4D Molecular Therapeutics (FDMT)


Market Price (8/20/2026): $16.6 | Market Cap: $1.2 BilSector: Health Care | Industry: Biotechnology

4D Molecular Therapeutics (FDMT)


Market Price (8/20/2026): $16.6
Market Cap: $1.2 Bil
Sector: Health Care
Industry: Biotechnology

Investment Highlights Why It Matters Detailed financial logic regarding cash flow yields vs trend-riding momentum.

0

Cash is significant % of market cap
Net D/ENet Debt/Equity. Debt net of cash. Negative indicates net cash. Equity is taken as the Market Capitalization is -31%

Strong revenue growth
Rev Chg LTMRevenue Change % Last Twelve Months (LTM) is 278712%

Megatrend and thematic drivers
Megatrends include Biotechnology & Genomics, and Precision Medicine. Themes include Gene Editing & Therapy, Targeted Therapies, Show more.

Trading close to highs
Dist 52W High is 0.0%

Weak multi-year price returns
2Y Excs Rtn is -43%, 3Y Excs Rtn is -84%

Meaningful short interest
Short Interest % of Basic SharesShort Interest % of Basic Shares = (Short Interest Quantity) / (Basic Shares Outstanding). A high fraction of short interest can indicate potential risk of a short squeeze. is 17%

Not profitable at operating income level
Op Inc LTMOperating Income, Last Twelve Months is -197 Mil, Op Mgn LTMOperating Margin = Operating Income / Revenue Reflects profitability before taxes and before impact of capital structure (interest payments). is -214%

Stock price has recently run up significantly
12M Rtn12 month market price return is 102%

Significant share based compensation
SBC/Rev LTMShare Based Compensation / Revenue (Sales), Last Twelve Months (LTM) is 22%

Not cash flow generative
CFO/Rev LTMCash Flow from Operations / Revenue (Sales), Last Twelve Months (LTM) is -170%, FCF/Rev LTMFree Cash Flow / Revenue (Sales), Last Twelve Months (LTM) is -170%

Valuation getting more expensive
P/S 6M Chg %Price/Sales change over 6 months. Declining P/S indicates valuation has become less expensive. is 57%

Yield minus risk free rate is negative
ERPEquity Risk Premium (ERP) = Total Yield - Risk Free Rate, Reflects the premium above risk free assets offered by the investment. is -22%

Significant short interest
Short Interest Days-to-CoverDTC = (Short Interest Share Quantity) / (Average Daily Trading Volume). Reflects how many days it would take to cover (close out) the short interest based on average volumes. High DTC can signify an increased risk of a short squeeze. is 17.69

Key risks
FDMT key risks include [1] the potential clinical failure of its lead candidate, Show more.

0 Cash is significant % of market cap
Net D/ENet Debt/Equity. Debt net of cash. Negative indicates net cash. Equity is taken as the Market Capitalization is -31%
1 Strong revenue growth
Rev Chg LTMRevenue Change % Last Twelve Months (LTM) is 278712%
2 Megatrend and thematic drivers
Megatrends include Biotechnology & Genomics, and Precision Medicine. Themes include Gene Editing & Therapy, Targeted Therapies, Show more.
3 Trading close to highs
Dist 52W High is 0.0%
4 Weak multi-year price returns
2Y Excs Rtn is -43%, 3Y Excs Rtn is -84%
5 Meaningful short interest
Short Interest % of Basic SharesShort Interest % of Basic Shares = (Short Interest Quantity) / (Basic Shares Outstanding). A high fraction of short interest can indicate potential risk of a short squeeze. is 17%
6 Not profitable at operating income level
Op Inc LTMOperating Income, Last Twelve Months is -197 Mil, Op Mgn LTMOperating Margin = Operating Income / Revenue Reflects profitability before taxes and before impact of capital structure (interest payments). is -214%
7 Stock price has recently run up significantly
12M Rtn12 month market price return is 102%
8 Significant share based compensation
SBC/Rev LTMShare Based Compensation / Revenue (Sales), Last Twelve Months (LTM) is 22%
9 Not cash flow generative
CFO/Rev LTMCash Flow from Operations / Revenue (Sales), Last Twelve Months (LTM) is -170%, FCF/Rev LTMFree Cash Flow / Revenue (Sales), Last Twelve Months (LTM) is -170%
10 Valuation getting more expensive
P/S 6M Chg %Price/Sales change over 6 months. Declining P/S indicates valuation has become less expensive. is 57%
11 Yield minus risk free rate is negative
ERPEquity Risk Premium (ERP) = Total Yield - Risk Free Rate, Reflects the premium above risk free assets offered by the investment. is -22%
12 Significant short interest
Short Interest Days-to-CoverDTC = (Short Interest Share Quantity) / (Average Daily Trading Volume). Reflects how many days it would take to cover (close out) the short interest based on average volumes. High DTC can signify an increased risk of a short squeeze. is 17.69
13 Key risks
FDMT key risks include [1] the potential clinical failure of its lead candidate, Show more.

FDMT in ETFs

Weight = FDMT's share of each fund

VTI0.00%
ITOT0.00%
IWM0.02%
XBI0.18%
IBB0.04%
IWN0.03%
VTWO0.01%
DFAS0.01%
+5 more covered ETFs

Valuation & Metrics

Price Chart

Why The Stock Moved

Qualitative Assessment

AI Analysis | Feedback

Updated on 8/19/2026

4D Molecular Therapeutics (FDMT) stock has gained about 90% since 4/30/2026 because of the following key factors:

1. Positive Clinical Trial Updates for 4D-150 in Wet AMD.

4D Molecular Therapeutics announced positive 2-year data from the 4D-150 PRISM Phase 2b clinical trial in July 2026, demonstrating sustained visual and anatomic outcomes with a significant 78-87% reduction in treatment burden compared to projected aflibercept dosing, and an ongoing favorable safety profile. Furthermore, enrollment was completed for both 4D-150 4FRONT-1 and 4FRONT-2 Phase 3 wet AMD trials in February 2026 and June 2026 (fiscal Q2 2026), respectively, with topline data anticipated in Q2 2027 and H2 2027.

