RVMD · Revolution Medicines
Conviction · Low · more likely to lag the S&P 500 over the next three months
Wrong if: a daily close above $200.00
Note written ·
How this view changed
- · Rating cut from Medium to Low. The note's kill line was crossed, 12 November 2026: The published $180.00 kill line was crossed when the shares closed at $176.35 on 12 November 2026, giving back the gain that followed third-quarter results.
Price against the kill line
13.9% clear of its kill line on the 13 November 2026 close.
How to read this
This note expects the shares to lag the market, so its kill line sits above the price: a close above the red mark would prove the view wrong. Prices run from low on the left to high on the right. The dot is where the stock closed on 13 November 2026, left of the mark while it is below the line; a dot right of the mark has closed through it.
The scale is stretched near the line, so close calls are easy to see. More than 8% from the line, the stock reads well clear, with a hollow dot to show the figure is off the drawn scale.
The kill line is the research note's own test. The portfolio sells on business facts, not on a price. How the portfolio decides
Three months against the kill line
Daily closes, to . Red: the kill line, a daily close above $200.00, set on 13 November 2026. The shares are down 18.7% since the close; the S&P 500 is down 2.1% over the same sessions. Figures in the note can cover a different window.
Kill line
A daily close above $200.00, which would retrace the whole decline from the 9 November 2026 close of $200.15 and show the shares leading again; or fourth-quarter RASONQUE sales above the $197.6 million third-quarter level.
Research onlyNot in the portfolio.
Key figures from the filings · Health Care
Quarter to 30 September 2026, filed 4 November 2026; valuation at the 13 November 2026 close
- Revenue, latest quarter ($M)
- 198
- Gross margin (%)
- 99.8
- Operating margin (%)
- −188.9
- Free cash flow, four quarters ($M)
- −1,441
- Net cash, cash less debt ($M)
- 3,164
- Free-cash-flow yield (%)
- −3.9
All filed numbers
What Revolution Medicines reports to the SEC in its quarterly and annual filings. Each group states its period and filing date once; a figure dated otherwise says so. Built from the filings known on .
| Quarter to | Revenue ($M) | On a year (%) | Gross margin (%) | Operating margin (%) |
|---|---|---|---|---|
| first filed | 198 | — | 99.8 | −188.9 |
| first filed | 0.0 | — | — | — |
| first filed | 0.0 | — | — | — |
| Pre-tax income ($M) | −410 |
| Net income ($M) four quarters: −1,871 | −408 |
| Diluted shares, change on a year (%) against the quarter to 30 September 2025 | +13.6 |
| Operating cash flow ($M) | −1,431 |
| Capital spending ($M) | 9.4 |
| Free cash flow ($M) | −1,441 |
| Cash and short-term investments ($M) | 3,651 |
| Debt ($M) convertible debt | 488 |
| Net cash, cash less debt ($M) | 3,164 |
| Deferred revenue ($M) | Not reported |
| Backlog, orders not yet delivered ($M) | Not reported |
| Receivables ($M) | 231 |
| Inventory ($M) | 11.0 |
| Shareholders' equity ($M) | 2,402 |
| Market value ($M) | 37,265 |
| Enterprise value, market value plus net debt ($M) | 34,102 |
| Enterprise value to sales (×) | Not available |
| Enterprise value to operating income (×) | Not meaningful |
| Price to earnings (×) | Not meaningful |
| Price to book value (×) | 15.5 |
| Free-cash-flow yield (%) | −3.9 |
Short interest (FINRA, settled 15 October 2026, published 26 October 2026): 6.0% of shares outstanding sold short, 6.1 days of average trading to cover, +8.5% since the previous report.
| Window | Bought | Sold |
|---|---|---|
| 90 daysfrom | $0 | $85.3M |
| 12 monthsfrom | $0 | $157.3M |
The thesis
Revolution Medicines' shares are more likely than not to lag the S&P 500 over the next three months. They closed at $176.35 on 12 November 2026, below the $177.65 close of 5 November 2026 that followed third-quarter results, and the fourth-quarter report, expected in about February 2027, shows whether the first quarter's RASONQUE sales were repeatable.
The $180.00 kill line was crossed on 12 November 2026, when the shares closed at $176.35. The line was set to test the case that the shares would lead after results. The close showed that case failing: the shares rose to $200.15 on 9 November 2026, then closed at $193.06, $180.70 and $176.35 on the next three sessions. The Nasdaq 100 rose 2.8% on 11 November 2026, the day the shares fell to $180.70.
What the price reflects: at $176.35, the shares sit at the level of the first session after the report, so the $197.6 million of third-quarter RASONQUE (daraxonrasib) sales against a $23.5 million analyst estimate no longer shows in the price. The company said that figure included one-time patient conversions and pharmacy stocking and should not be read as the longer-term trajectory.
Bullish and bearish views on Revolution Medicines, Inc.
The bull case on Revolution Medicines, Inc. (RVMD), in brief: launch revenue far exceeded estimates. The bear case: third-quarter sales included one-time effects.
Bull case
- Launch revenue far exceeded estimates. Benzinga reported on 4 November 2026 that third-quarter sales were $197.559 million against a $23.495 million estimate, with a loss of $1.90 per share against $2.42 expected. A third-party review (finsee.ai) says more than 5,000 commercial patients were treated in about five weeks.
