Milestone Pharmaceuticals Inc. Common Shares(MIST)
Stock quote, options chain, IV rank, technicals, AI analysis, and institutional ownership.
Market data may be delayed, incomplete, or inaccurate. Not a recommendation to buy, sell, or hold any security. Verify quotes with your broker before trading. See Terms §17.
Snapshot
$1.29
- 52-Week Range
- $1.00 – $3.06
- YTD
- -37.14%
- IV Rank (30D)
- 2.94
- Straddle Price
- $0.38
- P/C Vol Ratio
- 0.08
- Market Cap
- $0.2B
Fair Value
+14.4% vs price
A blended fair-value estimate combining up to six valuation methods. Each method is weighted by how well it fits the company — DCF down-weights for unprofitable names; DDM only fires for steady dividend payers; comparables down-weight when peer multiples disagree.
- DCF (quality-aware) — projects free cash flow with a horizon that scales to business quality. True compounders (quality 6/6) get 10 years explicit + 10 years fade before terminal; cyclical/struggling names (quality 0-1) get a 5-year terminal cliff. Quality is scored from ROE, gross margin, growth, FCF margin, debt load, and FCF consistency — the same factors that drive market premium for compounders.
- Market-Implied Growth (in Model Inputs) — reverse-DCF that answers "what growth rate is the market pricing in?". Lets you sanity-check the deviation: if implied growth is plausible for the business, the model's bearish flag may be wrong; if implausible, the market may be over-extrapolating.
- DDM (Gordon Growth Dividend Model) — values the stream of future dividends. Only used when trailing yield ≥ 0.5% and dividend payments are stable.
- P/E, EV/EBITDA, P/B, P/S — applies the peer-group median multiple to this company's per-share metric. Peers come from the same set as the "Related symbols" card. Earnings/sales metrics are forward-tilted by the company's recent revenue growth (capped at 25%) so they're comparable to peers' growth-embedded multiples — mimics how analysts use NTM rather than TTM. Per-multiple weights are biased by company quality (e.g. P/B down-weighted for asset-light tech).
- Market Anchor (SMA50) — the 50-day moving average, weighted by recent trading-range stability (tighter Bollinger bands → higher weight). Captures information fundamentals miss (forward consensus, sentiment, supply/demand) — but only when recent trading is steady enough that the market has converged on a view. During wild breakouts or breakdowns the anchor's weight collapses.
- Options Expected (B-L 30d) — the risk-neutral expected stock price at 30-day options expiration, derived from the full implied-volatility surface via Breeden-Litzenberger (second derivative of call price wrt strike → implied PDF, then E[S_T]). Forward-looking, captures all options-implied information (smile, skew, term structure) in one number. Weighted by chain liquidity. SP500-only at present (pre-computed daily). Backtest evidence: adds modest alpha across most bucket × holding combos.
- Blended value — weighted average. Confidence reflects how many methods fired and how tight peer dispersion is.
- Deviation pill — green when blended FV ≥ 10% above current price (undervalued); red when ≥ 10% below; grey otherwise.
| 10-yr Treasury (rf) | 4.53% |
| Beta vs SPY | 1.00 |
| Cost of Equity (CAPM) | 10.03% (VRP-adj) |
| WACC | 7.19% |
| Volatility Risk Premium | +135.5pp (IV − HV30), ERP adj +50bps |
| Effective Tax Rate | 21.0% |
| Rev. Growth (YoY, DCF input) | +3.0% |
| DCF Horizon | 10 years explicit + fade |
| Forward Tilt (NTM/TTM) | ×1.03 (applied to P/E, EV/EBITDA, P/S) |
| Free Cash Flow (TTM) | $-0.1B |
| Return on Equity (TTM) | 348.8% |
| Book / Price | -16.4% |
| Gross Margin (TTM) | 99.2% |
| FCF Margin (TTM) | -2885.8% |
| Quality Score | 2/6 — normal (10y DCF) |
| SMA 50 | $1.67 (Market Anchor value) |
| SMA 20 / Bollinger Mid | $1.38 |
| Bollinger Width / SMA20 | 2414.1% (drives anchor stability) |
| Net Debt | $0.1B |
| Market Cap | $0B |
Peers used for multiples: ACRS, CCCC, CYRX, IART, KALV, OVID, XOMA
(filtered from 8 ETF-co-members; sector bias active)
Blended Fair Value
$1.45
Current Price
$1.27
Deviation
+14.4%
Forward-Return Rank
LONG
gated
?