2. Strengthened Financial Position and Extended Cash Runway.

In fiscal Q2 2026, 4D Molecular Therapeutics secured a strategic credit facility of up to $200 million from Hercules Capital, with an initial draw of $20 million, which enhanced the company's financial flexibility. The company reported cash, cash equivalents, and marketable securities of $430.6 million as of June 30, 2026 (end of fiscal Q2 2026), projecting its existing funds, along with expected payments from its Otsuka collaboration, to be sufficient to fund operations into at least the second half of 2028.

Show more
Updated on 8/19/2026

4D Molecular Therapeutics (FDMT) stock has gained about 90% since 4/30/2026 because of the following key factors:

1. Positive Clinical Trial Updates for 4D-150 in Wet AMD.

4D Molecular Therapeutics announced positive 2-year data from the 4D-150 PRISM Phase 2b clinical trial in July 2026, demonstrating sustained visual and anatomic outcomes with a significant 78-87% reduction in treatment burden compared to projected aflibercept dosing, and an ongoing favorable safety profile. Furthermore, enrollment was completed for both 4D-150 4FRONT-1 and 4FRONT-2 Phase 3 wet AMD trials in February 2026 and June 2026 (fiscal Q2 2026), respectively, with topline data anticipated in Q2 2027 and H2 2027.

2. Strengthened Financial Position and Extended Cash Runway.

In fiscal Q2 2026, 4D Molecular Therapeutics secured a strategic credit facility of up to $200 million from Hercules Capital, with an initial draw of $20 million, which enhanced the company's financial flexibility. The company reported cash, cash equivalents, and marketable securities of $430.6 million as of June 30, 2026 (end of fiscal Q2 2026), projecting its existing funds, along with expected payments from its Otsuka collaboration, to be sufficient to fund operations into at least the second half of 2028.

3. Initiation of a Phase 3 Trial for 4D-150 in Diabetic Macular Edema (DME).

The company announced plans to initiate a global Phase 3 clinical trial for 4D-150 in Diabetic Macular Edema (DME) during Q3 2026. This expansion of their late-stage clinical pipeline for 4D-150, alongside promising 2-year SPECTRA Phase 1/2 data expected in Q4 2026, likely contributed to positive investor sentiment regarding future growth potential.

4. Positive Analyst Sentiment and Price Target Upgrades.

During this period, several analysts reiterated "Buy" or upgraded their ratings for FDMT, contributing to a consensus "Moderate Buy" or "Buy" rating. For instance, Chardan Capital upgraded the stock to a "strong-buy" on July 28, 2026, and HC Wainwright reaffirmed a "buy" rating with a $36.00 price target on July 20, 2026. The average analyst price target ranged from $29.10 to $31.33, indicating a substantial potential upside.

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Stock Movement Drivers

Fundamental Drivers

The 89.0% change in FDMT stock from 4/30/2026 to 8/19/2026 was primarily driven by a 92.4% change in the company's P/S Multiple.
(LTM values as of)43020268192026Change
Stock Price ($)8.8716.7689.0%
Change Contribution By: 
Total Revenues ($ Mil)85928.0%
P/S Multiple6.712.892.4%
Shares Outstanding (Mil)6470-9.0%
Cumulative Contribution89.0%

LTM = Last Twelve Months as of date shown

Market Drivers

4/30/2026 to 8/19/2026
ReturnCorrelation
FDMT89.0% 
Market (SPY)7.0%25.3%
Sector (XLV)20.3%2.6%

Fundamental Drivers

The 89.2% change in FDMT stock from 1/31/2026 to 8/19/2026 was primarily driven by a 76573.3% change in the company's Total Revenues ($ Mil).
(LTM values as of)13120268192026Change
Stock Price ($)8.8616.7689.2%
Change Contribution By: 
Total Revenues ($ Mil)09276573.3%
P/S Multiple4,144.012.8-99.7%
Shares Outstanding (Mil)5670-20.1%
Cumulative Contribution89.2%

LTM = Last Twelve Months as of date shown

Market Drivers

1/31/2026 to 8/19/2026
ReturnCorrelation
FDMT89.2% 
Market (SPY)11.4%31.9%
Sector (XLV)14.0%18.1%

Fundamental Drivers

The 272.4% change in FDMT stock from 7/31/2025 to 8/19/2026 was primarily driven by a 399934.8% change in the company's Total Revenues ($ Mil).
(LTM values as of)73120258192026Change
Stock Price ($)4.5016.76272.4%
Change Contribution By: 
Total Revenues ($ Mil)092399934.8%
P/S Multiple10,906.412.8-99.9%
Shares Outstanding (Mil)5670-20.7%
Cumulative Contribution272.4%

LTM = Last Twelve Months as of date shown

Market Drivers

7/31/2025 to 8/19/2026
ReturnCorrelation
FDMT272.4% 
Market (SPY)22.7%17.2%
Sector (XLV)36.4%15.5%

Fundamental Drivers

The -8.4% change in FDMT stock from 7/31/2023 to 8/19/2026 was primarily driven by a -95.3% change in the company's P/S Multiple.
(LTM values as of)73120238192026Change
Stock Price ($)18.3016.76-8.4%
Change Contribution By: 
Total Revenues ($ Mil)2924068.9%
P/S Multiple271.312.8-95.3%
Shares Outstanding (Mil)3370-53.4%
Cumulative Contribution-8.4%

LTM = Last Twelve Months as of date shown

Market Drivers

7/31/2023 to 8/19/2026
ReturnCorrelation
FDMT-8.4% 
Market (SPY)73.9%20.2%
Sector (XLV)37.1%20.2%

