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olivLaw · US equity research

Axsome Therapeutics, Inc. AXSM

Pharmaceutical Preparations · SIC 2834 · Vertical: Pharmaceutical Preparations (SIC 2834)

137.00USD−1.87% · 1 dayClose 04 Nov 2026

Axsome Therapeutics is a biopharmaceutical company developing and commercializing medicines for central nervous system conditions, with three FDA-approved products: AUVELITY, SUNOSI and SYMBRAVO. The company reported total revenues of 638.5 million USD for 2025, and strong sales growth in the second quarter of 2026 keeps its commercial trajectory under close watch from investors and analysts.

The AI analysis may be outdated: new filings came after its sources (see the «AI analysis» section).

At the close of 04 Nov 2026, Axsome Therapeutics, Inc. (AXSM) stock was 137.00 USD (−1.87% on the day), with market capitalisation 7.2 bn USD, beta 0.68, 52-week range 135.69–255.17 USD. Latest reported quarter (Q3 2026): revenue of 259.7 m USD (+51.9% YoY), net income of -12.9 m USD, diluted EPS -0.25 USD.

Data as of · AI analysis dated · Source: SEC filings and closing prices, computed by olivLaw.

Market cap
7.2 bn USD
shares as of 26 Oct 2026
P/E (TTM)
unavailable
Diluted EPS TTM -3.06 · TTM to 30 Sept 2026
E/P (TTM)
-2.24%
TTM to 30 Sept 2026
Dividend yield
unavailable
Beta (2y)
0.68
Volatility (1y) 43%
52-week range
135.69255.17

Price history

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Technical reading

RSI (14)
24.6
oversold (≤ 30)
Bollinger (20, 2)
131.34 – 173.16
in the lower half of the band · %B 0.14 · band width 27.5%
SMA 50 / 200
180.64 / 198.71
downtrend (price < SMA50 < SMA200)
MACD (12, 26, 9)
-12.44 / -12.50
MACD above signal

Indicators describe past prices; on their own they do not predict direction. On our history the RSI ≤ 40 filter added no return (see the signals methodology).

Performance

CompanyS&P 500vs S&P 500Vertical median
1 month−22.6%−1.1%−21.5 pp—
3 months−35.6%−0.5%−35.2 pp—
6 months−38.5%+4.4%−42.9 pp—
Year to date−25.0%+12.3%−37.3 pp—
1 year+1.5%+13.5%−12.0 pp+19.3%
3 years+110.3%+76.4%+33.9 pp+13.0%
5 years+240.8%+63.7%+177.1 pp—
Max drawdown (1y)
−46.7%
12 Jun 2026 → 02 Nov 2026
Max drawdown (5y)
−53.5%
05 Apr 2022 → 16 Jun 2022
Compound annual growth (5y)
+27.8%
S&P 500 +10.4%

Price returns, dividends excluded.

Quarterly results

Latest quarter: Q3 2026 · 30 Sept 2026

Revenue
259.7 m USD
+51.9% YoY
Net income
-12.9 m USD
unavailable YoY
Diluted EPS
-0.25
unavailable YoY
net / operating
-5.0% / -4.3%

Quarterly margins

Quarterly statements · USD

Fiscal yearQ4 '24Q1 '25Q2 '25Q3 '25Q4 '25Q1 '26Q2 '26Q3 '26
Revenue118.8 m121.5 m150.0 m171.0 m196.0 m191.2 m218.4 m259.7 m
Cost of revenue10.5 m9.8 m13.4 m11.9 m12.3 m14.7 m13.6 m17.8 m
Research & development55.0 m44.8 m49.5 m40.2 m48.8 m52.7 m46.2 m50.6 m
SG&A113.3 m120.8 m130.3 m150.2 m169.3 m185.0 m208.1 m203.1 m
Operating income-72.6 m-57.0 m-36.7 m-46.1 m-27.0 m-63.4 m-49.6 m-11.1 m
Interest expense-5.4 m5.3 m-4.1 m-3.4 m-3.2 m3.1 m-3.2 m-3.4 m
Pre-tax income-74.8 m-59.4 m-48.9 m-47.2 m-28.1 m-64.5 m-51.2 m-12.8 m
Income tax85.0 k0-960.0 k0430.0 k0128.0 k88.0 k
Net income-74.9 m-59.4 m-48.0 m-47.2 m-28.6 m-64.5 m-51.3 m-12.9 m
Diluted EPS-1.54 ≈-1.22-0.97-0.94-0.56 ≈-1.26-0.99-0.25
Operating cash flow-26.2 m-43.4 m-32.4 m ≈1.0 m ≈-18.7 m-20.7 m-33.0 m ≈-9.5 m ≈
Capex30.0 k338.0 k13.0 k ≈58.0 k ≈71.0 k121.0 k450.0 k ≈197.0 k ≈

≈ derived quarter (cumulative difference / share-days average)

E/P over time

E/P = trailing-12-month diluted EPS / price at quarter end. E/P is the inverse of P/E and stays defined when earnings are negative.

