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X4 Pharmaceuticals Inc (XFOR)

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Upturn Advisory Summary
01/09/2026: XFOR (1-star) is currently NOT-A-BUY. Pass it for now.
1 Year Target Price $8
1 Year Target Price $8
| 3 | Strong Buy |
| 2 | Buy |
| 0 | Hold |
| 0 | Sell |
| 0 | Strong Sell |
Analysis of Past Performance
Type Stock | Historic Profit -36.19% | Avg. Invested days 36 | Today’s Advisory PASS |
Upturn Star Rating ![]() | Upturn Advisory Performance | Stock Returns Performance |
Key Highlights
Company Size Small-Cap Stock | Market Capitalization 353.24M USD | Price to earnings Ratio - | 1Y Target Price 8 |
Price to earnings Ratio - | 1Y Target Price 8 | ||
Volume (30-day avg) 5 | Beta 0.41 | 52 Weeks Range 1.35 - 24.42 | Updated Date 01/9/2026 |
52 Weeks Range 1.35 - 24.42 | Updated Date 01/9/2026 | ||
Dividends yield (FY) - | Basic EPS (TTM) -8.92 |
Analyzing Revenue: Products, Geography and Growth
Revenue by Products
Earnings Date
Report Date - | When - | Estimate - | Actual - |
Profitability
Profit Margin -279.86% | Operating Margin (TTM) -1280.96% |
Management Effectiveness
Return on Assets (TTM) -33.54% | Return on Equity (TTM) -156.87% |
Valuation
Trailing PE - | Forward PE - | Enterprise Value 308407219 | Price to Sales(TTM) 10.4 |
Enterprise Value 308407219 | Price to Sales(TTM) 10.4 | ||
Enterprise Value to Revenue 9.08 | Enterprise Value to EBITDA 1.1 | Shares Outstanding 87436688 | Shares Floating 81289889 |
Shares Outstanding 87436688 | Shares Floating 81289889 | ||
Percent Insiders 1.15 | Percent Institutions 30.98 |
Upturn AI SWOT
X4 Pharmaceuticals Inc