Return vs. Risk

Price Returns Compared

 202120222023202420252026Total [1]
Returns
FDMT Return-47%1%-9%-73%35%96%-64%
Peers Return14%-9%21%-13%39%20%83%
S&P 500 Return27%-19%24%23%16%12%105%

Monthly Win Rates [3]
FDMT Win Rate33%42%42%25%75%62% 
Peers Win Rate48%48%48%47%68%52% 
S&P 500 Win Rate75%42%67%75%67%50% 

Max Drawdowns [4]
FDMT Max Drawdown-63%-75%-58%-85%-62%-28% 
Peers Max Drawdown-35%-40%-32%-42%-37%-29% 
S&P 500 Max Drawdown-5%-25%-10%-8%-19%-9% 


[1] Cumulative total returns since the beginning of 2021
[2] Peers: REGN, VRTX, RGNX, KRYS, MGTX.
[3] Win Rate = % of calendar months in which monthly returns were positive
[4] Max drawdown represents maximum peak-to-trough decline within a year
[5] 2026 data is for the year up to 8/19/2026 (YTD)

How Low Can It Go

EventFDMTS&P 500
2025 US Tariff Shock
  % Loss-46.9%-18.8%
  % Gain to Breakeven88.4%23.1%
  Time to Breakeven62 days79 days
Summer-Fall 2023 Five Percent Yield Shock
  % Loss-45.8%-9.5%
  % Gain to Breakeven84.5%10.5%
  Time to Breakeven62 days24 days
2023 SVB Regional Banking Crisis
  % Loss-23.5%-6.7%
  % Gain to Breakeven30.7%7.1%
  Time to Breakeven8 days31 days
2022 Inflation Shock & Fed Tightening
  % Loss-74.9%-24.5%
  % Gain to Breakeven298.6%32.4%
  Time to Breakeven159 days427 days

Compare to REGN, VRTX, RGNX, KRYS, MGTX

In The Past

4D Molecular Therapeutics's stock fell -46.9% during the 2025 US Tariff Shock. Such a loss loss requires a 88.4% gain to breakeven.

Preserve Wealth

Limiting losses and compounding gains is essential to preserving wealth.

Asset Allocation

Actively managed asset allocation strategies protect wealth. Learn more.

EventFDMTS&P 500
2025 US Tariff Shock
  % Loss-46.9%-18.8%
  % Gain to Breakeven88.4%23.1%
  Time to Breakeven62 days79 days
Summer-Fall 2023 Five Percent Yield Shock
  % Loss-45.8%-9.5%
  % Gain to Breakeven84.5%10.5%
  Time to Breakeven62 days24 days
2023 SVB Regional Banking Crisis
  % Loss-23.5%-6.7%
  % Gain to Breakeven30.7%7.1%
  Time to Breakeven8 days31 days
2022 Inflation Shock & Fed Tightening
  % Loss-74.9%-24.5%
  % Gain to Breakeven298.6%32.4%
  Time to Breakeven159 days427 days

Compare to REGN, VRTX, RGNX, KRYS, MGTX

In The Past

4D Molecular Therapeutics's stock fell -46.9% during the 2025 US Tariff Shock. Such a loss loss requires a 88.4% gain to breakeven.

Preserve Wealth

Limiting losses and compounding gains is essential to preserving wealth.

Asset Allocation

Actively managed asset allocation strategies protect wealth. Learn more.

About 4D Molecular Therapeutics (FDMT)

4D Molecular Therapeutics (FDMT) is a clinical-stage gene therapy company focused on developing innovative treatments for various diseases. The company's core technology involves utilizing proprietary adeno-associated virus (AAV) vectors to deliver therapeutic genes, aiming to address the underlying genetic causes of illnesses. Its pipeline is strategically concentrated across three significant therapeutic areas: ophthalmology, cardiology, and pulmonology.

The company's product portfolio includes several candidates in different stages of development. Currently, three drug candidates are in Phase 1/2 clinical trials: 4D-125 for X-linked retinitis pigmentosa, 4D-110 for choroideremia, and 4D-310 for Fabry disease. Additionally, 4D Molecular Therapeutics has two investigational new drug (IND) candidates, 4D-150, which is being developed for wet age-related macular degeneration, and 4D-710, targeting cystic fibrosis lung disease.

4D Molecular Therapeutics' primary market consists of patients suffering from severe genetic and degenerative diseases in the ophthalmic, cardiac, and pulmonary fields. The company serves these markets by developing gene therapies that could offer transformative treatment options. To advance its research and development, 4D Molecular Therapeutics also engages in strategic research and collaboration arrangements with various partners, including uniQure, CRF, Roche, and CFF.

AI Analysis | Feedback

Here are 1-2 brief analogies to describe 4D Molecular Therapeutics (FDMT):

  • Imagine an early-stage Amgen or Regeneron, but exclusively focused on developing gene therapies for serious genetic and other diseases.

  • Think of it like Moderna, but for gene therapies using AAV vectors instead of mRNA for vaccines.

AI Analysis | Feedback

  • 4D-125: A gene therapy product candidate in Phase 1/2 clinical trials for the treatment of X-linked retinitis pigmentosa.
  • 4D-110: A gene therapy product candidate in Phase 1/2 clinical trials for the treatment of choroideremia.
  • 4D-310: A gene therapy product candidate in Phase 1/2 clinical trials for the treatment of Fabry disease.
  • 4D-150: An IND candidate gene therapy product for the treatment of wet age-related macular degeneration.
  • 4D-710: An IND candidate gene therapy product for the treatment of cystic fibrosis lung disease.

AI Analysis | Feedback

4D Molecular Therapeutics (FDMT) is a clinical-stage gene therapy company. At this stage, it does not sell commercial products to individuals or other companies in the traditional sense. Instead, its primary business interactions involve research and collaboration arrangements for the development of its product candidates.

Based on the provided information, 4D Molecular Therapeutics' major customers, in the context of research and collaboration arrangements, are other companies and organizations with whom they partner. These collaborators typically provide funding or resources in exchange for access to FDMT's technology or pipeline.