Fiscal years

Fiscal year20182019202020212022202320242025
Revenueunavailableunavailableunavailableunavailable0270.6 m385.7 m638.5 m
Revenue YoYunavailableunavailableunavailableunavailableunavailableunavailable+42.5%+65.5%
Net income-31.0 m-68.3 m-102.9 m-130.4 m-187.1 m-239.2 m-287.2 m-183.2 m
Net income YoYunavailableunavailableunavailableunavailableunavailableunavailableunavailableunavailable
Diluted EPSunavailableunavailable-2.77-3.47-4.60-5.27-5.99-3.68
Diluted EPS YoYunavailableunavailableunavailableunavailableunavailableunavailableunavailableunavailable
net %unavailableunavailableunavailableunavailableunavailable-88.4%-74.5%-28.7%
Free cash flow-30.1 m-46.4 m-78.5 m-108.5 m-117.2 m-145.7 m-128.7 m-93.9 m

Reported results vs expectations

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Balance sheet & financial health

Fiscal year 2025 · 31 Dec 2025

Cash
322.9 m USD
Financial debt
187.7 m USD
Net debt
-135.2 m USD
Equity
88.3 m USD
Total assets
689.8 m USD
Debt / equity
2.13x
Current ratio
1.55x
ROE
-252.1%
ROA
-29.1%
FCF margin
-14.7%

Financial statements (source on every figure)

Revenue and net income (USD)

