ProKidney (PROK)
Market Price (11/18/2025): $2.25 | Market Cap: $294.1 MilSector: Health Care | Industry: Biotechnology
ProKidney (PROK)
Market Price (11/18/2025): $2.25Market Cap: $294.1 MilSector: Health CareIndustry: Biotechnology
Investment Highlights
Why It Matters
Which of these 2 stories sounds closer for this stock?
1. Generates cash flow
The stock generated 4% or more of the share price (called cash flow yield), and shows moderate 10-15% or more growth.
2. Riding a trend
Think Tesla during the pandemic of 2020 when EVs were riding a cultural high, or Nvidia in the current AI boom, or even Figma. These companies don’t have enough yield, or, enough growth, or both - however - they are riding a trend. They have momentum. These can be more volatile - they don’t have the floor of strong cash flow
| Cash is significant % of market capNet D/ENet Debt/Equity. Debt net of cash. Negative indicates net cash. Equity is taken as the Market Capitalization is -99% | Weak multi-year price returns2Y Excs Rtn is -11%, 3Y Excs Rtn is -148% | Not profitable at operating income levelOp Inc LTMOperating Income, Last Twelve Months is -182 Mil, Op Mgn LTMOperating Margin = Operating Income / Revenue Reflects profitability before taxes and before impact of capital structure (interest payments). is -34467% |
| Valuation becoming less expensiveP/S 6M Chg %Price/Sales change over 6 months. Declining P/S indicates valuation has become less expensive. is -95% | Expensive valuation multiplesP/SPrice/Sales ratio is 558x | |
| Megatrend and thematic driversMegatrends include Biotechnology & Genomics, Precision Medicine, and Aging Population & Chronic Disease. Themes include Autologous Renal Cell Therapy, Show more. | Stock price has recently run up significantly6M Rtn6 month market price return is 178% | |
| Not cash flow generativeCFO/Rev LTMCash Flow from Operations / Revenue (Sales), Last Twelve Months (LTM) is -21712%, FCF/Rev LTMFree Cash Flow / Revenue (Sales), Last Twelve Months (LTM) is -27814% | ||
| Yield minus risk free rate is negativeERPEquity Risk Premium (ERP) = Total Yield - Risk Free Rate, Reflects the premium above risk free assets offered by the investment. is -29% | ||
| High stock price volatilityVol 12M is 529% |
| Cash is significant % of market capNet D/ENet Debt/Equity. Debt net of cash. Negative indicates net cash. Equity is taken as the Market Capitalization is -99% |
| Valuation becoming less expensiveP/S 6M Chg %Price/Sales change over 6 months. Declining P/S indicates valuation has become less expensive. is -95% |
| Megatrend and thematic driversMegatrends include Biotechnology & Genomics, Precision Medicine, and Aging Population & Chronic Disease. Themes include Autologous Renal Cell Therapy, Show more. |
| Weak multi-year price returns2Y Excs Rtn is -11%, 3Y Excs Rtn is -148% |
| Not profitable at operating income levelOp Inc LTMOperating Income, Last Twelve Months is -182 Mil, Op Mgn LTMOperating Margin = Operating Income / Revenue Reflects profitability before taxes and before impact of capital structure (interest payments). is -34467% |
| Expensive valuation multiplesP/SPrice/Sales ratio is 558x |
| Stock price has recently run up significantly6M Rtn6 month market price return is 178% |
| Not cash flow generativeCFO/Rev LTMCash Flow from Operations / Revenue (Sales), Last Twelve Months (LTM) is -21712%, FCF/Rev LTMFree Cash Flow / Revenue (Sales), Last Twelve Months (LTM) is -27814% |
| Yield minus risk free rate is negativeERPEquity Risk Premium (ERP) = Total Yield - Risk Free Rate, Reflects the premium above risk free assets offered by the investment. is -29% |
| High stock price volatilityVol 12M is 529% |
Market Valuation & Key Metrics
PROK Stock
Why The Stock Moved
Qualitative Assessment
AI Generated Analysis | Feedback
Here are the key points for why ProKidney's stock (PROK) moved by -18.8% from approximately July 31, 2025, to November 18, 2025:
1. Analyst Downgrades and Mixed Ratings.
During this period, Zacks Research downgraded ProKidney's stock from a "strong-buy" rating to a "hold" rating in August 2025. Additionally, Weiss Ratings reissued a "sell" rating in October 2025, and B of A Securities had downgraded the stock from "Hold" to "Sell" in June 2025, just before the specified timeframe, influencing sentiment. The overall analyst consensus appeared to reflect caution, with a mix of hold and sell ratings contributing to negative pressure on the stock price.