The major customer companies identified are:

  • uniQure (QURE)
  • Roche (RHHBY)

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David Kirn, MD Co-Founder, Chief Executive Officer, and President

Dr. David Kirn is a co-founder and has served as Chief Executive Officer of 4D Molecular Therapeutics since its inception in 2013. He is also President of the company. With over 30 years of experience as a physician-scientist, entrepreneur, innovator, and serial CEO, Dr. Kirn has co-founded and led four viral vector-based genetic medicines companies. Three of these companies were either acquired or went public. Notably, he co-founded and served as CEO of Ignite Immunotherapy Inc., which was acquired by Pfizer. He also founded Jennerex, serving as its President and CEO from 2003 until its acquisition in 2013. Earlier in his career, Dr. Kirn held senior clinical research and development positions at Onyx Pharmaceuticals (VP) and Celgene (SVP) and acted as a strategic advisor to companies such as Novartis, Bayer, Pfizer, and Biogen. He also holds a position as a professor at UC Berkeley.

Kristian Humer Chief Financial Officer

Kristian Humer was appointed Chief Financial Officer of 4D Molecular Therapeutics in November 2025. He brings over two decades of experience in corporate finance and biotechnology to the role. Prior to joining 4DMT, Mr. Humer served as CFO for publicly traded companies, including Foghorn Therapeutics, Inc. from April 2024 to November 2025, and Viridian Therapeutics, Inc. from July 2021 to September 2023. Before his CFO roles, he spent over a decade at Citi, where he was a Managing Director in the Healthcare Investment Banking Group from 2010 to 2021, advising clients on strategic initiatives such as equity and equity-linked financings, mergers, and acquisitions.

Julie Clark, MD Chief Medical Officer

Dr. Julie Clark was promoted to Chief Medical Officer in September 2025. She has more than 20 years of experience in retina and global clinical development, with a proven track record across 10 BLA-enabling studies, including six Phase 3 trials. Her leadership roles have contributed to the approval and commercialization of several therapeutics, including EYLEA®, JETREA®, BEOVU®, and IZERVAY®. Before joining 4DMT in summer 2025 as SVP, Clinical Research & Development, Dr. Clark held senior leadership positions at companies such as Novartis, Iveric Bio, Adverum, and Opthea. She was instrumental in the development and approval of IZERVAY® while leading clinical development at Iveric Bio.

Chris Simms Chief Commercial & Business Officer

Chris Simms' role expanded to Chief Commercial & Business Officer in January 2026, where he now oversees business development in addition to his existing commercial leadership responsibilities. He is a key member of a high-performing team that has delivered significant results in the past, including at Iveric Bio.

Katy Barglow, PhD Chief Technical Officer

Dr. Katy Barglow was promoted to Chief Technical Officer in January 2026. Since joining 4DMT in 2017, she has been instrumental in establishing and scaling the company's AAV manufacturing and analytical capabilities. In her current role, Dr. Barglow is responsible for overseeing the transition to commercial manufacturing, including CMC quality, supply chain, and technical operations.

AI Analysis | Feedback

The key risks to 4D Molecular Therapeutics (FDMT) are primarily associated with the inherent challenges of a clinical-stage gene therapy company.

1. Clinical Trial Outcomes and Regulatory Approval

As a clinical-stage biotechnology company, 4D Molecular Therapeutics' success is critically dependent on the favorable outcomes of its ongoing and future clinical trials and subsequent regulatory approvals. The company's lead candidate, 4D-150, is in Phase 3 trials for wet age-related macular degeneration (wet AMD) and diabetic macular edema (DME), and failure in these pivotal trials could significantly impact the company's valuation and commercialization prospects. The development of gene therapies involves navigating a complex regulatory landscape, with manufacturing challenges that can delay product launches and increase costs. A previous clinical hold on the company's Fabry disease program (4D-310) due to serious kidney conditions in patients underscores the inherent safety risks and potential for adverse events in gene therapy development. Furthermore, concerns have been raised regarding the long-term durability of 4D-150, particularly in DME, which could potentially limit its total addressable market. Gene therapies, in general, carry risks such as immune system reactions, toxicity, immunogenicity, and the potential for unintended effects on non-targeted cells or organs.

2. Funding and Cash Burn

As a pre-revenue company, 4D Molecular Therapeutics operates with substantial research and development (R&D) expenses, leading to a significant cash burn rate. The company's financial performance reflects ongoing investment without current profitability, with net losses and projected negative earnings per share for upcoming fiscal years. While 4D Molecular Therapeutics reportedly has a substantial cash reserve expected to fund operations into 2028, a material financial risk remains if pivotal clinical trial results are disappointing, which could make it challenging to raise further capital and potentially lead to equity dilution for existing investors.

3. Intense Competition

The gene therapy sector, particularly in ophthalmology for conditions like wet AMD and DME, is characterized by intense competition from numerous companies developing similar treatments. The emergence of rival therapies that demonstrate superior efficacy or durability could exert pressure on 4D Molecular Therapeutics' market position and pricing power. Beyond specific disease indications, competition also extends to attracting talent, securing manufacturing capacity, and acquiring investor capital within the broader gene therapy landscape.

