Insider Trading March 19, 2026

Castle Biosciences CEO Disposes $500K of Stock Over Two Days

Derek Maetzold sold 19,300 shares under a 10b5-1 plan as the firm reports a stronger-than-expected fourth quarter

By Leila Farooq CSTL
Castle Biosciences CEO Disposes $500K of Stock Over Two Days
CSTL

Castle Biosciences President and CEO Derek J. Maetzold sold a total of 19,300 shares of company common stock on March 17 and 18, 2026, in transactions filed on a Form 4. The trades, executed under a Rule 10b5-1 plan adopted in December 2025, generated $500,098 in proceeds. The company recently posted quarterly results that beat expectations on both the earnings and revenue lines.

Key Points

  • CEO Derek J. Maetzold sold 19,300 Castle Biosciences shares on March 17-18, 2026, for total proceeds of $500,098.
  • The sales were executed under a Rule 10b5-1 trading plan adopted on December 3, 2025; Maetzold retains direct and indirect holdings through several trusts.
  • Castle Biosciences reported stronger-than-expected Q4 2025 results, with a diluted loss per share of $0.08 versus an expected $0.32 and revenue of $87 million, exceeding estimates.

Overview

Derek J. Maetzold, President and Chief Executive Officer of Castle Biosciences Inc (NASDAQ:CSTL), disposed of 19,300 shares of the company’s common stock across two days in mid-March 2026, according to a Form 4 filing. The combined proceeds from the sales amounted to $500,098.

Transaction details

On March 17, Maetzold sold 18,650 shares at an average reported price of $25.93 per share, producing $483,694.50 in proceeds. The Form 4 entry indicates those shares were sold in multiple trades at prices ranging from $25.66 to $26.27. After completing the March 17 transactions, Maetzold is reported to directly own 22,129 shares.

On March 18, he sold an additional 650 shares at $25.39 per share, for a total of $16,503.50. The March 18 sales were executed at prices between $25.26 and $25.48. Following that sale, his direct holdings stood at 21,479 shares.

Ownership structure noted in filing

The filing also lists indirect holdings attributable to Maetzold through several trust vehicles. These include The Maetzold Descendants 2020 Trust, the Derek Maetzold 2020 Irrevocable Trust, various Maetzold 2018 Remainder Trusts, and DJM Grantor Retained Annuity Trusts.

Planned trading arrangement

The reported sales were carried out pursuant to a Rule 10b5-1 trading plan that Maetzold adopted on December 3, 2025. The Form 4 reflects the mechanics and dates of the executed trades but does not provide additional commentary on motivations beyond the 10b5-1 plan framework.

Market context and analyst view

At the time of the filing, Castle Biosciences shares were trading near $25.70. The stock has declined about 34% year-to-date but has rebounded roughly 76% from its 52-week low of $14.59. The article notes that InvestingPro analysis considers the shares undervalued at current levels, with analysts maintaining price targets in the $44 to $52 range.

Recent financial results

Castle Biosciences reported fourth-quarter 2025 results that exceeded expectations on both the earnings and revenue lines. The company posted a diluted loss per share of $0.08, compared with a consensus forecast loss of $0.32, which the filing characterizes as a 75% positive surprise. Revenue for the quarter was $87.0 million, ahead of the anticipated $77.09 million by 12.86%.

The revenue improvement was attributed in the report to higher year-over-year volumes for most of the company’s tests, consistent with the company’s prior preannouncement. Following the results, Canaccord Genuity reiterated a Buy rating on Castle Biosciences and set a $50 price target.


Note: The Form 4 filing provides the transaction specifics and the filing lists Maetzold’s direct and indirect holdings. The submission also states that the trades were conducted under the previously adopted Rule 10b5-1 trading plan.

Risks

  • Share-price volatility: CSTL was down about 34% year-to-date at the time of the filing, indicating potential short-term market volatility for investors in the healthcare and biotech sectors.
  • Interpretation limits of insider sales: The filing indicates these transactions were carried out under a pre-established 10b5-1 plan; the plan structure limits what can be inferred about management’s private views, creating uncertainty for market observers.
  • Analyst valuation dispersion: While some analysis describes CSTL as undervalued with price targets of $44 to $52, differences between current market price and analyst targets point to uncertainty regarding future stock performance in the equity markets.

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