- Analysts raised targets after the report. HC Wainwright's target is $350 as of 6 November 2026. On 5 November 2026 Evercore ISI's target moved to $340, RBC's to $321, Guggenheim's to $298, TD Cowen's to $270, Truist's to $261 and Piper Sandler's to $222.
- Efficacy data are strong. In the Phase 3 RASolute 302 trial, median overall survival was 13.2 months with daraxonrasib against 6.7 months with chemotherapy (hazard ratio 0.40), per OncLive on 15 October 2026. The European Medicines Agency's committee recommended marketing authorisation the same day.
- Cash is large. Cash and marketable securities were $3,651 million at 30 September 2026, per finsee.ai. A $250.0 million drawdown from Royalty Pharma followed on 8 October 2026.
Bear case
- Third-quarter sales included one-time effects. The company said the quarter should not be read as indicative of the longer-term trajectory, per finsee.ai. The review attributes part of the revenue to patients moving from the free access program, waiting patients and pharmacy stocking. Management gave no fourth-quarter revenue outlook.
- Spending is rising fast. Third-quarter operating expenses were $570.7 million, up 81% from a year earlier, and the net loss was $407.5 million, per finsee.ai. Full-year operating-expense guidance of $2.15–2.2 billion was unchanged.
- G12D patients responded less often. FDA review documents showed a 32% overall response rate, 50% in G12V patients and 24% in G12D patients, who were 43% of the population, GuruFocus reported on 8 October 2026. The FDA said the analyses were not designed for subgroup comparisons.
- Insiders keep selling. SEC Form 4 filings show Anthony Mancini sold 811 shares at $200.00 on 9 November 2026 and 2,310 shares at $186.99 on 26 October 2026, both under Rule 10b5-1 plans (pre-scheduled sale plans). Chief Development Officer Alan Sandler sold 6,309 shares at an average of $202.14 on 29 September 2026.
- The share count grew. Diluted shares rose 13.6% to 214.9 million in the third quarter, per finsee.ai, after the company sold 10,563,381 shares at $142.00 each on 14 April 2026 (SEC Form 424B5).
Price setup
The shares closed at $176.35 on 12 November 2026. That is below the 50-day average of $195.24 and above the 200-day average of $159.51. The three-month change is −13.4%, measured from the $203.71 close of 14 August 2026.
The 52-week intraday high is $224.31 on 27 August 2026, and the last close is 21.4% below it. The 52-week closing low is $64.38 on 13 November 2025. The 8 October 2026 intraday low of $180.52 was the nearest recent floor; the shares closed below it on 12 November 2026.
Headlines on 12 November 2026 reported that the FDA suspended a fast-track drug review initiative during a leadership vacuum. The approval of RASONQUE on 26 August 2026 is already granted, and no change to its label has been reported.
Catalysts ahead
- Not yet announced: European Commission decision on RASONQUE marketing authorisation. A positive decision opens the European launch that the company is building with its own sales force; no decision date has been published.
- ~February 2027 (est.): Fourth-quarter 2026 results and call. First report that shows whether RASONQUE sales hold after one-time patient conversions and pharmacy stocking in the third quarter.
What would change the view
A daily close above $200.00, which would retrace the whole decline from the 9 November 2026 close of $200.15 and show the shares leading again; or fourth-quarter RASONQUE sales above the $197.6 million third-quarter level.
The line before it, a daily close below $180.00 set on 7 November 2026, was crossed on 12 November 2026: the shares closed at $176.35.
What it trades with
RVMD trades with high-growth biotech, so rising interest rates and falling small-cap indexes weigh on it independent of launch progress. On 8 October 2026 the 10-year Treasury yield was near 5.35% and small caps lagged, per Benzinga. On 11 November 2026 the Nasdaq 100 rose 2.8% while RVMD closed at $180.70, down from $193.06 the session before, so the decline came apart from the broad market.
Within oncology, the shares react to RAS-inhibitor news from competitors and to the Erasca litigation over ERAS-0015, filed 27 April 2026 and unresolved.
The evidence, claim by claim (8)
- Third-quarter 2026 sales were $197.559 million against a $23.495 million estimate; the loss was $1.90 per share against $2.42 expected. Benzinga, Revolution Medicines Q3 earnings report · as of
- Third-quarter operating expenses were $570.7 million, net loss $407.5 million, and cash and marketable securities $3,651 million; full-year operating-expense guidance of $2.15–2.2 billion was unchanged. finsee.ai Q3 2026 earnings review · as of
- HC Wainwright raised its price target to $350; Evercore ISI to $340, RBC to $321, Guggenheim to $298, TD Cowen to $270, Truist to $261, Piper Sandler to $222. Benzinga analyst-rating reports · as of
- In RASolute 302, median overall survival was 13.2 months with daraxonrasib versus 6.7 months with chemotherapy (hazard ratio 0.40). OncLive, 15 October 2026 · as of
- FDA review documents showed a 32% overall response rate, 50% in G12V and 24% in G12D patients, who were 43% of the population. GuruFocus; Investing.com · as of
- Anthony Mancini sold 811 shares at $200.00 on 9 November 2026 under a Rule 10b5-1 plan. SEC Form 4 filed 12 November 2026 · as of
- The shares closed at $176.35 on 12 November 2026, after closes of $200.15 on 9 November 2026, $193.06 on 10 November 2026 and $180.70 on 11 November 2026. Adjusted daily closes · as of
- The company sold 10,563,381 common shares at $142.00 each for gross proceeds of $1,500,000,102. SEC Form 424B5 · as of
Sources
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