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Addressable Markets for 4D Molecular Therapeutics (FDMT) Main Products

4D Molecular Therapeutics (FDMT) is developing gene therapy product candidates across three therapeutic areas: ophthalmology, cardiology, and pulmonology. The addressable markets for their main product candidates are as follows:

  • 4D-125 for X-linked retinitis pigmentosa: The total Retinitis Pigmentosa (RP) market size in the United States was estimated to be nearly USD 270 million in 2023, with other estimates at approximately USD 260 million in 2023. The global Retinitis Pigmentosa market is projected to grow from USD 14.27 billion in 2024 to USD 30.69 billion by 2035, at a Compound Annual Growth Rate (CAGR) of 7.21%. Another source indicates the global market was valued at USD 14.7 billion in 2024 and is expected to reach USD 30.31 billion by 2035. X-linked retinitis pigmentosa (XLRP) is a rarer form of non-syndromic retinitis pigmentosa, accounting for approximately 15% of such cases, with around 16,500 cases in the 7 Major Markets (7MM: US, EU4, UK, and Japan) in 2023.
  • 4D-110 for choroideremia: The global choroideremia treatment market size was valued at USD 9.79 billion in 2025 and is projected to exceed USD 15.65 billion by 2035, growing at a CAGR of more than 4.8% during the forecast period. North America is expected to hold the largest revenue share, with the United States having the largest patient pool and market for its treatment. Another report indicates the global market was valued at US$ 3.5 billion in 2022 and is expected to reach US$ 5.5 billion by 2031.
  • 4D-310 for Fabry disease: The global Fabry disease treatment market size was estimated at USD 2.54 billion in 2023 and is projected to reach USD 4.93 billion by 2030, with a CAGR of 9.9%. Other reports estimate the global market size at USD 2.3 billion in 2024, projected to reach USD 5.1 billion by 2032, and USD 2.45 billion in 2025, expected to reach approximately USD 5.20 billion by 2035. The United States accounted for approximately 52% of the total market size in the 7MM in 2024, generating about USD 880 million.
  • 4D-150 for wet age-related macular degeneration (wet AMD): The wet age-related macular degeneration (AMD) market size was USD 10.6 billion for 2025 and is projected to grow to USD 16.7 billion by 2032. The market size in the 7MM was nearly USD 7,783 million in 2023. The United States represented approximately 33% of the total 7MM market size in 2023, equating to about USD 2,599 million. The wet AMD market across the top 7 markets (US, EU4, UK, and Japan) reached USD 9,528.8 million in 2024 and is expected to reach USD 18,317.5 million by 2035.
  • 4D-710 for cystic fibrosis lung disease: The global cystic fibrosis market size was USD 12.9 billion in 2024 and is estimated to reach USD 32.3 billion by 2034, growing at a CAGR of 9.6% from 2025 to 2034. Another report states the global market size stood at USD 5.12 billion in 2019 and is projected to reach USD 62.57 billion by 2032. North America dominated this market, with a 75.98% share in 2019, and accounted for approximately 45% of the global market share. In 2023, the cystic fibrosis market size in the 7MM was approximately USD 18,743 million, with the US accounting for about USD 9,473 million.

AI Analysis | Feedback

4D Molecular Therapeutics (FDMT) is a clinical-stage gene therapy company with several potential drivers for future revenue growth over the next 2-3 years, primarily through pipeline advancements and strategic collaborations. Here are 3-5 expected drivers of future revenue growth for 4D Molecular Therapeutics: * Advancement and Clinical Milestones of 4D-150 for Wet AMD and DME: The company's lead gene therapy candidate, 4D-150, is undergoing Phase 3 clinical trials (4FRONT-1 and 4FRONT-2) for wet age-related macular degeneration (wet AMD) and diabetic macular edema (DME). Enrollment for the 4FRONT-1 study has been completed, and 4FRONT-2 was initiated ahead of schedule. Topline data for 4FRONT-1 is anticipated in the first half of 2027, with 4FRONT-2 data expected in the second half of 2027. Positive results from these pivotal trials and subsequent regulatory submissions, which are expedited by its Regenerative Medicine Advanced Therapy (RMAT) and PRIME designations, could trigger significant milestone payments from partners and increase the company's valuation in anticipation of a potential commercial launch in late 2027 or 2028. The wet AMD and DME markets represent multi-billion dollar opportunities. * Progress of 4D-710 for Cystic Fibrosis Lung Disease: 4D-710, an investigational new drug (IND) candidate for cystic fibrosis lung disease, has advanced into Phase 2 clinical trials. Continued positive progress in its clinical development and potential clinical data readouts within the next 2-3 years could lead to further collaboration agreements, milestone payments, or partnership opportunities, contributing to future revenue. * New and Expanded Strategic Collaborations: 4D Molecular Therapeutics leverages its proprietary Therapeutic Vector Evolution platform to develop its gene therapy candidates. Success in advancing its pipeline, particularly with 4D-150 and 4D-710, could attract new research, development, or commercialization partnerships. Such agreements typically include upfront payments, research funding, and milestone payments upon achieving specific development or regulatory goals, which can be significant revenue drivers for a clinical-stage biotechnology company. The company already has collaborations with uniQure, CRF, Roche, and CFF.

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Share Issuance

  • In February 2024, 4D Molecular Therapeutics completed a public offering of common stock and prefunded warrants, generating approximately $316 million in net proceeds, which contributed to an increase in cash and cash equivalents.
  • The number of outstanding shares increased by 10.07% in one year, reaching 57,135,075 shares as of March 6, 2026.

Capital Expenditures

  • For the fiscal year 2024, capital expenditures were reported as $3.8 million, which consumed a significant portion of the company's operating cash flow.
  • In Q3 2025, capital expenditures totaled -$91K, representing a 237.9% decrease from the previous quarter, and for the most recent quarter available, capital expenditures were 0.09 million USD.
  • Over the last 12 months, capital expenditures amounted to -$1.56 million.