Margins

Income statement · USD

Revenue
2023
270.6 m
2024
385.7 m
2025
638.5 m

SEC (XBRL)· 23 Feb 2026verified

Cost of revenue
2023
26.1 m
2024
33.3 m
2025
47.5 m

SEC (XBRL)· 23 Feb 2026verified

Gross profit
2023
244.5 m ≈
2024
352.4 m ≈
2025
591.0 m ≈

SEC (XBRL)· 23 Feb 2026derived

Research & development
2023
97.9 m
2024
187.1 m
2025
183.3 m

SEC (XBRL)· 23 Feb 2026verified

SG&A
2023
323.1 m
2024
411.4 m
2025
570.6 m

SEC (XBRL)· 23 Feb 2026verified

Operating income
2023
-231.8 m
2024
-280.6 m
2025
-166.8 m

SEC (XBRL)· 23 Feb 2026verified

Interest expense
2023
-20.0 m
2024
-21.6 m
2025
-15.9 m

SEC (XBRL)· 23 Feb 2026verified

Pre-tax income
2023
-238.3 m
2024
-287.1 m
2025
-183.7 m

SEC (XBRL)· 23 Feb 2026verified

Income tax
2023
960.0 k
2024
85.0 k
2025
-530.0 k

SEC (XBRL)· 23 Feb 2026verified

Net income
2023
-239.2 m
2024
-287.2 m
2025
-183.2 m

SEC (XBRL)· 23 Feb 2026verified

Diluted EPS
2023
-5.27
2024
-5.99
2025
-3.68

SEC (XBRL)· 23 Feb 2026verified

Weighted average diluted shares
2023
45.4 m
2024
47.9 m
2025
49.7 m

SEC (XBRL)· 23 Feb 2026verified

Balance sheet · USD

Cash
2023
386.2 m
2024
315.4 m
2025
322.9 m

SEC (XBRL)· 23 Feb 2026verified

Receivables
2023
94.8 m
2024
142.0 m
2025
224.5 m

SEC (XBRL)· 23 Feb 2026verified

Inventories
2023
15.1 m
2024
15.7 m
2025
27.9 m

SEC (XBRL)· 23 Feb 2026verified

Current assets
2023
504.3 m
2024
485.1 m
2025
589.0 m

SEC (XBRL)· 23 Feb 2026verified

Property, plant & equipment, net
2023
846.0 k
2024
584.0 k
2025
562.0 k

SEC (XBRL)· 23 Feb 2026verified

Goodwill
2023
12.0 m
2024
12.0 m
2025
12.0 m

SEC (XBRL)· 23 Feb 2026verified

Intangibles (excl. goodwill)
2023
53.3 m
2024
46.9 m
2025
40.5 m

SEC (XBRL)· 23 Feb 2026verified

Total assets
2023
588.2 m
2024
568.5 m
2025
689.8 m

SEC (XBRL)· 23 Feb 2026verified

Accounts payable
2023
40.7 m
2024
72.0 m
2025
65.5 m

SEC (XBRL)· 23 Feb 2026verified

Short-term debt
2023
—
2024
0
2025
70.0 m

SEC (XBRL)· 23 Feb 2026verified

Long-term debt
2023
178.1 m
2024
180.7 m
2025
117.7 m

SEC (XBRL)· 23 Feb 2026verified

Current liabilities
2023
138.9 m
2024
230.1 m
2025
378.8 m

SEC (XBRL)· 23 Feb 2026verified

Total liabilities
2023
397.3 m
2024
511.5 m
2025
601.5 m

SEC (XBRL)· 23 Feb 2026verified

Equity
2023
191.0 m †
2024
57.0 m †
2025
88.3 m †

SEC (XBRL)· 23 Feb 2026verified

Cash flow · USD

Operating cash flow
2023
-145.1 m
2024
-128.4 m
2025
-93.4 m

SEC (XBRL)· 23 Feb 2026verified

Capex
2023
582.0 k
2024
270.0 k
2025
480.0 k

SEC (XBRL)· 23 Feb 2026verified

Free cash flow
2023
-145.7 m ≈
2024
-128.7 m ≈
2025
-93.9 m ≈

SEC (XBRL)· 23 Feb 2026derived

Investing cash flow
2023
-582.0 k
2024
-270.0 k
2025
-480.0 k

SEC (XBRL)· 23 Feb 2026verified

Financing cash flow
2023
331.0 m
2024
57.8 m
2025
101.5 m

SEC (XBRL)· 23 Feb 2026verified

Computed indicators

Growth

Revenue growth (YoY)
65.5%
computed by olivLawFY 2025
Revenue CAGR 3Y
unavailable
the base of the ratio is not positive
Revenue CAGR 5Y
unavailable
input data missing
EBIT growth (YoY)
unavailable
the base of the ratio is not positive
Net income growth (YoY)
unavailable
the base of the ratio is not positive
Net income CAGR 3Y
unavailable
the base of the ratio is not positive
Net income CAGR 5Y
unavailable
the base of the ratio is not positive
EPS growth (YoY)
unavailable
the base of the ratio is not positive
EPS CAGR 3Y
unavailable
the base of the ratio is not positive
EPS CAGR 5Y
unavailable
the base of the ratio is not positive
FCF growth (YoY)
unavailable
the base of the ratio is not positive

Profitability

Gross margin
93.2%
computed by olivLawTTM to 30 Sept 2026
EBITDA margin
unavailable
input data missing
EBIT margin
-17.5%
computed by olivLawTTM to 30 Sept 2026
Net margin
-18.2%
computed by olivLawTTM to 30 Sept 2026
FCF margin
-9.5%
computed by olivLawTTM to 30 Sept 2026

Returns

ROE
-175.6%
computed by olivLawTTM to 30 Sept 2026 · balance sheet at 30 Sept 2026
ROA
-21.0%
computed by olivLawTTM to 30 Sept 2026 · balance sheet at 30 Sept 2026
ROIC
unavailable
insufficient data
ROCE
-47.6%
computed by olivLawTTM to 30 Sept 2026 · balance sheet at 30 Sept 2026
Payout ratio (EPS)
unavailable
input data missing
Payout ratio (FCF)
unavailable
input data missing

Balance sheet

Net debt
-125.8 m USD
computed by olivLawbalance sheet at 30 Sept 2026
Net debt / EBITDA
unavailable
input data missing
Debt / equity
1.8x
computed by olivLawbalance sheet at 30 Sept 2026
Interest coverage
-22.4x
computed by olivLawTTM to 30 Sept 2026

Liquidity

Current ratio
1.4x
computed by olivLawbalance sheet at 30 Sept 2026
Quick ratio
1.3x
computed by olivLawbalance sheet at 30 Sept 2026
Cash ratio
0.6x
computed by olivLawbalance sheet at 30 Sept 2026

