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X4 Pharmaceuticals Inc (XFOR)


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Upturn Advisory Summary
10/15/2025: XFOR (1-star) has a low Upturn Star Rating. Not recommended to BUY.
1 Year Target Price $8.7
1 Year Target Price $8.7
3 | Strong Buy |
2 | Buy |
0 | Hold |
0 | Sell |
0 | Strong Sell |
Analysis of Past Performance
Type Stock | Historic Profit -43.84% | Avg. Invested days 30 | Today’s Advisory WEAK BUY |
Upturn Star Rating ![]() | Upturn Advisory Performance ![]() | Stock Returns Performance ![]() |
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Key Highlights
Company Size Small-Cap Stock | Market Capitalization 66.67M USD | Price to earnings Ratio - | 1Y Target Price 8.7 |
Price to earnings Ratio - | 1Y Target Price 8.7 | ||
Volume (30-day avg) 5 | Beta 0.54 | 52 Weeks Range 1.35 - 26.82 | Updated Date 10/17/2025 |
52 Weeks Range 1.35 - 26.82 | Updated Date 10/17/2025 | ||
Dividends yield (FY) - | Basic EPS (TTM) -15.14 |
Analyzing Revenue: Products, Geography and Growth
Revenue by Products
Earnings Date
Report Date - | When - | Estimate - | Actual - |
Profitability
Profit Margin - | Operating Margin (TTM) -1329.55% |
Management Effectiveness
Return on Assets (TTM) -41.92% | Return on Equity (TTM) -207.22% |
Valuation
Trailing PE - | Forward PE - | Enterprise Value 93195982 | Price to Sales(TTM) 2.03 |
Enterprise Value 93195982 | Price to Sales(TTM) 2.03 | ||
Enterprise Value to Revenue 2.84 | Enterprise Value to EBITDA 1.1 | Shares Outstanding 22449133 | Shares Floating 8264442 |
Shares Outstanding 22449133 | Shares Floating 8264442 | ||
Percent Insiders 8.07 | Percent Institutions 82.79 |
Upturn AI SWOT
X4 Pharmaceuticals Inc

Company Overview
History and Background
X4 Pharmaceuticals Inc. is a biopharmaceutical company founded in 2007. It focuses on developing novel therapies for the treatment of diseases resulting from immune system dysfunction, particularly those involving CXCR4.
Core Business Areas
- Oncology: Developing CXCR4 inhibitors for cancer treatment. Focuses on improving efficacy of cancer therapies, by mobilizing immune cells and disrupting tumor microenvironment.
- Rare Genetic Diseases: Developing therapies targeting CXCR4 for rare genetic diseases such as WHIM syndrome.
Leadership and Structure
The leadership team comprises experienced professionals in drug development and commercialization. The company has a typical biopharmaceutical organizational structure with departments dedicated to research, clinical development, and business operations. Key executives include the CEO, CMO, and CFO.
Top Products and Market Share
Key Offerings
- Mavorixafor (Xolremdi): Mavorixafor is X4's leading product, approved for WHIM syndrome in the US. It's a first-in-class, oral, small molecule CXCR4 antagonist. Estimated peak sales vary widely, with some analysts projecting several hundred million USD. Competitors for WHIM syndrome therapies are limited due to the rarity of the disease. However, symptom management strategies and off-label uses of other medications represent indirect competition.
Market Dynamics
Industry Overview
The biopharmaceutical industry is highly competitive and research-intensive. Success depends on successful clinical trials, regulatory approvals, and effective commercialization. Focus areas include oncology, immunology, and rare diseases.
Positioning
X4 Pharmaceuticals is positioned as an innovator in the CXCR4 pathway, particularly in rare genetic diseases. Its competitive advantage lies in its first-mover status for mavorixafor in WHIM syndrome.
Total Addressable Market (TAM)
The TAM for CXCR4-targeted therapies is substantial, spanning oncology and immunology. The WHIM syndrome market is smaller due to the disease's rarity, but mavorixafor holds significant promise. Oncology applications represent a significantly larger TAM. Specific figures are challenging to pinpoint due to the varied indications and evolving treatment landscape. Mavorixafor's position with respect to the larger oncology TAM is dependent on clinical trial success.
Upturn SWOT Analysis
Strengths
- First-in-class CXCR4 antagonist for WHIM syndrome
- Deep understanding of CXCR4 biology
- Experienced management team
- FDA approval for Mavorixafor
Weaknesses
- Reliance on a single product
- Limited commercialization experience
- Cash burn rate typical of early-stage biotechs
- Dependency on fundraising for future trials
Opportunities
- Expanding mavorixafor's indications to other diseases
- Partnering with larger pharmaceutical companies
- Developing next-generation CXCR4 inhibitors
- Positive results from ongoing clinical trials
Threats
- Clinical trial failures
- Regulatory hurdles
- Competition from other therapies
- Patent expirations
- Adverse Events during trials
Competitors and Market Share
Key Competitors
- SANOY
Competitive Landscape
X4 Pharmaceuticals has a competitive advantage in WHIM syndrome due to mavorixafor's approval. The broader competitive landscape includes companies developing therapies for related indications and those developing competing approaches to modulating the immune system.
Growth Trajectory and Initiatives
Historical Growth: Historical growth has been driven by preclinical and clinical development milestones. The company's value has fluctuated with trial results and regulatory decisions.
Future Projections: Future growth depends on expanding mavorixafor's indications and successfully commercializing the drug. Analyst estimates vary widely based on these factors. Peak sales estimates for mavorixafor range from $100 million to $500 million annually if other indications are approved.
Recent Initiatives: Recent initiatives include the commercial launch of mavorixafor for WHIM syndrome and ongoing clinical trials in other indications.
Summary
X4 Pharmaceuticals is an early-stage biopharmaceutical company with a novel therapy for WHIM syndrome. Mavorixafor's approval is a significant achievement, but the company faces challenges related to commercialization and the need to expand its product pipeline. The company should look out for cash burn and potential adverse events.
Peer Comparison
Sources and Disclaimers
Data Sources:
- Company website
- SEC filings
- Analyst reports
- Press releases
Disclaimers:
This analysis is for informational purposes only and should not be considered financial advice. Investment decisions should be made based on individual research and consultation with a financial professional. Market share data is an estimate.
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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