Better Bets vs. 4D Molecular Therapeutics (FDMT)

Peer Outperformance in Biotechnology

FDMT has outperformed 64% of its 365 Biotechnology peers over 5Y. Biotechnology ranks 10th of 10 industries in Health Care by median 5Y return. The sector’s gains have largely come from elsewhere.
Share of Biotechnology constituents that FDMT has outperformed, by holding period. Peers without a full price history over a given window are excluded from that window.
1Y
82%
of 462 industry peers · 155.1% return
3Y
59%
of 407 industry peers · 4.5% return
5Y
64%
of 365 industry peers · -42.9% return
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Median price return by industry across the Health Care sector, ranked by 5Y. Biotechnology is FDMT's own industry. Use this to see which corners of the sector have carried the returns.
Industry Names 1Y med3Y med5Y med Top 3 by 5Y
Health Care Distributors 7 8.4%80.2%137.8% CAH 410% · MCK 337% · COR 180%
Health Care Services 20 19.9%44.4%9.4% HIMS 337% · RDNT 147% · DGX 75%
Managed Health Care 8 32.1%-4.0%-0.3% OSCR 138% · HQY 65% · ELV 13%
Health Care Facilities 24 8.8%-3.9%-15.3% THC 270% · NHC 261% · ENSG 126%
Health Care Equipment 51 -1.1%-6.1%-17.6% POCI 11000% · UFPT 381% · GKOS 287%
Health Care Supplies 12 38.2%-12.0%-25.7% LNTH 302% · HAE 82% · MMSI 33%
Pharmaceuticals 63 7.3%0.7%-29.1% LQDA 2808% · INDV 1373% · ETON 1294%
Life Sciences Tools & Services 108 -0.5%-31.3%-70.9% SNWV 1990% · ELMD 257% · MEDP 241%
Health Care Technology 20 -23.4%-53.0%-73.9% SPOK 118% · HSTM -3% · VEEV -22%
Biotechnology ← 366 17.1%-23.9%-76.7% BRTX 106550% · DNTH 1652% · CELZ 1500%
Median of constituents with a full price history over each window. Top names are unfiltered by size in this render.

Latest Trefis Analyses

Title
0ARTICLES

Recent Active Movers

Peer Comparisons

Peers to compare with:

Financials

FDMTREGNVRTXRGNXKRYSMGTXMedian
Name4D Molec.Regenero.Vertex P.RegenxbioKrystal .MeiraGTx  
Mkt Price16.76840.84552.0612.02343.34-343.34
Mkt Cap1.286.4140.10.610.1-10.1
Rev LTM9215,53512,587174440-440
Op Inc LTM-1974,1744,777-164198-198
FCF LTM-1563,5753,796-250258-258
FCF 3Y Avg-1383,4391,957-178140-140
CFO LTM-1564,6814,293-247272-272
CFO 3Y Avg-1364,4982,398-175150-150

Growth & Margins

FDMTREGNVRTXRGNXKRYSMGTXMedian
Name4D Molec.Regenero.Vertex P.RegenxbioKrystal .MeiraGTx  
Rev Chg LTM278,712.1%9.3%10.2%12.0%22.6%-12.0%
Rev Chg 3Y Avg93,132.5%7.0%9.8%26.3%--18.0%
Rev Chg Q25,106.7%16.7%12.5%405.7%24.1%-24.1%
QoQ Delta Rev Chg LTM4.3%4.1%3.0%98.7%5.6%-4.3%
Op Inc Chg LTM10.5%6.1%2,497.9%0.3%30.1%-10.5%
Op Inc Chg 3Y Avg-23.0%-1.7%792.2%13.8%1,235.7%-13.8%
Op Mgn LTM-214.2%26.9%37.9%-94.1%44.9%-26.9%
Op Mgn 3Y Avg-222,839.3%28.2%23.9%-158.9%29.9%-23.9%
QoQ Delta Op Mgn LTM-10.8%1.1%-0.2%198.2%2.1%-1.1%
CFO/Rev LTM-169.6%30.1%34.1%-141.4%61.8%-30.1%
CFO/Rev 3Y Avg-168,266.6%31.2%19.6%-137.5%35.4%-19.6%
FCF/Rev LTM-169.6%23.0%30.2%-143.1%58.5%-23.0%
FCF/Rev 3Y Avg-171,728.5%23.9%15.7%-140.0%32.2%-15.7%

Valuation

FDMTREGNVRTXRGNXKRYSMGTXMedian
Name4D Molec.Regenero.Vertex P.RegenxbioKrystal .MeiraGTx  
Mkt Cap1.286.4140.10.610.1-10.1
P/S12.85.611.13.623.0-11.1
P/Op Inc-6.020.729.3-3.951.3-20.7
P/EBIT-6.016.627.8-4.151.3-16.6
P/E-6.620.031.8-3.242.0-20.0
P/CFO-7.518.532.6-2.637.2-18.5
Total Yield-15.2%5.4%3.1%-30.9%2.4%-2.4%
Dividend Yield0.0%0.4%0.0%0.0%0.0%-0.0%
FCF Yield 3Y Avg-35.4%4.9%1.6%-31.3%2.2%-1.6%
D/E0.00.00.00.10.0-0.0
Net D/E-0.3-0.1-0.0-0.1-0.1--0.1

Returns

FDMTREGNVRTXRGNXKRYSMGTXMedian
Name4D Molec.Regenero.Vertex P.RegenxbioKrystal .MeiraGTx  
1M Rtn51.1%25.2%14.9%16.5%1.2%-16.5%
3M Rtn97.9%29.6%28.3%101.3%13.7%-29.6%
6M Rtn82.8%6.6%17.4%52.2%21.2%-21.2%
12M Rtn155.1%47.8%41.3%49.7%138.5%-49.7%
3Y Rtn4.5%4.5%60.1%-31.9%187.6%-4.5%
1M Excs Rtn44.7%22.0%11.9%13.6%-1.4%-13.6%
3M Excs Rtn94.6%28.9%22.3%107.5%12.2%-28.9%
6M Excs Rtn70.8%-5.5%5.4%40.1%9.2%-9.2%
12M Excs Rtn111.0%27.7%22.1%18.5%115.2%-27.7%
3Y Excs Rtn-71.6%-66.7%-13.7%-105.8%113.9%--66.7%

Comparison Analyses

null

Financials

Segment Financials

Revenue by Segment
$ Mil20252024202320222021
Discovery, development and commercialization of genetic medicines for specific diseases85021  
Astellas   0 
Cystic Fibrosis Foundation (CFF)   0 
uniQure   3 
Single Segment    18
Total85021318


