MetaCap

Achieve Life Sciences (ACHV) vs Zevra Therapeutics (ZVRA)

Head-to-head comparison of performance, valuation, growth, profitability and dividends. Prices delayed 15 minutes; data as of Oct 18, 2026.

Summary

Achieve Life Sciences (ACHV) has outperformed Zevra Therapeutics (ZVRA) over the past year, gaining 51.9% versus a loss of 8.0%. Over five years, ZVRA leads with a -1.5% price change compared with -20.4% for ACHV. Achieve Life Sciences is the larger company by market cap ($657.8 million vs $590.3 million), about 1.1 times the size.

Summary generated from market data by MetaCap's automated system. Methodology

Relative performance

ACHV+51.90%ZVRA-8.01%
+110%+33%-44%
Oct 17, 20251 yearOct 16, 2026
ACHV-20.75%ZVRA+1.74%
+49%-16%-81%
Oct 11, 20215 yearsOct 12, 2026

Percent change in share price from the first common trading day shown; excludes dividends.

Head-to-head

ACHV versus ZVRA key metrics
MetricACHVZVRA
Share price$6.38$9.94
Market cap$657.79M$590.27M
1-day change-8.46%-3.21%
YTD return+28.37%+10.94%
1-year return+51.90%-8.01%
5-year return-20.45%-1.49%
P/E ratio (TTM)—10.80
Forward P/E—9.23
EPS (TTM)$-1.69$0.92
Dividend yield0.00%0.00%
Annual dividend$0.00$0.00
Revenue (latest FY)—$106.47M
Revenue growth (YoY)—+350.91%
Net income (latest FY)$-54.65M$83.23M
Gross margin—84.52%
Operating margin—-59.12%
Net margin—78.17%
52-week high$8.64$15.04
52-week low$2.62$8.01
Distance from 52-week high-26.16%-33.89%
Analyst consensusnonestrong_buy
Avg. price target upside+121.79%+151.51%
Average volume1.41M1.07M
Shares outstanding103.10M59.38M
Employees2861
SectorHealthcareHealthcare
IndustryBiotechnologyBiotechnology

Highlighted cells mark the higher value for growth, returns, margins and yield, and the lower value for P/E ratios. Highlighting is a mechanical comparison, not a recommendation.

Key differences

  • ACHV has outperformed ZVRA by 59.9 percentage points over the past year.

About Achieve Life Sciences

ACHV stock →

Achieve Life Sciences, Inc., a late-stage pharmaceutical company, develops and commercializes cytisinicline for nicotine independence in Canada, the United States, and the United Kingdom. The company offers cytisinicline, a naturally occurring alkaloid that interacts with nicotine receptors in the brain that reduces the severity of nicotine withdrawal symptoms.

Healthcare · Biotechnology · 28 employees

About Zevra Therapeutics

ZVRA stock →

Zevra Therapeutics, Inc., a commercial-stage company, focuses on addressing unmet needs for the treatment of rare diseases in the United States. The company develops its products through Ligand Activated Technology platform.

Healthcare · Biotechnology · 61 employees

ACHV vs ZVRA FAQ

Which is bigger, Achieve Life Sciences or Zevra Therapeutics?

Achieve Life Sciences (ACHV) is larger, with a market capitalization of $657.79M compared with $590.27M for Zevra Therapeutics (ZVRA).

Which stock has performed better over the past year, ACHV or ZVRA?

ACHV returned +51.90% over the past 12 months, compared with -8.01% for ZVRA (price return, excluding dividends). Past performance does not predict future results.

Are Achieve Life Sciences and Zevra Therapeutics in the same industry?

Yes. Both are classified in the Biotechnology industry within the Healthcare sector.

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