2. Continued Financial Losses and Cash Burn Concerns.
ProKidney reported its third-quarter 2025 financial results on November 10, 2025, which, despite beating some analyst estimates for EPS and revenue, still showed a net loss of $0.12 per share and a net loss of $35.8 million for the quarter. As a clinical-stage company, ProKidney continues to incur significant research and development expenses, leading to ongoing cash burn. Although the company's cash reserves are expected to fund operations into mid-2027, the persistent losses and the capital-intensive nature of drug development can weigh on investor sentiment.
Stock Movement Drivers
Return vs. Risk
Price Returns Compared
| 2020 | 2021 | 2022 | 2023 | 2024 | 2025 | Total [1] | |
|---|---|---|---|---|---|---|---|
| Returns | |||||||
| PROK Return | - | - | - | -74% | -5% | 33% | -67% |
| Peers Return | -15% | -9% | -6% | -3% | -3% | -17% | -44% |
| S&P 500 Return | 16% | 27% | -19% | 24% | 23% | 13% | 107% |
Monthly Win Rates [3] | |||||||
| PROK Win Rate | - | - | 20% | 50% | 50% | 40% | |
| Peers Win Rate | 18% | 15% | 23% | 31% | 22% | 62% | |
| S&P 500 Win Rate | 58% | 75% | 42% | 67% | 75% | 70% | |
Max Drawdowns [4] | |||||||
| PROK Max Drawdown | - | - | - | -82% | -33% | -70% | |
| Peers Max Drawdown | -20% | -13% | -14% | -15% | -30% | -27% | |
| S&P 500 Max Drawdown | -31% | -1% | -25% | -1% | -2% | -15% | |
[1] Cumulative total returns since the beginning of 2020
[2] Peers: VRTX, APM, BBOT, GDTC, HIND.
[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] 2025 data is for the year up to 11/17/2025 (YTD)
How Low Can It Go
| Event | PROK | S&P 500 |
|---|---|---|
| 2022 Inflation Shock | ||
| % Loss | -91.2% | -25.4% |
| % Gain to Breakeven | 1038.8% | 34.1% |
| Time to Breakeven | Not Fully Recovered days | 464 days |
Compare to VRTX, APM, BBOT, GDTC, HIND
In The Past
ProKidney's stock fell -91.2% during the 2022 Inflation Shock from a high on 3/13/2023. A -91.2% loss requires a 1038.8% gain to breakeven.
Preserve Wealth
Limiting losses and compounding gains is essential to preserving wealth over time.
Asset Allocation
Actively managed asset allocation strategies protect wealth. Learn more.
Latest Trefis Analyses
| Title | Topic | Date | |
|---|---|---|---|
| DASHBOARDS | |||
| ProKidney Stock Up 15%, Buy Or Wait? | Return | ||
| ARTICLES | |||
| What’s Behind The 500% Rise In ProKidney Stock? | July 9th, 2025 |
| Title | |
|---|---|
| DASHBOARDS | |
| ProKidney Stock Up 15%, Buy Or Wait? | |
| ARTICLES | |
| What’s Behind The 500% Rise In ProKidney Stock? |
Trade Ideas
Select past ideas related to PROK. For more, see Trefis Trade Ideas.