Company Overview
History and Background
X4 Pharmaceuticals Inc. was founded in 2010 and is a clinical-stage biotechnology company focused on developing and commercializing novel therapeutics for rare diseases and cancers. The company's evolution has been marked by its focus on the CXCR4 pathway, a target implicated in various diseases.
Core Business Areas
- Oncology: Developing small molecule inhibitors targeting the CXCR4 pathway for the treatment of various cancers, including hematologic malignancies and solid tumors.
- Rare Diseases: Investigating CXCR4 pathway modulators for rare genetic disorders and immune-mediated conditions, aiming to restore immune cell trafficking and function.
Leadership and Structure
X4 Pharmaceuticals is led by a management team with experience in drug development and the biotechnology sector. The company operates with a research and development-focused structure, emphasizing its clinical trial progression and pipeline advancement.
Top Products and Market Share
Key Offerings
- Product Name 1: X4P-001 (balixafortide) - Description: A potent and selective CXCR4 antagonist. It has been investigated in clinical trials for various indications, including multiple myeloma and WHIM syndrome. Competitors include other CXCR4 antagonists and therapies targeting similar pathways in oncology and rare diseases. Market share data for specific pipeline drugs is typically not publicly available until commercialization, but its potential market is within the multi-billion dollar hematologic oncology and rare disease markets.
- Product Name 2: X4P-002 - Description: A novel small molecule inhibitor targeting the CXCR4 pathway. Currently in preclinical development or early-stage clinical trials. Competitors would be similar to X4P-001 depending on the specific indication being pursued.
Market Dynamics
Industry Overview
The biotechnology industry, particularly in oncology and rare diseases, is characterized by high R&D investment, long development cycles, and significant unmet medical needs. It is a highly competitive landscape driven by innovation, regulatory approvals, and patent protection. The market for targeted therapies, especially for rare diseases and specific cancer subtypes, is experiencing substantial growth.
Positioning
X4 Pharmaceuticals positions itself as a pioneer in developing CXCR4-targeted therapies, aiming to address critical unmet needs in oncology and rare diseases. Its competitive advantage lies in its deep understanding of the CXCR4 pathway and its pipeline of selective antagonists. The company aims to be a leader in this specific therapeutic area.
Total Addressable Market (TAM)
The TAM for X4 Pharmaceuticals' target indications (e.g., multiple myeloma, WHIM syndrome, other rare immunodeficiencies, and specific cancer types) is substantial, potentially in the tens of billions of dollars globally. X4 Pharmaceuticals is positioned to capture a significant portion of this TAM with its differentiated CXCR4-targeting approach, provided its lead candidates demonstrate efficacy and safety in late-stage clinical trials and achieve regulatory approval.
Upturn SWOT Analysis
Strengths
- Deep expertise in CXCR4 pathway biology and drug development.
- Pipeline of novel CXCR4 antagonists with potential for multiple indications.
- Orphan drug designation for certain indications, potentially offering market exclusivity.
- Experienced management team.
Weaknesses
- Clinical-stage company with no approved products, leading to significant financial risk.
- Reliance on successful outcomes of ongoing and future clinical trials.
- Limited financial resources compared to larger pharmaceutical companies.
- Potential for competition from other companies developing similar targeted therapies.
Opportunities
- Addressing significant unmet medical needs in oncology and rare diseases.
- Potential for strategic partnerships or acquisitions with larger pharmaceutical companies.
- Expansion into new indications for their CXCR4-targeting therapies.
- Advancements in gene therapy and personalized medicine could complement their approach.
Threats
- Clinical trial failures or setbacks.
- Regulatory hurdles and lengthy approval processes.
- Intensifying competition from existing and emerging therapies.
- Changes in healthcare policy and reimbursement landscapes.
- Patent expirations and generic competition for future approved drugs.
Competitors and Market Share
Key Competitors
- Bristol Myers Squibb (BMY)
- Novartis (NVS)
- Amgen (AMGN)
- Sanofi (SNY)
- Gilead Sciences (GILD)
- Karuna Therapeutics (KRTX)
Competitive Landscape
X4 Pharmaceuticals faces intense competition from established pharmaceutical giants and agile biotechs. Its advantage lies in its specialized focus on the CXCR4 pathway. However, it must overcome the financial and regulatory hurdles that larger competitors are better equipped to handle. Its ability to secure regulatory approvals and achieve commercial success for its differentiated therapies will be critical.
Growth Trajectory and Initiatives
Historical Growth: Historically, X4 Pharmaceuticals' growth has been characterized by advancements in its pipeline, from preclinical stages to clinical trials. This involves expanding its research efforts, securing intellectual property, and building its scientific and operational infrastructure.
Future Projections: Future projections are contingent upon the success of its ongoing clinical trials for X4P-001 and other pipeline candidates. Positive clinical data and regulatory approvals are expected to drive significant growth, leading to potential commercialization and revenue generation. Analyst estimates would focus on the potential peak sales of its lead drug candidates and the expansion of its therapeutic pipeline.
Recent Initiatives: Recent initiatives likely include progressing clinical trials for its lead drug candidates, potentially exploring new therapeutic indications, seeking strategic collaborations or partnerships, and managing its capital to ensure sufficient runway for ongoing development.
Summary
X4 Pharmaceuticals Inc. is a clinical-stage biotechnology company with a focused approach on targeting the CXCR4 pathway for rare diseases and cancers. Its strengths lie in its scientific expertise and pipeline potential. However, the company faces significant weaknesses due to its lack of approved products, reliance on clinical trial success, and limited financial resources. Opportunities exist in addressing unmet medical needs and strategic partnerships, but threats from competition, regulatory hurdles, and trial failures loom large. X4 Pharmaceuticals needs to demonstrate strong clinical efficacy and secure funding to navigate its path to commercialization.
Similar Stocks
Sources and Disclaimers
Data Sources:
- Company SEC Filings (10-K, 10-Q)
- Company Investor Relations Websites
- Financial News Outlets (e.g., Bloomberg, Reuters, Wall Street Journal)
- Biotechnology Industry Analysis Reports
- ClinicalTrials.gov
- Market Research Databases
Disclaimers:
This JSON output is generated based on publicly available information and AI analysis. It is for informational purposes only and does not constitute financial advice or a recommendation to buy, sell, or hold any securities. Investors should conduct their own due diligence and consult with a qualified financial advisor before making any investment decisions. Market share data for clinical-stage companies is an estimation based on therapeutic area and competitive landscape.
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 X4 Pharmaceuticals Inc
Exchange NASDAQ | Headquaters Boston, MA, United States | ||
IPO Launch date 2017-11-16 | CEO - | ||
Sector Healthcare | Industry Biotechnology | Full time employees 143 | Website https://www.x4pharma.com |
Full time employees 143 | Website https://www.x4pharma.com | ||
X4 Pharmaceuticals, Inc., a biopharmaceutical company, focuses on the research, development, and commercialization of novel therapeutics for the treatment of rare diseases of the immune system. It offers XOLREMDI, an orally bioavailable selective antagonist of chemokine receptor C-X-C chemokine receptor type 4 (CXCR4) for the treatment of patients with warts, hypogammaglobulinemia, infections, and myelokathexis syndrome. The company also develops mavorixafor that is in Phase 3 4WARD clinical trial to evaluate the efficacy, safety, and tolerability of oral, once-daily mavorixafor with or without stable doses of G-CSF in people with congenital, acquired primary autoimmune, or idiopathic CN who are experiencing recurrent and/or serious infections. It has a license agreement with Abbisko Therapeutics Co Ltd. to develop, manufacture, and commercialize mavorixafor in combination with checkpoint inhibitors or other agents in oncology indications; and with Norgine to develop, manufacture, and commercialize mavorixafor in Europe, Australia, and New Zealand. The company is headquartered in Boston, Massachusetts.

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