer IncQ2 2026+2.6 %+4.0 %--
Vertex Pharmaceuticals IncQ2 2026+12.5 %+11.6 %+6.5 %+6.6 %
Teva Pharmaceutical Industries LimitedQ2 2026-0.8 %+4.0 %--
PEERS TOTAL+7.7 %+9.0 %-6.9 %-9.6 %
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Growth is shown only where both periods are positive. Peers in the Blank Checks industry are excluded.

Tenax Therapeutics 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
Tenax Therapeutics Inc Q2 2026----
Novartis AgQ4 2025+18.3 %+18.3 %+13.3 %+13.3 %
Amgen Inc Q2 2026-6.6 %+2.4 %+39.0 %-27.9 %
Pfizer IncQ2 2026+8.3 %+15.3 %-13.8 %+22.2 %
Vertex Pharmaceuticals IncQ2 2026+20.0 %+24.5 %-23.0 %-15.9 %
Teva Pharmaceutical Industries LimitedQ2 2026-4.1 %-1.1 %--37.5 %
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Tenax Therapeutics Inc's Returns and Turnover vs Peers

ROA, ROI and ROE (trailing 12 months), receivables and inventory turnover
CompanyROAROIROEReceivables TurnoverInventory Turnover
Tenax Therapeutics Inc -----
Novartis Ag12.59%12.62%30.00%6.34-
Amgen Inc 9.48%13.08%89.32%4.071.86
Pfizer Inc2.12%2.53%4.91%4.981.60
Vertex Pharmaceuticals Inc16.88%19.97%23.31%6.191.03
Teva Pharmaceutical Industries Limited1.77%2.66%9.11%3.923.66
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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).

Tenax Therapeutics Inc's Valuation vs Peers

P/E, price to sales, PEG, price to cash flow and price to book
CompanyP/EPrice / SalesPEGP/CFPrice / Book
Tenax Therapeutics Inc ---7.680.85
Novartis Ag19.934.9226.7524.325.99
Amgen Inc 26.186.020.5638.4719.62
Pfizer Inc37.412.55--1.90
Vertex Pharmaceuticals Inc30.4810.60-113.836.59
Teva Pharmaceutical Industries Limited65.073.27--5.95
PEERS AVERAGE28.254.4449.494.66
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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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