| Date | Ticker | Company | Category | Trade Strategy | 6M Fwd Rtn | 12M Fwd Rtn | 12M Max DD |
|---|---|---|---|---|---|---|---|
| 10312025 | GDRX | GoodRx | Dip Buy | DB | FCF Yield | Low D/EDip Buy with High Free Cash Flow YieldBuying dips for companies with significant free cash flow yield (FCF / Market Cap) and reasonable debt / market cap | -11.9% | -11.9% | -11.9% |
| 10312025 | DXCM | DexCom | Monopoly | MY | Getting CheaperMonopoly-Like with P/S DeclineLarge cap with monopoly-like margins or cash flow generation and getting cheaper based on P/S multiple | -0.3% | -0.3% | -5.8% |
| 10242025 | ACHC | Acadia Healthcare | Dip Buy | DB | P/E OPMDip Buy with Low PE and High MarginBuying dips for companies with tame PE and meaningfully high operating margin | -31.5% | -31.5% | -31.5% |
| 10102025 | PBH | Prestige Consumer Healthcare | Dip Buy | DB | P/E OPMDip Buy with Low PE and High MarginBuying dips for companies with tame PE and meaningfully high operating margin | -1.6% | -1.6% | -1.9% |
| 10032025 | REGN | Regeneron Pharmaceuticals | Dip Buy | DB | P/E OPMDip Buy with Low PE and High MarginBuying dips for companies with tame PE and meaningfully high operating margin | 15.6% | 15.6% | -7.0% |
| Date | Ticker | Company | Category | Trade Strategy | 6M Fwd Rtn | 12M Fwd Rtn | 12M Max DD |
|---|---|---|---|---|---|---|---|
| 10312025 | GDRX | GoodRx | Dip Buy | DB | FCF Yield | Low D/EDip Buy with High Free Cash Flow YieldBuying dips for companies with significant free cash flow yield (FCF / Market Cap) and reasonable debt / market cap | -11.9% | -11.9% | -11.9% |
| 10312025 | DXCM | DexCom | Monopoly | MY | Getting CheaperMonopoly-Like with P/S DeclineLarge cap with monopoly-like margins or cash flow generation and getting cheaper based on P/S multiple | -0.3% | -0.3% | -5.8% |
| 10242025 | ACHC | Acadia Healthcare | Dip Buy | DB | P/E OPMDip Buy with Low PE and High MarginBuying dips for companies with tame PE and meaningfully high operating margin | -31.5% | -31.5% | -31.5% |
| 10102025 | PBH | Prestige Consumer Healthcare | Dip Buy | DB | P/E OPMDip Buy with Low PE and High MarginBuying dips for companies with tame PE and meaningfully high operating margin | -1.6% | -1.6% | -1.9% |
| 10032025 | REGN | Regeneron Pharmaceuticals | Dip Buy | DB | P/E OPMDip Buy with Low PE and High MarginBuying dips for companies with tame PE and meaningfully high operating margin | 15.6% | 15.6% | -7.0% |
Research & Analysis
Invest in Strategies
Wealth Management
Peer Comparisons for ProKidney
Financials
| Median | |
|---|---|
| Name | |
| Mkt Price | 3.56 |
| Mkt Cap | 55.6 |
| Rev LTM | 1 |
| Op Inc LTM | -93 |
| FCF LTM | -60 |
| FCF 3Y Avg | 968 |
| CFO LTM | -60 |
| CFO 3Y Avg | 1,157 |
Growth & Margins
| Median | |
|---|---|
| Name | |
| Rev Chg LTM | 10.3% |
| Rev Chg 3Y Avg | 10.5% |
| Rev Chg Q | 11.0% |
| QoQ Delta Rev Chg LTM | 37.4% |
| Op Mgn LTM | -17,233.9% |
| Op Mgn 3Y Avg | 26.2% |
| QoQ Delta Op Mgn LTM | 12,993.8% |