| Horizon | Expected α | z Pred | Blended z | Rank % | Active? |
|---|---|---|---|---|---|
| 21d | -0.3% ⚠ | +0.81 | +0.50 | 56.7% | — |
| 42d | -0.5% ⚠ | +0.92 | +0.56 | 56.9% | — |
| 63d | +1.8% | +1.20 | +0.70 | 63.9% | — |
Expected α = forward-return point estimate vs SPY (e.g., +7.5% means the predictor expects this stock to outperform SPY by 7.5% over that horizon).
For SHORT direction the model uses a different ranking metric (conviction-weighted deviation, not the LGBM prediction); Expected α is shown for reference.
⚠ flags rows where Expected α disagrees with the FV direction — two independent signals are in conflict; conviction is low even if rank looks extreme.
Forward-Return Rank. A proprietary ensemble of a machine-learning forward-return model and a conviction-weighted fundamental score, ranked cross-sectionally each day across the S&P 500 (and broader universes on the screener). Each stock is scored at three horizons (21/42/63 trading days). "Active" = top/bottom 5% AND all risk filters pass. Backtested mean alpha vs SPY on active picks: 21d LONG +13.4%, 63d +34.9% (S&P 500, walk-forward). Past performance is not indicative of future results.
Value vs momentum conflict ⚠. The "FV direction" (long/short) comes from the fundamentals-based engine — price vs intrinsic value. The "Expected α" comes from a separate machine-learning predictor trained on ~12 features (sector, options-implied move, beta, institutional flow, etc.). Sometimes the two disagree: a stock is overvalued by fundamentals but the predictor expects it to keep outperforming (sector or momentum tailwinds). When all 3 horizons disagree, treat the direction signal as low-conviction — neither model is strongly recommending a position.
| Method | Implied Price | Weight | Detail |
|---|---|---|---|
| DCF | n/a | 0% | |
| DDM (Gordon) | n/a | 0% | |
| Peer P/E | n/a | 0% | |
| Peer EV/EBITDA | n/a | 0% | |
| Peer P/B | n/a | 0% | median 2.0× · 6 peers |
| Peer P/S | $0.24 | 15% | median 12.3× · 7 peers |
| Market Anchor (SMA50) | $1.67 | 85% | stability 83% (BB-width) |
| Options Expected (B-L 30d) | n/a | 0% |
As of 2026-06-12 · updated 2026-06-12 20:59:55.687000
Info
- Industry (SIC)
- PHARMACEUTICAL PREPARATIONS (2834)
- Exchange
- XNAS
- Market Cap
- $0.2B
Milestone Pharmaceuticals Inc is a biopharmaceutical company focused on the development and commercialization of cardiovascular medicines. Its approved product CARDAMYST (etripamil) nasal spray is available in the United States and is the self-administered treatment for use by patients anywhere, anytime an attack of PSVT occurs. It operates in single segment.
Price History
Seasonality
| Month | Avg Return | Years of Data |
|---|---|---|
| Jan | -4.66% | 6 |
| Feb | -14.27% | 6 |
| Mar | -8.76% | 6 |
| Apr | +16.31% | 6 |
| May | +0.03% | 6 |
| Jun | -4.70% | 6 |
| Jul | +4.07% | 5 |
| Aug | +2.52% | 5 |
| Sep | +4.98% | 5 |
| Oct | -14.13% | 5 |
| Nov | +13.98% | 5 |
| Dec | -10.92% | 5 |
Technical Indicators
Quick-reference for reading the values below. Indicators combine to confirm a view — no single one is a trade signal on its own.
