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Fractyl Health (GUTS)

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Fractyl Health, Inc. is a clinical-stage biotechnology company developing therapies for metabolic diseases, with a focus on obesity and type 2 diabetes. Rather than building another chronic drug regimen around symptom control, the company aims to address biological mechanisms that may contribute to metabolic dysfunction and disease progression.

Its lead product candidate, Revita, is an investigational procedural therapy designed to modify the duodenal lining, a part of the small intestine believed to play a role in metabolic signaling. The company’s approach is based on the idea that changes in the gut may influence insulin resistance, weight regulation and glucose control. Revita is being studied as a potential treatment for patients with type 2 diabetes and obesity-related metabolic disease, subject to clinical trial results and regulatory review.

Fractyl is also advancing Rejuva, a preclinical gene therapy platform intended to deliver durable metabolic benefits by targeting pancreatic function. Together, Revita and Rejuva illustrate the company’s broader strategy: to move metabolic disease treatment away from indefinite management and toward interventions that may alter underlying disease biology.

For investors, Fractyl Health is a high-risk, high-potential healthcare stock tied to the rapidly growing market for obesity and diabetes treatments. The field is highly competitive, especially with the rise of GLP-1-based medicines, but the scale of unmet need remains large. The company’s value depends on clinical execution, safety and efficacy data, regulatory progress, reimbursement prospects and its ability to differentiate procedural and genetic approaches from established drug therapies. As a development-stage business, Fractyl does not have the financial profile of a mature pharmaceutical company, making trial milestones central to its investment case.

0.86 USD
+0.01 (+0.98%)

Last updated

Market Cap
136.44M
P/E
P/FCF
P/S
Enterprise Value
103.41M
Sector
Industrials
Industry
Surgical and Medical Instruments and Apparatus
Address
3 VAN DE GRAAFF DRIVE, BURLINGTON, MA, 01803
Market Cap
136.44M
Enterprise Value
103.41M
P/E
P/B
6.38
P/S
EV / EBITDA
-1.13
EV / Sales
EPS
-0.68
Dividend Yield
0%
P/FCF
P/CF
Free Cash Flow
-87.84M
ROE
-505.22%
ROA
-108.67%
Debt / Equity
1.41
Current Ratio
4.28
Quick Ratio
4.28
Cash
4.1
Avg Volume
2.3M
Fundamentals Snapshot Price
0.86

Income Statement

Line Item 2026 Q1 2025 Q4 2025 Q3 2025 Q2 2025 Q1
Revenue
Gross profit
Operating income -20.82M -23.28M -22.69M -26.08M -24.76M
EBITDA -20.54M -23.01M -22.4M -25.81M -24.47M
Net income 9.22M -43.73M -45.6M -27.89M -23.74M
Basic EPS 0.06 -0.07 -0.71 -0.57 -0.49
Diluted EPS 0.06 -0.07 -0.71 -0.57 -0.49

Balance Sheet

Line Item 2026 Q1 2025 Q4 2025 Q3 2025 Q2 2025 Q1
Total assets 99.39M 121.4M 114.27M 62.01M 83.04M
Total liabilities 78.01M 111.94M 117.45M 80.22M 76.67M
Total equity 21.38M 9.46M -3.18M -18.21M 6.38M
Cash & equivalents 63.17M 81.54M 77.66M 22.29M 42.11M
Current assets 65.92M 87.58M 79.7M 26.69M 47.05M
Current liabilities 15.41M 18.33M 18.68M 21.83M 18.8M

Cash Flow

Line Item 2026 Q1 2025 Q4 2025 Q3 2025 Q2 2025 Q1
Operating cash flow -22.48M -21.34M -22.71M -21.2M -25.08M
Investing cash flow -3K -8K -98K -448K
Financing cash flow 4.11M 25.22M 78.09M 1.48M 171K
Change in cash -18.37M 3.88M 55.37M -19.82M -25.36M
Kind Filing Date Link
edgar index 4 — FRACTYL HEALTH, INC. View Filing
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form 4 Form 4 — Royan Ajay View Filing
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edgar index 4 — FRACTYL HEALTH, INC. View Filing
edgar index 4 — FRACTYL HEALTH, INC. View Filing
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edgar index 8-K — FRACTYL HEALTH, INC. View Filing
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edgar index 8-K — FRACTYL HEALTH, INC. View Filing
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edgar index SCHEDULE 13G/A — FRACTYL HEALTH, INC. View Filing
edgar index SCHEDULE 13G/A — FRACTYL HEALTH, INC. View Filing
edgar index SCHEDULE 13G/A — FRACTYL HEALTH, INC. View Filing
edgar index 8-K — FRACTYL HEALTH, INC. View Filing
eight k text 8-K — 8-K View Filing
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edgar index S-8 — FRACTYL HEALTH, INC. View Filing
form 4 Form 4 — Smith Weber Lara View Filing
edgar index 8-K — FRACTYL HEALTH, INC. View Filing
eight k text 8-K — 8-K View Filing
edgar index 8-K — FRACTYL HEALTH, INC. View Filing
eight k text 8-K — 8-K View Filing
edgar index 4 — FRACTYL HEALTH, INC. View Filing
edgar index 4 — FRACTYL HEALTH, INC. View Filing
edgar index 4 — FRACTYL HEALTH, INC. View Filing
edgar index 8-K — FRACTYL HEALTH, INC. View Filing
form 4 Form 4 — Rajagopalan Harith View Filing
form 4 Form 4 — Caplan Jay David View Filing
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edgar index 4 — FRACTYL HEALTH, INC. View Filing
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