Milestone Pharmaceuticals Earnings Calls
| Release date | May 13, 2026 |
| EPS estimate | $0.0600 |
| EPS actual | -$0.200 |
| EPS Surprise | -433.33% |
| Revenue estimate | 30.115M |
| Revenue actual | 238K |
| Revenue Surprise | -99.21% |
| Release date | Mar 20, 2026 |
| EPS estimate | -$0.180 |
| EPS actual | -$0.160 |
| EPS Surprise | 11.11% |
| Revenue estimate | 37.519M |
| Revenue actual | 1.5M |
| Revenue Surprise | -96.00% |
| Release date | Nov 12, 2025 |
| EPS estimate | -$0.170 |
| EPS actual | -$0.120 |
| EPS Surprise | 29.41% |
| Revenue estimate | - |
| Revenue actual | - |
| Release date | Aug 12, 2025 |
| EPS estimate | -$0.180 |
| EPS actual | -$0.200 |
| EPS Surprise | -11.11% |
| Revenue estimate | - |
| Revenue actual | - |
Last 4 Quarters for Milestone Pharmaceuticals
Below you can see how MIST performed 4 days prior and 4 days after releasing the earnings report. Also, you can see the pre-estimates and the actual earnings. This information can give you a slight idea of what you might expect for the next quarter's release.
| Release date | Aug 12, 2025 |
| Price on release | $1.66 |
| EPS estimate | -$0.180 |
| EPS actual | -$0.200 |
| EPS surprise | -11.11% |
| Date | Price |
|---|---|
| Aug 06, 2025 | $1.53 |
| Aug 07, 2025 | $1.51 |
| Aug 08, 2025 | $1.50 |
| Aug 11, 2025 | $1.55 |
| Aug 12, 2025 | $1.66 |
| Aug 13, 2025 | $1.74 |
| Aug 14, 2025 | $1.68 |
| Aug 15, 2025 | $1.70 |
| Aug 18, 2025 | $1.70 |
| 4 days before | 8.50% |
| 4 days after | 2.41% |
| On release day | 4.82% |
| Change in period | 11.11% |
| Release date | Nov 12, 2025 |
| Price on release | $1.93 |
| EPS estimate | -$0.170 |
| EPS actual | -$0.120 |
| EPS surprise | 29.41% |
| Date | Price |
|---|---|
| Nov 06, 2025 | $1.72 |
| Nov 07, 2025 | $1.71 |
| Nov 10, 2025 | $1.85 |
| Nov 11, 2025 | $1.91 |
| Nov 12, 2025 | $1.93 |
| Nov 13, 2025 | $1.90 |
| Nov 14, 2025 | $2.00 |
| Nov 17, 2025 | $2.32 |
| Nov 18, 2025 | $2.41 |
| 4 days before | 12.21% |
| 4 days after | 24.87% |
| On release day | -1.55% |
| Change in period | 40.12% |
| Release date | Mar 20, 2026 |
| Price on release | $1.36 |
| EPS estimate | -$0.180 |
| EPS actual | -$0.160 |
| EPS surprise | 11.11% |
| Date | Price |
|---|---|
| Mar 16, 2026 | $1.69 |
| Mar 17, 2026 | $1.78 |
| Mar 18, 2026 | $1.70 |
| Mar 19, 2026 | $1.70 |
| Mar 20, 2026 | $1.36 |
| Mar 23, 2026 | $1.26 |
| Mar 24, 2026 | $1.16 |
| Mar 25, 2026 | $1.25 |
| Mar 26, 2026 | $1.15 |
| 4 days before | -19.53% |
| 4 days after | -15.44% |
| On release day | -7.35% |
| Change in period | -31.95% |
| Release date | May 13, 2026 |
| Price on release | $1.72 |
| EPS estimate | $0.0600 |
| EPS actual | -$0.200 |
| EPS surprise | -433.33% |
| Date | Price |
|---|---|
| May 07, 2026 | $1.89 |
| May 08, 2026 | $1.92 |
| May 11, 2026 | $1.90 |
| May 12, 2026 | $1.90 |
| May 13, 2026 | $1.72 |
| May 14, 2026 | $1.63 |
| May 15, 2026 | $1.51 |
| May 18, 2026 | $1.46 |
| May 19, 2026 | $1.43 |
| 4 days before | -8.99% |
| 4 days after | -16.86% |
| On release day | -5.23% |
| Change in period | -24.34% |
Milestone Pharmaceuticals Earnings Call Transcript Summary of Q1 2026
Milestone Pharma reported its first partial quarter of commercial sales following the December 2025 FDA approval and January 2026 retail availability of CARDAMYST (etripamil) for acute PSVT. Commercial launch activity began mid-February with a ~60-rep national field force. Through April the company has captured ~600 total prescriptions (≈100 in Feb, ≈200 in Mar, ≈300 in Apr) written by over 400 unique prescribers for ~560 unique patients, and estimates ~25% of commercially insured lives have quality coverage following an Express Scripts national formulary win. Early prescriber feedback and patient anecdotes have been positive. Milestone has initiated the Phase III ReVeRa-301 trial in AFib with rapid ventricular rate (self-administered, event-driven design using the approved 70 mg regimen) and expects first patient enrollment in H2 2026. Financially, Milestone ended March 31, 2026 with ~$184M in cash and equivalents (up from $106M at year-end), driven by a $75M payment from a royalty purchase agreement and other financing; Q1 operating cash burn was ~$23.7M. Q1 product revenue was $0.2M; Q1 net loss was ~$26.1M ($0.20/share). Key near-term priorities are expanding payer access and coverage, scaling commercial execution to increase prescription depth and refill rates, advancing the AFib Phase III program, and managing resources to fund operations into H2 2027.
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