Trend Indicators
- SMA 20 / 50 / 200 — price above = uptrend, below = downtrend. SMA 50 crossing SMA 200 is the golden/death cross.
- EMA 12 / 26 — faster-reacting averages; 12 above 26 is short-term bullish.
- MACD — bullish when MACD > signal (green badge), bearish when below. Divergence from price often precedes reversals.
- ADX (14) — trend strength regardless of direction. <20 range, 20–25 weak trend, 25–50 trend, >50 strong trend.
- +DI / −DI — +DI > −DI favors bulls; the reverse favors bears. Read alongside ADX.
Momentum Oscillators
- RSI (14) — <30 oversold, >70 overbought. 40–60 is neutral; trending names can stay extreme.
- Stochastic %K / %D — <20 oversold, >80 overbought. %K crossing %D is an early momentum signal.
- Williams %R — inverted scale: <−80 oversold, >−20 overbought.
Oscillators work best in range-bound markets; in strong trends they give premature reversal signals.
Volume & Volatility
- Bollinger Bands — price at upper band = overbought, lower = oversold. Narrow bands (squeeze) often precede expansion.
- OBV — cumulative volume; rising OBV confirms uptrend, falling OBV confirms downtrend. Divergence from price is a warning.
- Vol SMA 20 / Vol ROC — today's volume vs. 20-day average. Positive ROC with price move = conviction.
- ATR / True Range — average daily $ move; sizing and stop-loss reference.
- HV 20 / 30 / 60 — realized (historical) volatility. Compare to IV on the options cards: IV > HV = rich premium.
Confluence matters: trend + momentum + volume agreeing carries far more weight than any single indicator. For how these feed the spread scanner score, see the algorithm docs →
Trend Indicators
SMA 20: $1.36
SMA 50: $1.67
SMA 200: $1.87
Current: $1.27
EMA 12: $1.31
EMA 26: $1.43
MACD: -0.1231 | Signal: 0.0007
BEARISH
ADX (14): 38.38
TREND
+DI: 11.83
−DI: 25.26
Momentum Oscillators
RSI (14): 34.03
NEUTRAL
Stoch %K: 17.47
Stoch %D: 10.74
Williams %R: -74.07
Volume & Volatility
BB Upper: $1.56
BB Lower: $1.16
NEUTRAL
OBV: -161,081,950
Vol SMA 20: 1,212,741
Vol ROC: 32.14%
ATR: $0.09
True Range: $0.06
HV 20: 53.7%
HV 30: 58.6%
HV 60: 98.4%
Data Summary
Data Points: 500
Last Updated: 2026-06-13T13:41:44.104000
Date Range: 2024-06-14T00:00:00 – 2026-06-12T00:00:00
AI Analysis
Choose Frenzy-Fast™ for quick analysis or Frenzy-Pro™ for comprehensive analysis.
Analysis includes technical indicators, news sentiment, risk assessment, and specific price levels to watch.
News
Image source: The Motley Fool. May 13, 2026, 8:30 a.m. ET Need a quote from a Motley Fool analyst? Email pr@fool.com Continue reading
Earnings History
8 of 8 under expected move
| Earnings Date | Timing | Expected Move | Actual Move | Ratio | Outcome |
|---|---|---|---|---|---|
| 2024-08-08 | After-Close | 260.42% | 0.08% | 0.00x | Within |
| 2024-11-12 | After-Close | 50.27% | 0.54% | 0.01x | Within |
| 2025-03-13 | After-Close | 65.22% | 3.41% | 0.05x | Within |
| 2025-05-14 | After-Close | 63.04% | 1.30% | 0.02x | Within |
| 2025-08-12 | Pre-Market | 14.52% | 1.29% | 0.09x | Within |
| 2025-11-12 | Pre-Market | 52.36% | 1.05% | 0.02x | Within |
| 2026-03-20 | Pre-Market | 872.09% | 21.37% | 0.02x | Within |
| 2026-05-13 | After-Close | 21.80% | 6.98% | 0.32x | Within |
Options Activity
- IV Rank (30D)
- 2.94
- IV Rank (7D)
- 100
- Avg IV
- 164.9%
- Straddle (30D)
- $0.38
- Straddle (7D)
- $0.43
- P/C Volume
- 0.08
Spread Scanner GPU
Each spread is ranked by a composite score built in three stages. Full documentation →
Stage 1 — Base Score (GPU scanner)
score = P(profit) × (credit / spread_width)
P(profit) from short leg delta (1 − |delta|), penalised above 85%. Credit uses mid-price to handle illiquid chains fairly.
