Core Insights - Mirum Pharmaceuticals is a mid-cap biotech stock that has seen significant gains, with a nearly 70% increase in 2025, and is expected to perform even better in 2026 [2][3] Company Performance - The current market capitalization of Mirum Pharmaceuticals is $4 billion, with a current stock price of $69.88 and a gross margin of 79.85% [3] - Livmarli, one of Mirum's three approved products, is the primary growth driver, with sales increasing by 56% year-over-year in Q3 2025 to $92.2 million, accounting for approximately 69% of total sales [3][4] - Combined sales for Mirum's other two bile acid medicines, Cholbam and Ctexli, rose by 31% year-over-year in Q3 to $40.8 million [6] Product Approvals and Pipeline - Livmarli was first approved by the FDA in September 2021 for treating cholestatic pruritus in patients with Alagille syndrome, a rare genetic disorder [4] - In 2024, Mirum received two additional FDA approvals for Livmarli for treating Progressive Familial Intrahepatic Cholestasis (PFIC) in patients aged five years and older, and for a tablet version of Livmarli [5] - The company has two promising pipeline candidates, voloxibat and MRM-3379, which could also contribute significantly to future revenue [8][10] Future Outlook - The introduction of a tablet formulation of Livmarli is expected to enhance sales, with early indications of strong uptake [7] - Mirum anticipates that Livmarli could generate annual sales exceeding $1 billion [8] - Positive topline data from ongoing Phase 2 studies for voloxibat and MRM-3379 could serve as catalysts for further stock performance [9][10]

Core Insights - Armistice Capital sold 2,152,000 shares of Travere Therapeutics, reducing its position by approximately $29.3 million in the third quarter [2][7] - Following the sale, Armistice holds 6.7 million shares valued at $160.7 million, representing 2% of its assets under management (AUM) [3][4] - Travere Therapeutics' stock price increased by 100% over the past year, significantly outperforming the S&P 500, which rose nearly 14% in the same period [4] Company Overview - Travere Therapeutics has a market capitalization of $3.2 billion and reported a revenue of $435.8 million for the trailing twelve months (TTM) [5] - The company incurred a net loss of $88.5 million in the TTM [5] - As of the latest market close, Travere's share price was $35.44 [5] Business Focus - Travere Therapeutics specializes in therapies for rare diseases, with marketed products including Chenodal, Cholbam, and Thiola, and is advancing clinical candidates like Sparsentan and TVT-058 [6][9] - The company targets high unmet medical needs in the biotechnology sector, leveraging clinical expertise and strategic partnerships for growth [9] Recent Performance - Travere Therapeutics reported a strong quarter with total revenue reaching $164.9 million, driven by a 155% year-over-year increase in FILSPARI's U.S. sales [10] - The company achieved a GAAP net income of $25.7 million, a significant turnaround from a $54.8 million loss a year earlier [10] Investment Perspective - Despite the sale of shares, Armistice Capital remains heavily invested in Travere, which still accounts for 5% of its AUM and is its second-largest holding [11] - The sale appears to be a disciplined portfolio management decision following a significant share price rebound rather than a change in investment thesis, especially with an upcoming FDA decision in FSGS [11] - Long-term investors may find Travere appealing due to its accelerating commercial uptake, improving profitability, and upcoming regulatory catalysts [12]

Core Insights - Mirum Pharmaceuticals reported earnings of 5 cents per share for Q3 2025, surpassing the Zacks Consensus Estimate of a loss of 10 cents, and improved from a loss of 30 cents per share in the same quarter last year [1][8] - Revenues for Q3 reached $133 million, a year-over-year increase of 47.1%, exceeding the Zacks Consensus Estimate of $132 million, driven by strong sales of Livmarli and bile acid products [2][8] Financial Performance - Livmarli's net product sales were $92 million in Q3, reflecting a 56% increase year over year, with U.S. sales at $64 million and international sales at $28 million [6][8] - Net product sales of bile acid products, including Cholbam and Ctexli, totaled $40.8 million in Q3, marking a 31% year-over-year increase [9] - Research and development expenses rose by 35.6% year over year to $43 million, while selling, general, and administrative expenses increased by 22.6% to $61.9 million [9] Guidance and Outlook - The company tightened its 2025 revenue guidance to a range of $500-$510 million, up from the previous range of $490-$510 million, with the Zacks Consensus Estimate currently at $508.9 million [11] Product Developments - Livmarli is approved for treating cholestatic pruritus in patients with Alagille syndrome and certain patients with progressive familial intrahepatic cholestasis [3] - A new tablet formulation of Livmarli was launched in the U.S. in June 2025, aimed at providing convenience for older patients [4] - Mirum acquired Travere Therapeutics' bile acid products in August 2023, enhancing its portfolio with Cholbam and Ctexli [4] Pipeline Updates - Mirum is conducting a phase III EXPAND study for Livmarli in rare cholestatic conditions, with enrollment expected to complete in 2026 [12] - The lead pipeline candidate, volixibat, is under evaluation in two phase IIb studies for primary biliary cholangitis and primary sclerosing cholangitis [12][13] - A phase II study on the newly in-licensed PDE4D inhibitor, MRM-3379, for Fragile X syndrome has been initiated [13] Market Performance - Mirum's shares have increased by 71.7% year to date, significantly outperforming the industry average rise of 10.9% [5]