Cash

Operating cash flow
-81.8 m USD
computed by olivLawTTM to 30 Sept 2026
Capital expenditure
839.0 k USD
computed by olivLawTTM to 30 Sept 2026
Free cash flow
-82.6 m USD
computed by olivLawTTM to 30 Sept 2026
FCF conversion
unavailable
insufficient data
Cash conversion
unavailable
input data missing

Efficiency

Days sales outstanding
114 days
computed by olivLawTTM to 30 Sept 2026 · balance sheet at 30 Sept 2026
Days inventory outstanding
207 days
computed by olivLawTTM to 30 Sept 2026 · balance sheet at 30 Sept 2026
Days payables outstanding
470 days
computed by olivLawTTM to 30 Sept 2026 · balance sheet at 30 Sept 2026
Cash conversion cycle
-148 days
computed by olivLawTTM to 30 Sept 2026 · balance sheet at 30 Sept 2026

Market and valuation

Market capitalisation
7.2 bn USD
computed by olivLawbalance sheet at 30 Sept 2026
Enterprise value
7.1 bn USD
computed by olivLawbalance sheet at 30 Sept 2026
Market cap / net income TTM
unavailable
insufficient data
P/E (TTM)
unavailable
insufficient data
Earnings yield
-2.2%
computed by olivLawTTM to 30 Sept 2026
P/B
68.3x
computed by olivLawbalance sheet at 30 Sept 2026
P/S
8.3x
computed by olivLawTTM to 30 Sept 2026 · balance sheet at 30 Sept 2026
EV/EBITDA
unavailable
input data missing
EV/EBIT
unavailable
insufficient data
EV/Sales
8.2x
computed by olivLawTTM to 30 Sept 2026 · balance sheet at 30 Sept 2026
P/FCF
unavailable
the base of the ratio is not positive
FCF yield
-1.1%
computed by olivLawTTM to 30 Sept 2026 · balance sheet at 30 Sept 2026
Dividend yield
unavailable
no dividend in the structured statements; a missing line is not a confirmed zero
Shareholder yield (distributions)
unavailable
input data missing

1 indicators that do not apply to the sector.

Valuation

olivLaw classification

Insufficient data
What is missing
  • indicators available: 4 of at least 6
  • score weight coverage: 25.0% of at least 60%
  • valuation methods computed: 0 of at least 1

A scoring methodology on indicators and valuation, not investment advice.

Closing price

137.00 USD

04 Nov 2026Source: olivLaw, closing series

Market cap: 7.2 bn USD

Key indicators

Market capitalisation
7.2 bn USD
computed by olivLawbalance sheet at 30 Sept 2026
P/E (TTM)
unavailable
insufficient data
P/B
68.3x
computed by olivLawbalance sheet at 30 Sept 2026
EV/EBITDA
unavailable
input data missing
ROE
-175.6%
computed by olivLawTTM to 30 Sept 2026 · balance sheet at 30 Sept 2026
Net margin
-18.2%
computed by olivLawTTM to 30 Sept 2026
Revenue growth (YoY)
65.5%
computed by olivLawFY 2025
Dividend yield
unavailable
no dividend in the structured statements; a missing line is not a confirmed zero

Coverage and freshness

31/37 reporting lines present
Latest full fiscal year: 2025
Latest reported period: 30 Sept 2026
Latest balance sheet date: 30 Sept 2026
Share count (cover of the latest filing), as of: 26 Oct 2026
Source: SEC (XBRL)published 02 Nov 2026
verified 1303derived 94

Score by group

25% · Insufficient data

Estimated value range

unavailable — no valuation method could be computed

Valuation assumptions are editorial choices, not measured; beta is not measured.

Valuation methods

  • DCF (discounted cash flow)unavailable · the base of the ratio is not positive
  • Peers: EV/EBITDAunavailable · input data missing
  • Peers: P/Eunavailable · the base of the ratio is not positive
  • Dividend discount (DDM)unavailable · the company pays no dividend: a dividend model needs an explicit initiation assumption

no valuation method could be computed

Multiple comparisons use the SIC vertical: Pharmaceutical Preparations (SIC 2834)

Classification (SIC) comparables group by industry code, not by economic activity; the direct group is an editorial selection by activity. Members' multiples are on their own trailing twelve months, at their own latest close.

