MDGLMadrigal Pharmaceuticals, Inc. Common Stock
Options Analysis Report•PHARMACEUTICAL PREPARATIONS
Market Cap $12.4B|NASDAQ
● 2026-05-15$539.89
BULLISH
Analysis: 2026-05-14 EOD data
1Y +85.0%YTD -9.1%7D +5.9%
Options Vol
1,455
30D
Implied Move
±8.6%
IV Rank
18%
MDGL Options Overview
Mixed signals. No clear edge detected.
REWARDS
RISK ANALYSIS
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Value
Is IV priced right?
7.2
ExpensiveCheap
Measures whether options are cheap, fair, or rich relative to historical and peer
IV
levels.Risk Checks5/9 checks passed
IV Rank
≤35%IV Rank 60.3% — elevated vs history
IV/HV Ratio
<1.05xIV/HV 1.20x — IV premium over HV
Sector Relative≤50%
Sector percentile 34% — below sector median
Term Structure
<1.1xFront/Back 0.82x — contango
Skew Normal
<1.25xPut/Call IV 1.16x — elevated
Absolute IV
<80%ATM IV 49.7% — normal range
Spread-Adjusted Value
<80%Effective IV 81.7% (ATM 49.7% + spread 16.0% + bias) — expensive
Execution Efficiency
<3.0%Total drag 35.27% (spread 15.98% + slippage 19.29%) — high friction
Vega Efficiency
≥5.0Vega efficiency 108.02 (vega 172.622 / spread 15.98%) — efficient
Sentiment
Bullish or bearish?
4.6
BearishBullish
Analyzes
put/call ratios
, open interest skew
, and flow direction to determine market bias.Risk ChecksVery Bearish - Strong signal (Conviction: -55%, Raw: -46%)
Flow Direction
|net sentiment| ≥25%Conviction-weighted: -55% (strong bearish) — Raw: -46%
OI Skew Magnitude
≥15%|OI skew| 46.0% — call-heavy
Volume-OI Alignment
Same sign, |vol skew| ≥10%Vol skew +88.7%, OI skew +46.0% — aligned
Conviction Quality
≥2/3 conditions0-DTE 82%, far-OTM 15%, avg DTE 30
OI Momentum
|change| ≥3%OI change +0.0% (5d) — stable
Smart Money Flow
|weighted flow| ≥20%ITM: -3%, ATM: +16%, OTM: -62% — neutral (ITM/ATM divergent)
Sector Relative≤40% or ≥60%
Sector P/C percentile 18% — very bullish vs sector
Activity
Unusual activity?
6.1
QuietActive
Detects volume surges,
block trades
, and unusual options activity that may signal moves.Risk Checks4/9 checks passed
Volume Surge
≥1.5xVolume 2.4x avg — hot
Turnover Rate
≥15%Vol/OI 6.9% — normal turnover
Strike Concentration
≥60%Top 3 strikes = 50% — dispersed
Multi-Day Persistence
≥2 days1 day(s) elevated — may be one-day event
OI Build
≥5%OI change +1.1% (5d) — stable
Sector Relative≥60%
Sector activity percentile 84% — very active vs sector
Trade Quality
≥30%Large trade volume 65% — heavy institutional
Execution Urgency
≥60%Aggressive execution 53% — patient
Flow Conviction
≥30Conviction -55 (bearish) — strong conviction
Liquidity
Can I trade efficiently?
2.5
IlliquidLiquid
Evaluates
bid-ask spreads
, volume depth, and open interest for trade execution quality.Risk Checks2/8 checks passed
Tradeable Spread
≤5.0%Spread 16.0% — wide
Adequate OI
≥10,000OI 21,078 — adequate
Active Volume
≥500Volume 1,455/day — adequate
Reasonable Cost
≤$0.50$0.80 to cross — expensive
Strike Coverage
≥5 strikes0 liquid strikes — limited options
Sector Relative≤40%
Sector spread percentile 73% — wider than sector
Order Book Depth
≥100 contractsDepth 10.899999999999999 contracts (bid:5.8 ask:5.1) — thin
Execution Quality
<1.0%Avg slippage 19.29% — poor
Timing
Is now a good time?
7.5
RiskyFavorable
Considers earnings proximity,
time decay
, and event calendar for optimal entry timing.Risk Checks7/9 checks passed
Term Structure Clarity
|slope| ≥5%Slope -17.7% — contango
IV Percentile Clarity
<30 or >70IV percentile 60% — neutral
Event Detection
≥10pts kinkIV kink -5.5pts — no clear event
Theta/Vega Clarity
<0.5 or >2.0θ/ν ratio 871.83 — favors income trades
Expiration Distribution
≥3 expirations3 liquid expirations — flexible
Event Risk
≥60% (safe)safe window: No earnings detected
Spread Momentum
<1.2 ratioSpread ratio 1.00x — stable
Flow Momentum
≥25% strength + ≥50% consistencyFlow -55% @ 78% consistency — STRONG directional (bearish)
Smart Money Timing
≥40 composite scoreScore 95 (ITM 20% + inst 65%) — HIGH institutional
Directional Strategy Fit
Option Buyers
Long Calls5.6
bullishIV cheap, mixed flow
Long Puts5.9
bearishIV cheap, mixed flow
Premium Sellers
Cash-Secured Put3.7
bullishIV too cheap, mixed flow
Covered Call4.4
bearishIV too cheap, mixed flow
For educational purposes only. Not investment advice.