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ZVRAZevra Therapeutics, Inc.Buy Wait7.0·$12.20+1.16%
Buy WaitHigh Confidence
Investment thesis

Zevra Therapeutics combines a deep-value margin of safety and elite quality metrics with a consistent earnings-beat streak, though bearish insider selling and elevated short interest temper the setup.

Thesis pillars

  • Deep Value Margin Of Safety
  • Elite Quality Compounder MetricsStable
  • Earnings Beat Streak MomentumStable
  • +1 more pillar — see the Why tab for full reasoning

Full reasoning →

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Zevra Therapeutics, Inc. (ZVRA) Stock Analysis

Breakout setup · Inst Constrain edge

Buy WaitValueGrowthQualityHigh Confidence

Healthcare · Biotechnology

Wait for pullback to $11.10. BUY gates pass at $12.20, but concentration risk — Product: MIPLYFFA (82.0%) argues for a more patient entry. Engine's entry $11.10 (Buy At Market Sticky) is the shallowest technical level that clears the 2:1 A.R:R minimum.

Zevra Therapeutics is a commercial-stage rare disease company whose lead product, MIPLYFFA (arimoclomol), was FDA-approved in September 2024 for Niemann-Pick disease type C and generated approximately 82% of the company's 2025 revenue. Zevra also markets OLPRUVA for urea cycle... Read more

$12.20+76.8% A.UpsideScore 7.0/10#5 of 259 Biotechnology
QualityF-score8 / 9FCF yield6.76%
Entry $11.10(Buy At Market Sticky)Stop $10.28Target $21.75(analyst − 13%)A.R:R 6.3:1
Analyst target$25.00+104.9%9 analysts
$21.75our TP
$12.20price
$25.00mean
$35

Wait for pullback to $11.10. BUY gates pass at $12.20, but concentration risk — Product: MIPLYFFA (82.0%) argues for a more patient entry. Engine's entry $11.10 (Buy At Market Sticky) is the shallowest technical level that clears the 2:1 A.R:R minimum. Chart setup: Golden cross, above all MAs, RSI 67, MACD bullish. Strong overall profile with balanced scores. (held at prior verdict — engine reading is near the momentum/RSI threshold; will commit on clearer signal). Score 7.0/10, high confidence.

Passes 9/9 gates (positive momentum, favorable risk/reward ratio, clean insider activity, no SEC red flags, news events none recent, earnings proximity 63d clear, semi cycle peak clear, materials cycle peak clear, sector concentration cap sector=healthcare 6/10 self excluded). Suitability: speculative.

10-K grounded · weekly refresh

About Zevra Therapeutics, Inc.

About Zevra Therapeutics, Inc.

Zevra Therapeutics derived approximately 82% of its 2025 revenue from MIPLYFFA (arimoclomol), the first FDA-approved treatment for Niemann-Pick disease type C, which reached the U.S. market in November 2024 following a September 2024 FDA approval and had 161 patient enrollments as of December 31, 2025. The company also markets OLPRUVA for urea cycle disorders, though 2025 OLPRUVA revenue was just $0.8 million, and separately earns royalties on AZSTARYS, an ADHD treatment marketed by partner Commave through its affiliate Corium.

Zevra generates revenue primarily from U.S. commercial sales of MIPLYFFA, dispensed through a specialty pharmacy that manages benefits investigations for patients, supplemented by a Global Expanded Access Program that supplies arimoclomol in France, Germany, and other EU markets ahead of a Marketing Authorisation Application now under EMA review. AZSTARYS, an earlier product developed using Zevra's proprietary Ligand Activated Technology platform, is licensed to Commave, whose affiliate Corium handles U.S. commercialization; Zevra collects tiered royalties on net sales plus milestone payments that could reach $590.0 million in the aggregate under the amended license terms, and it received a $148.3 million cash infusion in April 2025 from selling a rare pediatric disease priority review voucher tied to MIPLYFFA's approval. Beyond its commercial products, Zevra is running a Phase 3 trial (DiSCOVER) of celiprolol for Vascular Ehlers-Danlos syndrome, with 52 of a planned 150 patients enrolled as of December 31, 2025, and holds two additional Phase 3-ready candidates built on its serdexmethylphenidate prodrug for idiopathic hypersomnia and narcolepsy.

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Zevra's own risk factors go beyond simply naming MIPLYFFA as the revenue leader: they state the company is highly dependent on this one product for substantially all of its revenue, and that because NPC's patient population is so small, even modest shifts in prescribing patterns, patient identification rates, or reimbursement decisions could have a disproportionate effect on results. That concentration is compounded by Zevra's decision to scale back sales and marketing for OLPRUVA while it evaluates strategic alternatives, meaning the company's near-term revenue diversification away from MIPLYFFA is moving in reverse rather than forward even as celiprolol and the KP1077 franchise remain years from potential approval.