Assumptions (illustrative, editorial)

Risk-free rate
4.3%
Equity risk premium
5.0%
Beta (default)
1.00
Cost of equity
9.3%
Terminal growth
2.5%

Factor scorecard

Insufficient data

Minimum-evidence gate: indicators available: 4 of at least 6; score weight coverage: 25.0% of at least 60%; valuation methods computed: 0 of at least 1

FactorValueScoreWeight used
ROIC · Qualityunavailableunavailable—
Net margin · Quality-18.2%41 (vs peers)25%
FCF conversion · Qualityunavailableunavailable—
Revenue CAGR 3Y · Growthunavailableunavailable—
EPS CAGR 3Y · Growthunavailableunavailable—
Net debt / EBITDA · Balance sheetunavailableunavailable—
Interest coverage · Balance sheet-22.4x0 (on a fixed band)25%
Current ratio · Balance sheet1.4x52 (on a fixed band)17%
P/E (TTM) · Valuationunavailableunavailable—
EV/EBITDA · Valuationunavailableunavailable—
FCF yield · Valuation-1.1%0 (on a fixed band)33%
Shareholder yield (distributions) · Returnsunavailableunavailable—
Payout ratio (FCF) · Returnsunavailableunavailable—

Factors without a value were dropped; the remaining weights were renormalised.

Score groups

  • Balance sheet21/100 · 2/3 factors with a value
  • Growth· partialunavailable · 0/2 factors with a value
  • Quality· partial41/100 · 1/3 factors with a value
  • Returns· partialunavailable · 0/2 factors with a value
  • Valuation· partial0/100 · 1/3 factors with a value

A «partial» group is computed from under half of its weight or from one factor: it is not a full assessment of the group.

Memo

AXSOME THERAPEUTICS, INC. (AXSM). Latest full fiscal year: 2025; data up to 2026-09-30.

Figures computed from the financial statements: revenue 638.5 m USD in 2025; YoY growth 65.5%; net margin -18.2%; ROE -175.6%.

Valuation cannot be computed from the available data.

Insufficient data for a verdict (indicators available: 4 of at least 6; score weight coverage: 25.0% of at least 60%; valuation methods computed: 0 of at least 1).

Text generated deterministically from the figures shown; no language model. Not investment advice.

What supports the thesis

No signal among the computed factors. That is not an absence of risk: factors without data were not assessed, and business risks (margins, inventory, demand) are in the source-based analysis.

What contradicts it

  • Interest coverage: -22.4x
  • FCF yield: -1.1%

Not assessed (insufficient data or a ratio without meaning): ROIC, FCF conversion, Revenue CAGR 3Y, EPS CAGR 3Y, Net debt / EBITDA, P/E (TTM), EV/EBITDA, Shareholder yield (distributions), Payout ratio (FCF).

Versus the vertical median

Pharmaceutical Preparations (SIC 2834) · same industry (4-digit SIC) · compared with 39 companies

Multiples and returns vs the median

P/E
—
vertical median 38.6x
EV/EBITDA
—
vertical median 25.4x
P/S
8.3x
vertical median 7.3x
above median (+14.2%)
P/B
68.3x
vertical median 6.1x
above median (+1,029.1%)
ROE
-175.6%
vertical median -9.5%
below median
Net margin
-18.2%
vertical median 3.6%
below median (−601.5%)
EBIT margin
-17.5%
vertical median -4.2%
below median
Revenue YoY
65.5%
vertical median 5.9%
above median (+1,018.8%)
Net debt/EBITDA
—
vertical median -0.0x
Dividend yield
—
vertical median 2.2%

Price rebased to 100 (monthly, 5 years)