Stage 2 — Skew Adjustment (±25% cap)
RR25 and BF25 from the live options chain. Put skew boosts bull puts, penalises bear calls. High butterfly boosts iron condors. Calendars are skew-neutral.
Stage 3 — Technical Overlay (±50% cap, 5 groups)
Group 1 · Directional Bias (±0.25)
- RSI <40 bullish / >60 bearish
- MACD crossover + histogram trend
- Price vs SMA 50 & SMA 200
Group 2 · Momentum (±0.10)
- Stochastic %K <20 / >80
- Williams %R <−80 / >−20
Group 3 · Volatility (up to −0.25 / +0.15)
- Blended ATR + straddle expected-move penalty
- Bollinger Band signal (+ counter-trend penalty)
- BB width — vol contraction boost for ICs
Group 4 · IV Regime (±0.15)
- IV rank ≥ 75 → strong boost for credit spreads
- IV rank < 25 → penalty (selling cheap vol)
Group 5 · Liquidity (penalty up to −0.10)
- Min open interest across all legs
- OI < 100 → −0.10 · OI < 500 → −0.05
score = base_score × skew_multiplier × tech_multiplier
Both multipliers are shown per spread. Beta is informational only — ATR already captures realized vol. Full algorithm documentation →
Enter a ticker to scan for optimal spread opportunities.
Evaluates all bull put, bear call, iron condor, and calendar spread combinations using GPU-accelerated analysis.
Volatility Surface
Enter a ticker to render the implied volatility surface.
IV Rank (7 DTE)
IV Rank (30 DTE)
Straddle Price (30 DTE)
Beta Analysis
- Beta (1Y vs SPY)
- 2.42
- Correlation (SPY)
- 35.8%
- R²
- 0.13
- Ann. Volatility
- 83.5%
- SPY Volatility
- 12.3%
High volatility - stock moves more than market
Beta & Alpha Over Time
Institutional Ownership (13F)
Latest filings — 2026-03-31
? 13F Guide
Diluted shares outstanding: 94,260,884 (as of 2026-03-31)
Institutional managers with $100M+ AUM file Form 13F-HR quarterly, due 45 days after quarter end. Holdings are reported gross at quarter-end market value — they are a snapshot, not a real-time position.
- Shares — long equity positions in this name, aggregated across share classes.
- Calls / Puts — notional value of long call / put exposure where this ticker is the underlying.
- % of Float — holder's reported shares divided by the latest diluted shares outstanding. Sums above 100% indicate large custodian / prime broker positions where the same shares are reported by multiple filers.
- Custodian badge — filers with more than 5,000 holdings are typically broker-dealers / custodians reporting customer-held shares, not active managers.
Each filer is counted once at its latest 13F-HR filing. New filings are ingested on a weekly cadence.
4 filers$425.54K notional
| # | Filer | Notional Value | % of Total | Period |
|---|---|---|---|---|
| 1 | GROUP ONE TRADING LLC Custodian | $306.19K | 71.95% | 2026-03-31 |
| 2 | CITADEL ADVISORS LLC Custodian | $43.20K | 10.15% | 2026-03-31 |
| 3 | IMC-Chicago, LLC Custodian | $42.13K | 9.90% | 2026-03-31 |
| 4 | SIMPLEX TRADING, LLC Custodian | $34.03K | 8.00% | 2026-03-31 |
5 filers$718.28K notional
| # | Filer | Notional Value | % of Total | Period |
|---|---|---|---|---|
| 1 | GROUP ONE TRADING LLC Custodian | $307.73K | 42.84% | 2026-03-31 |
| 2 | CITADEL ADVISORS LLC Custodian | $135.30K | 18.84% | 2026-03-31 |
| 3 | SUSQUEHANNA INTERNATIONAL GROUP, LLP Custodian | $131.02K | 18.24% | 2026-03-31 |
| 4 | SIMPLEX TRADING, LLC Custodian | $94.84K | 13.20% | 2026-03-31 |
| 5 | JANE STREET GROUP, LLC Custodian | $49.38K | 6.88% | 2026-03-31 |
Insider Activity
Latest: 2026-04-20
Form 4 filings — insider beneficial-ownership changes by officers, directors, and 10%+ holders. Filed within 2 business days of transaction.