See also: Healthcare · Biotechnology

From Zevra Therapeutics, Inc.'s most recent 10-K filing, extracted July 6, 2026.

TrendMatrix Research · upcoming catalyst calendar

Upcoming dated catalysts

Wed, Nov 4, 202663d to earnings· next earnings call

Thesis

Rewards
V7 flight-to-quality bonus: +0.5 (Q=8.7 in RISK_OFF)
Sector modifier (Healthcare): +0.5
Strong earnings beat streak (4/4)
Risks
Concentration risk — Product: MIPLYFFA (82.0%)

Key Metrics

P/E (TTM)12.6
P/E (Fwd)11.5
Mkt Cap$716M
EV/EBITDA12.2
Profit Mgn42.8%
ROE34.8%
Rev Growth53.3%
Beta0.92
DividendNone
Rating analysts15

Quality Signals

Piotroski F8/9MoatWideCompounder

Options Flow

P/C2.33bearish
IV103%elevated

Concentration Risks(10-K Item 1A)

  • HIGHProductMIPLYFFA82%
    10-K Item 1A: 'For the year ended December 31, 2025 we derived approximately 82% of our revenues from commercial sales of MIPLYFFA'

Model-generated analysis — not investment advice. Not a registered investment advisor. Past performance does not guarantee future results.

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Methodology · Editorial policy & full disclaimer

Rating Breakdown

1 floor-breaker·1 ceiling hit

Technicals below the gate floor. Component breakdown shows what dragged the score down.static

Bollinger
0.0
Support Resistance
0.6
52w Position
6.4
GatesMomentum 7.7>=5.5A.R:R 6.3 ≥ 1.5Insider activity: OKNo SEC red flagsNEWS EVENTS NONE RECENTEARNINGS PROXIMITY 63d clearSEMI CYCLE PEAK CLEARMATERIALS CYCLE PEAK CLEARSECTOR CONCENTRATION CAP sector=Healthcare 6/10 self excludedBreakoutSuitability: Speculative
RSI
67 · Neutral
20D MA 50D MA 200D MAGOLDEN CROSSSupport $10.81Resistance $12.39

Price Targets

$10
$11
$22
A.Upside+76.8%
A.R:R6.3:1

Position Sizing

ConvictionHigh conviction
Suggested %2%
Max %4%
RegimeRisk-Off

Analyst Consensus

Analysts15
Consensus4.3/5
Avg Target$25

Earnings

B
B
B
B
4/4 beats
Next Earnings2026-11-04 (63d)

Verdict History

reverse chrono — latest first
Loading history...
Verdicts are recorded on every nightly pipeline run. Rows capture transitions (verdict flips, score deltas ≥0.3, entry/TP/SL changes). Rows with a ▶ can be expanded to see the change reason. Aggregate cohort performance is tracked in the recommendation ledger.
Frequently Asked Questions
Is ZVRA stock a buy right now?

Wait for pullback to $11.10. BUY gates pass at $12.20, but concentration risk — Product: MIPLYFFA (82.0%) argues for a more patient entry. Engine's entry $11.10 (Buy At Market Sticky) is the shallowest technical level that clears the 2:1 A.R:R minimum. Chart setup: Golden cross, above all MAs, RSI 67, MACD bullish. Strong overall profile with balanced scores. (held at prior verdict — engine reading is near the momentum/RSI threshold; will commit on clearer signal). Target $21.75 (+78.3%), stop $10.28 (−18.7%), A.R:R 6.3:1. Score 7.0/10, high confidence.

What is the ZVRA stock price target?

Take-profit target: $21.75 (+76.8% upside). Target $21.75 (+78.3%), stop $10.28 (−18.7%), A.R:R 6.3:1. Stop-loss: $10.28.

What are the risks of investing in ZVRA?

Concentration risk — Product: MIPLYFFA (82.0%).

Is ZVRA overvalued or undervalued?

Zevra Therapeutics, Inc. trades at a P/E of 12.6 (forward 11.5). TrendMatrix value score: 7.5/10. Verdict: Buy (Wait for Entry).

What do analysts say about ZVRA?

15 analysts cover ZVRA with a consensus score of 4.3/5. Average price target: $25.

What does Zevra Therapeutics, Inc. do?Zevra Therapeutics is a commercial-stage rare disease company whose lead product, MIPLYFFA (arimoclomol), was...

Zevra Therapeutics is a commercial-stage rare disease company whose lead product, MIPLYFFA (arimoclomol), was FDA-approved in September 2024 for Niemann-Pick disease type C and generated approximately 82% of the company's 2025 revenue. Zevra also markets OLPRUVA for urea cycle disorders, though it is scaling back sales and marketing for that product, earns royalties on the partnered ADHD drug AZSTARYS, and is running a Phase 3 trial of celiprolol for Vascular Ehlers-Danlos syndrome.

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