| CFO/Rev LTM | -10,839.9% |
| CFO/Rev 3Y Avg | 23.1% |
| FCF/Rev LTM | -13,892.8% |
| FCF/Rev 3Y Avg | 19.8% |
Valuation
| Median | |
|---|---|
| Name | |
| Mkt Cap | 55.6 |
| P/S | 283.8 |
| P/EBIT | 11.5 |
| P/E | 13.1 |
| P/CFO | 13.6 |
| Total Yield | -10.7% |
| Dividend Yield | 0.0% |
| FCF Yield 3Y Avg | -46.0% |
| D/E | 0.0 |
| Net D/E | -0.5 |
Returns
| Median | |
|---|---|
| Name | |
| 1M Rtn | -10.2% |
| 3M Rtn | 5.3% |
| 6M Rtn | 22.6% |
| 12M Rtn | 13.0% |
| 3Y Rtn | -76.8% |
| 1M Excs Rtn | -10.4% |
| 3M Excs Rtn | 2.6% |
| 6M Excs Rtn | 10.7% |
| 12M Excs Rtn | -12.5% |
| 3Y Excs Rtn | -147.5% |
Returns Analyses
Earnings Returns History
Expand for More| Forward Returns | |||
|---|---|---|---|
| Earnings Date | 1D Returns | 5D Returns | 21D Returns |
| 11/10/2025 | 3.7% | ||
| 8/12/2025 | 5.8% | 4.0% | 33.0% |
| 3/17/2025 | -6.8% | -1.9% | -31.7% |
| 11/12/2024 | -4.7% | -23.0% | -4.7% |
| 8/9/2024 | 4.3% | 14.4% | 14.4% |
| 3/22/2024 | 2.9% | 14.3% | 80.7% |
| 11/14/2023 | -5.0% | 10.0% | 10.6% |
| 8/10/2023 | 1.7% | -23.2% | -34.4% |
| ... | |||
| SUMMARY STATS | |||
| # Positive | 5 | 4 | 5 |
| # Negative | 6 | 7 | 6 |
| Median Positive | 3.7% | 12.1% | 22.1% |
| Median Negative | -3.6% | -15.9% | -18.6% |
| Max Positive | 5.8% | 14.4% | 80.7% |
| Max Negative | -6.8% | -23.2% | -34.4% |
SEC Filings
Expand for More| Report Date | Filing Date | Filing |
|---|---|---|
| 6302025 | 8122025 | 10-Q 6/30/2025 |
| 3312025 | 5122025 | 10-Q 3/31/2025 |
| 12312024 | 3172025 | 10-K 12/31/2024 |
| 9302024 | 11122024 | 10-Q 9/30/2024 |
| 6302024 | 8092024 | 10-Q 6/30/2024 |
| 3312024 | 5102024 | 10-Q 3/31/2024 |
| 12312023 | 3222024 | 10-K 12/31/2023 |
| 9302023 | 11142023 | 10-Q 9/30/2023 |
| 6302023 | 8102023 | 10-Q 6/30/2023 |
| 3312023 | 5112023 | 10-Q 3/31/2023 |
| 12312022 | 3282023 | 10-K 12/31/2022 |
| 9302022 | 11142022 | 10-Q 9/30/2022 |
| 6302022 | 8262022 | S-1/A 6/30/2022 |
| 12312021 | 6102022 | DEFM14A 12/31/2021 |
Insider Activity
Expand for More| Owner | Title | Filing Date | Action | Price | Shares | TransactedValue | Value ofHeld Shares | Form | |
|---|---|---|---|---|---|---|---|---|---|
| 0 | Control Empresarial de Capitales S.A. de C.V. | 4242025 | Buy | 0.71 | 387,393 | 276,366 | 52,679,399 | Form | |
| 1 | Control Empresarial de Capitales S.A. de C.V. | 4212025 | Buy | 0.75 | 25,000 | 18,690 | 54,915,205 | Form | |
| 2 | Control Empresarial de Capitales S.A. de C.V. | 4182025 | Buy | 0.75 | 100,000 | 74,820 | 54,940,573 | Form | |
| 3 | Control Empresarial de Capitales S.A. de C.V. | 4162025 | Buy | 0.73 | 268,105 | 194,591 | 52,883,479 | Form | |
| 4 | Control Empresarial de Capitales S.A. de C.V. | 4142025 | Buy | 0.61 | 1,032,218 | 627,692 | 44,143,393 | Form |
Industry Resources
External Quote Links
| Y Finance | Barrons |
| TradingView | Morningstar |
| SeekingAlpha | ValueLine |
| Motley Fool | Robinhood |
| CNBC | Etrade |
| MarketWatch | Unusual Whales |
| YCharts | Perplexity Finance |
| FinViz |