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Milestone Pharmaceuticals Inc (MIST)

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Upturn Advisory Summary
01/09/2026: MIST (1-star) is currently NOT-A-BUY. Pass it for now.
1 Year Target Price $6.6
1 Year Target Price $6.6
| 0 | Strong Buy |
| 2 | Buy |
| 2 | Hold |
| 0 | Sell |
| 0 | Strong Sell |
Analysis of Past Performance
Type Stock | Historic Profit -73.56% | Avg. Invested days 22 | Today’s Advisory PASS |
Upturn Star Rating ![]() | Upturn Advisory Performance | Stock Returns Performance |
Key Highlights
Company Size Small-Cap Stock | Market Capitalization 186.52M USD | Price to earnings Ratio - | 1Y Target Price 6.6 |
Price to earnings Ratio - | 1Y Target Price 6.6 | ||
Volume (30-day avg) 4 | Beta 0.44 | 52 Weeks Range 0.62 - 3.06 | Updated Date 01/9/2026 |
52 Weeks Range 0.62 - 3.06 | Updated Date 01/9/2026 | ||
Dividends yield (FY) - | Basic EPS (TTM) -0.79 |
Earnings Date
Report Date - | When - | Estimate - | Actual - |
Profitability
Profit Margin - | Operating Margin (TTM) - |
Management Effectiveness
Return on Assets (TTM) -41.97% | Return on Equity (TTM) -260.65% |
Valuation
Trailing PE - | Forward PE - | Enterprise Value 161143863 | Price to Sales(TTM) 77.32 |
Enterprise Value 161143863 | Price to Sales(TTM) 77.32 | ||
Enterprise Value to Revenue 81.44 | Enterprise Value to EBITDA -1.43 | Shares Outstanding 85169344 | Shares Floating 77372167 |
Shares Outstanding 85169344 | Shares Floating 77372167 | ||
Percent Insiders 3.36 | Percent Institutions 50.72 |
Upturn AI SWOT
Milestone Pharmaceuticals Inc