Price Behavior

Price Behavior
Market Price$16.76 
Market Cap ($ Bil)1.1 
First Trading Date12/11/2020 
Distance from 52W High0.0% 
   50 Days200 Days
DMA Price$10.99$9.78
DMA Trendupup
Distance from DMA52.4%71.3%
 3M1YR
Volatility85.4%80.9%
Downside Capture-106.80119.64
Upside Capture225.85201.52
Correlation (SPY)23.2%31.1%
FDMT Betas & Captures as of 7/31/2026

 1M2M3M6M1Y3Y
Beta2.051.942.131.971.381.30
Up Beta2.964.032.902.152.031.22
Down Beta1.932.822.131.350.891.47
Up Capture-21%122%242%282%267%128%
Bmk +ve Days11223567138427
Stock +ve Days10233767126355
Down Capture359%94%169%176%101%109%
Bmk -ve Days11212859114326
Stock -ve Days12192556120381

[1] Upside and downside betas calculated using positive and negative benchmark daily returns respectively
Based On 1-Year Data
Annualized
Return
Annualized
Volatility
Sharpe
Ratio
Correlation
with FDMT
FDMT131.3%81.3%1.38-
Sector ETF (XLV)31.1%15.8%1.5117.6%
Equity (SPY)20.7%12.8%1.1930.7%
Gold (GLD)35.0%28.8%1.0419.9%
Commodities (DBC)41.4%20.2%1.60-8.5%
Real Estate (VNQ)15.3%13.9%0.788.0%
Bitcoin (BTCUSD)-44.7%42.7%-1.2724.7%

Smart multi-asset allocation framework can stack odds in your favor. Learn How
Based On 5-Year Data
Annualized
Return
Annualized
Volatility
Sharpe
Ratio
Correlation
with FDMT
FDMT-8.3%92.6%0.30-
Sector ETF (XLV)7.6%15.1%0.3121.3%
Equity (SPY)13.1%17.2%0.5923.9%
Gold (GLD)20.4%18.6%0.896.1%
Commodities (DBC)9.8%19.6%0.39-3.1%
Real Estate (VNQ)2.4%18.9%0.0317.4%
Bitcoin (BTCUSD)7.2%52.6%0.3213.7%

Smart multi-asset allocation framework can stack odds in your favor. Learn How
Based On 10-Year Data
Annualized
Return
Annualized
Volatility
Sharpe
Ratio
Correlation
with FDMT
FDMT-7.6%91.1%0.23-
Sector ETF (XLV)10.8%16.7%0.5320.5%
Equity (SPY)15.2%17.9%0.7223.9%
Gold (GLD)12.5%16.2%0.635.9%
Commodities (DBC)7.9%18.1%0.35-1.3%
Real Estate (VNQ)4.9%20.7%0.2017.0%
Bitcoin (BTCUSD)60.0%66.0%1.0013.3%

Smart multi-asset allocation framework can stack odds in your favor. Learn How

Short Interest

Short Interest: As Of Date7312026
Short Interest: Shares Quantity12.0 Mil
Short Interest: % Change Since 71520265.9%
Average Daily Volume0.7 Mil
Days-to-Cover Short Interest17.7 days
Basic Shares Quantity70.3 Mil
Short % of Basic Shares17.1%

Earnings Returns History

Updated 8/13/2026
Expand for More
 Forward Returns
Earnings Date1D Returns5D Returns21D Returns
5/7/20262.1%-1.2%-13.0%
3/18/20264.9%15.4%22.5%
11/10/2025-3.1%2.8%3.1%
8/11/2025-1.8%29.0%23.8%
5/8/2025-4.9%-1.2%47.8%
2/28/2025-8.6%-10.2%-28.7%
1/10/2025-5.5%-19.9%-9.0%
11/13/20244.0%9.1%-15.7%
...
SUMMARY STATS   
# Positive121111
# Negative101111
Median Positive4.4%5.0%22.5%
Median Negative-4.0%-3.0%-12.0%
Max Positive12.7%143.5%171.1%
Max Negative-8.6%-21.8%-38.6%
Collapse to Preview
 Forward Returns
Earnings Date1D Returns5D Returns21D Returns
5/7/20262.1%-1.2%-13.0%
3/18/20264.9%15.4%22.5%
11/10/2025-3.1%2.8%3.1%
8/11/2025-1.8%29.0%23.8%
5/8/2025-4.9%-1.2%47.8%
2/28/2025-8.6%-10.2%-28.7%
1/10/2025-5.5%-19.9%-9.0%
11/13/20244.0%9.1%-15.7%
8/8/20240.5%-0.3%3.5%
5/9/20240.2%0.0%-12.0%
2/29/20244.8%5.3%7.1%
11/9/20235.2%5.0%37.3%
8/9/2023-2.3%-6.5%-8.0%
5/11/20236.0%4.3%35.7%
3/15/20235.7%-3.0%-6.9%
11/9/202212.7%143.5%171.1%
8/11/2022-8.3%-16.0%-12.1%
5/12/2022-4.4%-21.8%-38.6%
11/10/20210.2%-2.3%-11.3%
8/12/2021-3.2%-2.1%20.3%
5/13/20210.3%3.9%10.8%
3/25/2021-3.6%1.3%-6.9%
SUMMARY STATS   
# Positive121111
# Negative101111
Median Positive4.4%5.0%22.5%
Median Negative-4.0%-3.0%-12.0%
Max Positive12.7%143.5%171.1%
Max Negative-8.6%-21.8%-38.6%