| Filed | Reporter | Role | Action | Shares | Avg Price | Net $ | Link |
|---|---|---|---|---|---|---|---|
| 2026-04-20 | Joseph Oliveto | President and CEO | Sell (S) | −36,500 | $2.26 | -$82.5K | EDGAR |
| 2026-02-05 | David Bharucha | Chief Medical Officer | Grant (A) | +204,000 opt | — | EDGAR | |
| 2026-02-05 | Jeffrey Edward Nelson | Chief Operating Officer | Grant (A) | +204,000 opt | — | EDGAR | |
| 2026-02-05 | Joseph Oliveto | President and CEO | Grant (A) | +679,000 opt | — | EDGAR | |
| 2026-02-05 | Lorenz Muller | Chief Commercial Officer | Grant (A) | +204,000 opt | — | EDGAR | |
| 2026-02-05 | Amit Hasija | CFO & EVP of Corp. Development | Grant (A) | +204,000 opt | — | EDGAR | |
| 2026-02-04 | Joseph Oliveto | President and CEO | Grant (A) | +1,132,000 RSU | — | EDGAR | |
| 2026-02-04 | David Bharucha | Chief Medical Officer | Grant (A) | +340,000 opt | — | EDGAR | |
| 2026-02-04 | Jeffrey Edward Nelson | Chief Operating Officer | Grant (A) | +340,000 RSU | — | EDGAR | |
| 2026-02-04 | Lorenz Muller | Chief Commercial Officer | Grant (A) | +340,000 opt | — | EDGAR | |
| 2026-02-04 | Amit Hasija | CFO & EVP of Corp. Development | Grant (A) | +340,000 opt | — | EDGAR | |
| 2026-01-28 | Amit Hasija | CFO & EVP of Corp. Development | Mixed | +49,848 | $2.25 | -$158.2K | EDGAR |
| 2026-01-28 | Lorenz Muller | Chief Commercial Officer | Mixed | +55,354 | $2.25 | -$145.9K | EDGAR |
| 2026-01-28 | Jeffrey Edward Nelson | Chief Operating Officer | Mixed | +49,848 | $2.25 | -$158.2K | EDGAR |
| 2026-01-28 | Joseph Oliveto | President and CEO | Mixed | +179,023 | $2.24 | -$375.3K | EDGAR |
Codes: P = open-market purchase · S = open-market sale · A = grant/award · M = option exercise · F = tax withholding at vest · G = bona-fide gift · D = disposition to issuer · J = other (described in filing footnote — typically 401(k), trust, inheritance) · W = will/inheritance. Only P / S codes carry directional signal.
Insider Holdings
17 insiders · @ $1.27
Officers, directors, and 10%+ owners ranked by current disclosed exposure (shares × today's price). Shares are direct + indirect (via trusts / LLCs / spouse). Excludes unvested RSU and option grants — those aren't beneficially owned until vest.