Company Overview
History and Background
Milestone Pharmaceuticals Inc. was founded with the goal of developing innovative treatments for cardiovascular conditions. The company has focused on advancing its pipeline of novel therapies through clinical development and regulatory processes. Significant milestones have included achieving key clinical trial endpoints and progressing its lead candidates toward potential commercialization.
Core Business Areas
- Cardiovascular Therapeutics: Milestone Pharmaceuticals is dedicated to the research, development, and commercialization of innovative therapies for the treatment of cardiovascular diseases. Their primary focus is on addressing unmet medical needs within this broad and critical therapeutic area.
Leadership and Structure
Milestone Pharmaceuticals Inc. is led by a team of experienced professionals in pharmaceutical development, clinical research, and business management. The company operates under a standard corporate structure with distinct departments for R&D, clinical operations, regulatory affairs, and commercialization.
Top Products and Market Share
Key Offerings
- Product Name 1: The primary focus of Milestone Pharmaceuticals is its lead investigational product, an oral small molecule designed to treat paroxysmal supraventricular tachycardia (PSVT). Market share data is not yet applicable as the product is in late-stage development. Key competitors in the broader cardiovascular space include companies developing antiarrhythmic drugs and acute treatment options for tachycardic events, such as Bristol Myers Squibb (Eliquis, Coumadin), Pfizer (Xeljanz - though more autoimmune focus, has cardiovascular indications), and Sanofi (Dupixent - for certain inflammatory conditions with cardiovascular links). Specific direct competitors for PSVT treatment are less numerous, but emerging therapies are being explored.
Market Dynamics
Industry Overview
The pharmaceutical industry, particularly the cardiovascular segment, is characterized by high R&D investment, stringent regulatory requirements, and a constant drive for innovation to address significant unmet medical needs. The market is competitive, with established players and emerging biotechs vying for market share. Advancements in understanding disease mechanisms and patient stratification are key drivers.
Positioning
Milestone Pharmaceuticals is positioned as an emerging biopharmaceutical company focused on a specific unmet need within the cardiovascular market. Its competitive advantage lies in its specialized pipeline and scientific approach to developing novel therapies.
Total Addressable Market (TAM)
The total addressable market for cardiovascular diseases is vast, encompassing numerous conditions and patient populations globally, valued in the hundreds of billions of dollars. Milestone Pharmaceuticals is currently targeting a specific niche within this TAM with its lead product for PSVT, which represents a significant but smaller segment of the overall cardiovascular market. Their positioning is focused on capturing a substantial share of this specific niche.
Upturn SWOT Analysis
Strengths
- Proprietary technology and novel drug candidates.
- Experienced management team with a track record in drug development.
- Focus on a specific, underserved therapeutic area (PSVT).
- Positive clinical trial data for lead candidate.
Weaknesses
- Limited product portfolio (early-stage company).
- Reliance on successful clinical development and regulatory approval.
- Significant capital requirements for ongoing R&D and commercialization.
- Lack of established commercial infrastructure.
Opportunities
- Growing demand for effective treatments for cardiovascular conditions.
- Potential for strategic partnerships or acquisitions by larger pharmaceutical companies.
- Expansion into other related cardiovascular indications.
- Advancements in precision medicine for patient selection.
Threats
- Failure to achieve clinical trial endpoints or regulatory approval.
- Intense competition from established pharmaceutical companies and emerging biotechs.
- Changes in healthcare policy and reimbursement landscapes.
- Intellectual property challenges and patent expirations.
Competitors and Market Share
Key Competitors
- Bristol Myers Squibb (BMY)
- Pfizer Inc. (PFE)
- Sanofi (SNY)
Competitive Landscape
Milestone Pharmaceuticals faces competition from large, established pharmaceutical companies with diversified portfolios and significant R&D budgets. Its advantage lies in its focused approach to specific unmet needs within the cardiovascular space, potentially offering novel mechanisms of action. However, it lacks the established commercial infrastructure and extensive market penetration of its larger rivals.
Growth Trajectory and Initiatives
Historical Growth: Milestone Pharmaceuticals has experienced growth in its R&D pipeline advancement and team expansion. Historical growth is measured by progress in clinical trials and the strengthening of its intellectual property portfolio.
Future Projections: Future growth projections are highly dependent on the successful clinical development, regulatory approval, and market launch of its lead product candidates. Analyst estimates, if available, would focus on potential peak sales for its lead indications.
Recent Initiatives: Recent initiatives would likely include the advancement of its lead drug candidate through late-stage clinical trials, potential strategic partnerships for development or commercialization, and ongoing efforts to secure financing to support its operations.
Summary
Milestone Pharmaceuticals Inc. is an early-stage biopharmaceutical company with a promising pipeline focused on cardiovascular diseases, particularly PSVT. Its strengths lie in its novel drug candidates and experienced team. However, it faces significant risks related to clinical development, regulatory approval, and substantial capital requirements. Success hinges on navigating these challenges and bringing its lead therapy to market, with potential for substantial growth if successful, but high risk of failure.
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Sources and Disclaimers
Data Sources:
- Company filings (SEC)
- Industry reports
- Financial news outlets
Disclaimers:
This information is for informational purposes only and does not constitute financial advice. Market share data is an estimation and may not reflect real-time accurate figures. Competitors listed are based on general market presence in the cardiovascular space; direct competitors for specific indications may vary. The AI-based rating is an automated assessment and should not be the sole basis for investment decisions.
AI Summarization is directionally correct and might not be accurate.
Summarized information shown could be a few years old and not current.
Fundamental Rating based on AI could be based on old data.
AI-generated summaries may have inaccuracies (hallucinations). Please verify the information before taking action.
About Milestone Pharmaceuticals Inc
Exchange NASDAQ | Headquaters Montreal, QC, Canada | ||
IPO Launch date 2019-05-09 | CEO, President & Director Mr. Joseph G. Oliveto M.B.A. | ||
Sector Healthcare | Industry Biotechnology | Full time employees 33 | Website https://www.milestonepharma.com |
Full time employees 33 | Website https://www.milestonepharma.com | ||
Milestone Pharmaceuticals Inc., a biopharmaceutical company, focuses on the development and commercialization of cardiovascular medicines in the United States and Canada. The company's lead product candidate is etripamil, a novel and potent calcium channel blocker, which has completed phase III clinical trial for the treatment of paroxysmal supraventricular tachycardia; and Phase II clinical trial for the treatment of atrial fibrillation and rapid ventricular rate. It has a license and collaboration agreement with Corxel Pharmaceuticals to develop and commercialize etripamil. Milestone Pharmaceuticals Inc.was incorporated in 2003 and is headquartered in Montreal, Canada.

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