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Medpace Holdings, Inc.

Securities Class Action

  • Date:
  • 2/19/2026
  • Company Name:
  • Medpace Holdings, Inc.
  • Stock Symbol:
  • MEDP
  • Status:
  • Investigating

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Bragar Eagel & Squire, P.C., a nationally recognized stockholder rights law firm, is investigating potential claims against Medpace Holdings, Inc. (“Medpace” or the “Company”) (NASDAQ: MEDP) on behalf of Medpace stockholders. Our investigation concerns whether Medpace has violated the federal securities laws and/or engaged in other unlawful business practices.


On February 9, 2026, Medpace reported Q4 2025 earnings. While the company posted revenue of $708.5 million and GAAP EPS of $4.67, both exceeding consensus estimates, the results disclosed a Q4 book-to-bill ratio of 1.04, which was lower than Medpace expected. CEO August Troendle acknowledged that cancellations were "the highest in over a year" resulting in the lower-than-anticipated book-to-bill ratio, stating that cancellations "skewed towards metabolic area," but "no single large project" responsible.

These disclosures contrasted sharply with statements made during prior earnings calls. On the Q3 2025 call on October 23, 2025, Troendle stated: "Cancellations were well behaved in Q3, permitting record net bookings and a net book-to-bill of 1.20." On the Q2 call on July 22, 2025, he said cancellations were "down across the pipeline" and predicted a "strong potential for book-to-bills returning to above 1.15x in Q3." On the Q1 call on April 22, 2025, Troendle projected a "path to improved backlog growth reflected in book-to-bill ratios above 1.15 in Q3 and Q4."

The ending backlog stood at approximately $3 billion as of December 31, 2025, reflecting just 4.3% year-over-year growth. Following the Q4 disclosure, Medpace shares fell approximately 15.9% on February 10, 2026. Multiple financial outlets, including Investor's Business Daily, Seeking Alpha, and GuruFocus, identified the bookings miss as the primary driver of the sell-off.


 
If you purchased or otherwise acquired Medpace shares and suffered a loss, are a long-term stockholder, have information, would like to learn more about these claims, or have any questions concerning this announcement or your rights or interests with respect to these matters, please contact Brandon Walker or Melissa Fortunato by email at investigations@bespc.com, by telephone at (212) 355-4648, or by filling out the form below.  There is no cost or obligation to you.
Contact Instructions
Please contact Brandon Walker or Melissa Fortunato by email at investigations@bespc.com with any questions.
The individual or institution below (“Plaintiff”) has reviewed and agrees to the Bragar Eagel & Squire, P.C. (“BESPC”) retainer agreement and authorizes BESPC to prosecute an action on Plaintiff’s behalf under the federal securities laws or applicable state laws to recover damages on behalf of investors in Medpace Holdings. BESPC will prosecute the action on a full contingency basis and will forward all costs and expenses.
 

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