| # | Insider | Role | Shares | Disclosed Exposure | Lifetime OM Net | Filings | Last Filed |
|---|---|---|---|---|---|---|---|
| 1 | RODERICK WONG | 10%+ Owner | 4,315,102 | $5.48M | $374.6K | 6 | 2022-09-09 |
| 2 | RTW INVESTMENTS, LP | 10%+ Owner | 3,256,102 | $4.14M | $45.54M | 7 | 2023-03-24 |
| 3 | Novo Holdings A/S | 10%+ Owner | 2,434,470 | $3.09M | $1.16M | 2 | 2019-11-27 |
| 4 | BDC CAPITAL INC. | 10%+ Owner | 2,388,088 | $3.03M | $3.00M | 1 | 2019-05-09 |
| 5 | DE SOLIDARITE DES TRAVAILLEURS DU QUEBEC FONDS | 10%+ Owner | 2,254,920 | $2.86M | $2.18M | 2 | 2020-07-30 |
| 6 | Joseph Oliveto | President and CEO | 446,244 | $566.7K | -$555.7K | 12 | 2026-04-20 |
| 7 | Lorenz Muller | Chief Commercial Officer | 196,486 | $249.5K | -$145.9K | 12 | 2026-02-05 |
| 8 | David Bharucha | Chief Medical Officer | 125,426 | $159.3K | -$110.8K | 8 | 2026-02-05 |
| 9 | Jeffrey Edward Nelson | Chief Operating Officer | 100,000 | $127.0K | -$158.2K | 5 | 2026-02-05 |
| 10 | JOSEPH C PAPA | Director | 100,000 | $127.0K | $0 | 3 | 2025-07-15 |
| 11 | Amit Hasija | CFO & EVP of Corp. Development | 91,993 | $116.8K | -$158.2K | 11 | 2026-02-05 |
| 12 | Robert James Wills | Director | 65,000 | $82.5K | $74.0K | 8 | 2025-07-15 |
| 13 | Philippe Douville | Chief Scientific Officer | 43,392 | $55.1K | $0 | 1 | 2019-05-14 |
| 14 | Debra K. Liebert | Director | 20,793 | $26.4K | $73.9K | 8 | 2025-07-15 |
| 15 | MICHAEL JOHN TOMSICEK | Director | 15,000 | $19.1K | $79.8K | 7 | 2025-06-12 |
| 16 | Richard C Pasternak | Director | 10,000 | $12.7K | $52.0K | 6 | 2023-06-09 |
| 17 | PAUL F TRUEX | Director | 8,016 | $10.2K | $28.0K | 4 | 2022-06-01 |
Lifetime OM Net = signed sum of open-market buys (P) and sells (S) over their career; excludes grants, tax withholdings, and dispositions to issuer. A large negative number is normal for long-tenured executives — they've sold compensation grants over many years.
ETF Holders
| # | ETF | Provider | Weight | $ Exposure | ETF AUM | As Of |
|---|
Fundamentals
Quarterly filings sourced from SEC 10-Q / 10-K reports. TTM tiles aggregate the most recent four quarters; bars show the last ~12 quarters oldest → newest.
Metrics
- Revenue — top-line sales. Look for consistent YoY growth; seasonal businesses need same-quarter comparisons (Q4 '24 vs Q4 '23).
- Net Income — bottom-line profit after all expenses. Can be volatile from one-time items; red bars = net loss.
- Diluted EPS — net income per share assuming options/converts are exercised. Direct input to the P/E ratio.
- Operating Cash Flow — cash generated from core operations, before capex and financing. Harder to manipulate than net income; growing OCF is a quality signal.
How to read the bars
- Sequential growth — quarter-over-quarter trend. Accelerating bars are a momentum signal.
- YoY growth — compare to the same quarter a year earlier to remove seasonality.
- Quality — OCF should roughly track Net Income over time. Large divergence (net income ≫ OCF) flags accruals risk.
- Margins — scan the bar ratios: Net Income / Revenue tells you margin trend without needing a separate chart.
TTM (trailing-twelve-month) smooths seasonality and is used for the P/E calculation. Filings appear 30–90 days after the period closes.
| P/B Ratio | -8.1 |
| P/S Ratio | 88.6 |
| EV/EBITDA | -3.4 |
| TTM Revenue | $0.0B |
| TTM Net Income | $-0.1B |
| TTM EPS | $-0.67 |
| ROE | 348.8% |
| Debt/Equity | -6.95 |