SEC Filings

Expand for More
Report DateFiling DateFiling
06/30/202608/13/202610-Q
03/31/202605/07/202610-Q
12/31/202503/18/202610-K
09/30/202511/10/202510-Q
06/30/202508/11/202510-Q
03/31/202505/08/202510-Q
12/31/202402/28/202510-K
09/30/202411/13/202410-Q
06/30/202408/08/202410-Q
03/31/202405/09/202410-Q
12/31/202302/29/202410-K
09/30/202311/09/202310-Q
06/30/202308/09/202310-Q
03/31/202305/11/202310-Q
12/31/202203/15/202310-K
09/30/202211/08/202210-Q
Collapse to Preview
Report DateFiling DateFiling
06/30/202608/13/202610-Q
03/31/202605/07/202610-Q
12/31/202503/18/202610-K
09/30/202511/10/202510-Q
06/30/202508/11/202510-Q
03/31/202505/08/202510-Q
12/31/202402/28/202510-K
09/30/202411/13/202410-Q
06/30/202408/08/202410-Q
03/31/202405/09/202410-Q
12/31/202302/29/202410-K
09/30/202311/09/202310-Q
06/30/202308/09/202310-Q
03/31/202305/11/202310-Q
12/31/202203/15/202310-K
09/30/202211/08/202210-Q
06/30/202208/11/202210-Q
03/31/202205/12/202210-Q
12/31/202103/28/202210-K
09/30/202111/10/202110-Q
06/30/202108/12/202110-Q
03/31/202105/13/202110-Q
12/31/202003/25/202110-K
09/30/202012/14/2020424B4
06/30/201909/30/2019S-1

Recent Forward Guidance

Updated 7/27/2026

Latest: Q1 2026 Earnings Reported 5/7/2026

Forward GuidanceGuidance Change
MetricLowMidHigh% Chg% DeltaChangePrior
2028 Cash Runway 2,028    

Prior: Q4 2025 Earnings Reported 3/18/2026

Forward GuidanceGuidance Change
MetricLowMidHigh% Chg% DeltaChangePrior
2026 Otsuka Cost Sharing 50.00 Mil    

Q3 2025 Earnings Reported 11/10/2025

Forward GuidanceGuidance Change
MetricLowMidHigh% Chg% DeltaChangePrior
2025 Upfront Cash Payment 85.00 Mil    
2028 Cost Sharing 50.00 Mil    
2028 Potential Regulatory and Commercial Milestones 336.00 Mil    

Insider Activity

Updated 8/4/2026
Expand for More
#OwnerTitleHoldingActionFiling DatePriceSharesTransacted
Value
Value of
Held Shares
Form
1Kirn, DavidSee RemarksDirectSell804202610.0512,415124,7228,757,557Form
2Kirn, DavidSee RemarksDirectSell714202612.0315,725189,23310,639,782Form
3Kirn, DavidSee RemarksDirectSell714202612.8742,608548,17711,577,458Form
4Bizily, ScottChief Legal OfficerDirectSell702202614.006,56691,924120,638Form
5Bizily, ScottChief Legal OfficerDirectSell625202612.009,810117,720103,404Form
Collapse to Preview
#OwnerTitleHoldingActionFiling DatePriceSharesTransacted
Value
Value of
Held Shares
Form
1Kirn, DavidSee RemarksDirectSell804202610.0512,415124,7228,757,557Form
2Kirn, DavidSee RemarksDirectSell714202612.0315,725189,23310,639,782Form
3Kirn, DavidSee RemarksDirectSell714202612.8742,608548,17711,577,458Form
4Bizily, ScottChief Legal OfficerDirectSell702202614.006,56691,924120,638Form
5Bizily, ScottChief Legal OfficerDirectSell625202612.009,810117,720103,404Form
6Kirn, DavidSee RemarksDirectSell623202610.47114,7461,200,8519,863,388Form
7Kirn, DavidSee RemarksDirectSell602202610.021,92219,25810,593,137Form
8Gupta, AshooVP, Finance and ControllerDirectSell32420268.613903,358403,930Form
9Gupta, AshooVP, Finance and ControllerDirectSell122320258.683893,377401,172Form
10Bizily, ScottChief Legal OfficerDirectSell1219202510.901,63517,82239,175Form
11Bizily, ScottChief Legal OfficerDirectSell1119202510.591,63517,31538,060Form
12Bizily, ScottChief Legal OfficerDirectSell1027202512.002,67832,13643,128Form
13Bizily, ScottChief Legal OfficerDirectSell1020202510.171,63516,62852,762Form
14Bizily, ScottChief Legal OfficerDirectSell1014202510.002,40824,08051,880Form
15Bizily, ScottChief Legal OfficerDirectSell92620258.002,40719,25660,768Form

Investor Activity (13F)

Updated Aug 20, 2026
13F holdings as of Mar 31, 2026 (Q1 2026)

Active managers (13F portfolio over $250M, at least 3 holdings) with a position over $5M that is either over 10% of their portfolio or held in a concentrated book of 50 or fewer total positions. Index/ETF, sovereign, bank, community-bank and charitable/donor-advised filers are excluded.

Active ManagerValue% of PortfolioTotal PositionsQoQFiling
Trails Edge Capital Partners, LP$12.1 Mil2.9%26New13F
Novo Holdings A/S$34.0 Mil2.8%22Hold13F
BVF Inc/Il$26.8 Mil0.9%41TRIM -37.8%13F
Evergreen Quality Fund GP, Ltd.$8.9 Mil0.2%40Hold13F
Active ManagerValue% of PortfolioTotal PositionsQoQFiling
Trails Edge Capital Partners, LP$12.1 Mil2.9%26New13F
Active ManagerValue% of PortfolioTotal PositionsQoQFiling
BVF Inc/Il$26.8 Mil0.9%41TRIM -37.8%13F
Active ManagerValue% of PortfolioTotal PositionsQoQFiling
Novo Holdings A/S$34.0 Mil2.8%22Hold13F
BVF Inc/Il$26.8 Mil0.9%41TRIM -37.8%13F
Trails Edge Capital Partners, LP$12.1 Mil2.9%26New13F
Evergreen Quality Fund GP, Ltd.$8.9 Mil0.2%40Hold13F
Core Cache Last Updated: 8/19/2026