Core Insights - Mirum Pharmaceuticals reported a narrower loss of $0.12 per share for Q2 2025, compared to a loss of $0.52 per share in the same quarter last year, and better than the Zacks Consensus Estimate of a loss of $0.31 per share [1][8] - Revenues for Q2 2025 reached $127.8 million, reflecting a year-over-year increase of 64.1%, surpassing the Zacks Consensus Estimate of $108 million, driven by strong sales of Livmarli and newly acquired bile acid products [2][8] - The company raised its revenue guidance for 2025 to a range of $490 million to $510 million, up from the previous estimate of $435 million to $450 million, due to the strong performance of Livmarli [10] Financial Performance - Livmarli's net product sales were $88.2 million in Q2 2025, marking an 87% increase year-over-year, with U.S. sales at $57 million and ex-U.S. sales at $31.2 million [7][8] - Net product sales from bile acid products, including Cholbam and Ctexli, totaled $39.6 million in Q2 2025, reflecting a 30% year-over-year increase [7] - Research and development expenses rose by nearly 41% year-over-year to $46.1 million, while selling, general, and administrative expenses increased by approximately 28.7% to $63.3 million [9] Recent Developments - Mirum is conducting a phase III EXPAND study for Livmarli to treat pruritus in rare cholestatic conditions, with enrollment expected to complete in 2026 [11] - The FDA approved a new tablet formulation of Livmarli, launched in the U.S. in June 2025, aimed at improving convenience for older patients [11] - The lead pipeline candidate, volixibat, is under evaluation in two phase IIb studies for primary biliary cholangitis and primary sclerosing cholangitis, with top-line data expected in Q2 2026 [12] Stock Performance - Mirum's shares increased by 8.6% in after-hours trading on August 6, 2025, following the better-than-expected results and raised revenue guidance [4] - Year-to-date, Mirum's stock has risen by 29.1%, significantly outperforming the industry average increase of 0.2% [6]

Core Insights - Mirum Pharmaceuticals reported a narrower loss of 30 cents per share in Q1 2025, compared to a loss of 54 cents per share in the same quarter last year, and better than the Zacks Consensus Estimate of a loss of 39 cents [1][2] - The company's revenues for Q1 2025 reached $111.6 million, reflecting a year-over-year increase of nearly 62%, surpassing the Zacks Consensus Estimate of $98 million [2][3] Financial Performance - Livmarli's net product sales were $73.2 million in Q1 2025, marking a 71% increase year over year, with U.S. sales at $49.5 million and ex-U.S. sales at $23.7 million [6] - Net product sales from bile acid products, including Cholbam and Ctexli, totaled $38.4 million in Q1 2025, up 47% year over year [7] - Research and development expenses rose by 42.8% year over year to $46 million, while selling, general, and administrative expenses increased by 26.5% to $57.7 million [7][8] Guidance and Future Outlook - Mirum raised its full-year revenue guidance for 2025 to a range of $435-$450 million, up from the previous estimate of $420-$435 million, due to strong demand for its commercial products [9] - The company is evaluating Livmarli in a phase III study for treating pruritus in rare cholestatic conditions, with enrollment expected to complete in 2026 [10] Recent Developments - The FDA approved a new tablet formulation of Livmarli for treating cholestatic pruritus in patients with Alagille syndrome and progressive familial intrahepatic cholestasis [10] - Ctexli tablets received FDA approval for treating adults with cerebrotendinous xanthomatosis, becoming the first approved treatment for this condition [11] - Mirum's lead pipeline candidate, volixibat, is in two phase IIb studies for primary biliary cholangitis and primary sclerosing cholangitis, with enrollment expected to complete in 2026 [11][12]

Core Insights - Mirum Pharmaceuticals reported a wider loss of 49 cents per share in Q4 2024, compared to the Zacks Consensus Estimate of a loss of 27 cents, and a loss of 66 cents per share in the same quarter last year [1] - The company's revenues for Q4 totaled $99.4 million, reflecting a year-over-year increase of 42.8%, surpassing the Zacks Consensus Estimate of $97 million [2] - Mirum's stock has increased by 70.3% over the past year, while the industry has declined by 9.5% [3] Financial Performance - Research and development expenses rose by 42.4% year-over-year to $44 million, while selling, general, and administrative expenses increased by 22.9% to $56.8 million [4] - As of December 31, 2024, the company had cash, cash equivalents, and marketable securities totaling $292.8 million, slightly down from $293.8 million as of September 30, 2024 [5] - For the full year 2024, Mirum generated revenues of $336.9 million, up from $186.4 million in the previous year, and reported a loss of $1.85 per share, an improvement from a loss of $4.00 per share in the prior year [8] Future Outlook - Mirum anticipates worldwide net product sales of approximately $420-$435 million and expects to achieve positive cash flow in 2025 [9] - The company is conducting a phase III study for Livmarli and has received FDA approval for Ctexli, the first treatment for cerebrotendinous xanthomatosis [10] - Mirum's lead pipeline candidate, volixibat, is under evaluation in two phase IIb studies, with enrollment expected to be completed in 2026 [11] - A phase II study for the PDE4D inhibitor, MRM-3379, is planned for Fragile X syndrome later in 2025 [12]