Companies in the vertical

Market capP/EROENet marginRevenue YoY1A / 3A
LLYEli Lilly And Company1,334.0 bn46.086.1%31.9%+44.7%+32% / +140%
JNJJohnson & Johnson665.2 bn41.920.0%16.2%+6.0%+34% / +79%
ONCBeone Medicines Ltd.558.4 bn869.914.7%10.7%+40.2%+11% / +102%
ABBVAbbVie Inc.521.1 bn50.7—15.7%+8.6%+29% / +107%
MRKMerck & Co., Inc.370.7 bn154.75.1%3.6%+1.3%+43% / +47%
ABTAbbott Laboratories200.1 bn43.09.2%9.7%+5.7%−10% / +11%
PFEPfizer Inc175.5 bn43.94.4%6.3%−1.6%+20% / +1%
VRTXVertex Pharmaceuticals Inc139.2 bn35.320.8%30.7%+8.9%+27% / +55%
BMYBristol-Myers Squibb Company131.2 bn14.244.1%18.5%−0.2%+30% / +30%
TEVATeva Pharmaceutical Industries Limited48.8 bn97.46.6%3.6%+4.3%+56% / +326%
ZTSZoetis Inc.36.9 bn14.764.4%27.5%+2.3%−30% / −50%
ROIVRoivant Sciences Ltd.27.6 bn—-6.2%-3,535.0%−71.6%+84% / +300%
RPRXRoyalty Pharma plc26.2 bn47.76.9%25.7%+5.1%+69% / +150%
UTHRUnited Therapeutics Corporation25.9 bn23.019.1%38.6%+10.6%+25% / +154%
INSMInsmed Inc24.1 bn—-72.5%-39.9%+66.7%−47% / +340%
VTRSViatris Inc.22.1 bn—-23.6%-23.9%−3.0%+80% / +109%
ALNYAlnylam Pharmaceuticals, Inc.21.6 bn8.1126.6%52.8%+65.2%−64% / −4%
TGTXTg Therapeutics, Inc.9.4 bn22.5100.3%55.2%+87.3%+85% / +381%
AXSMAxsome Therapeutics, Inc.7.2 bn—-175.6%-18.2%+65.5%+2% / +110%
BLRXBioLineRx Ltd4.9 bn—-12.8%-171.7%−95.9%−46% / −97%
BHCBausch Health Companies Inc.3.1 bn——-7.6%+6.7%+31% / +17%
ANABAnaptysbio, Inc.1.4 bn11.5—82.4%+157.0%+71% / +404%
KURAKura Oncology, Inc.677.0 m—-167.7%-384.3%+25.2%−37% / −21%
DMACDiaMedica Therapeutics Inc.580.8 m—-114.6%—unavailable+25% / +341%
PHATPhathom Pharmaceuticals, Inc.461.7 m——-30.2%+216.9%−64% / −19%

1- and 3-year price returns: for AXSM from daily closes (the same as the performance table), for the other companies from month-end closes.

olivLaw engine forecast

The world engine ran after the company's latest material disclosure. Probabilities are of TOUCHING a level within the horizon (not closing there) and sit next to the random walk (p_rw), the no-information benchmark.

The engine has no published run for this company yet.

Valuation scenarios (editable assumptions)

Illustrative scenarios

Illustrative: not forecasts and without probabilities. Each case is one coherent set of assumptions, computed on today's figures.

Bear
Allowed range: -50 … 50%
Allowed range: -100 … 100%
Allowed range: 0 … 100
Allowed range: -10 … 20%
Allowed range: 0 … 100%
Base
Allowed range: -50 … 50%
Allowed range: -100 … 100%
Allowed range: 0 … 100
Allowed range: -10 … 20%
Allowed range: 0 … 100%
Bull
Allowed range: -50 … 50%
Allowed range: -100 … 100%
Allowed range: 0 … 100
Allowed range: -10 … 20%
Allowed range: 0 … 100%
Nothing is saved.

Estimated price (USD)

Estimated priceBearBaseBull
1 years
insufficient data
Total return unavailable · Per year unavailable
insufficient data
Total return unavailable · Per year unavailable
insufficient data
Total return unavailable · Per year unavailable
3 years
insufficient data
Total return unavailable · Per year unavailable
insufficient data
Total return unavailable · Per year unavailable
insufficient data
Total return unavailable · Per year unavailable
5 years
insufficient data
Total return unavailable · Per year unavailable
insufficient data
Total return unavailable · Per year unavailable
insufficient data
Total return unavailable · Per year unavailable
What moves the 3-year price the most

    AI analysis

    AI-generatedAI-generated analysis (Claude) from cited public sources; it may contain errors. Not investment advice. As of 27 Oct 2026 · Model: claude-haiku-5-5.

    Possibly outdated: the newest document it read is from 10 Aug 2026; since then the company filed 8-K (02 Nov 2026 · results), 10-Q (02 Nov 2026).

    In brief

    Axsome Therapeutics is a biopharmaceutical company developing and commercializing medicines for central nervous system conditions, with three FDA-approved products: AUVELITY, SUNOSI and SYMBRAVO. The company reported total revenues of 638.5 million USD for 2025, and strong sales growth in the second quarter of 2026 keeps its commercial trajectory under close watch from investors and analysts.

    SWOT

    Strengths

    • The company has three FDA-approved products and rapid commercial revenue growth, supported by indication expansion 13. Proprietary formulation technologies offer a differentiation advantage 1.
    • The portfolio spans several CNS conditions with unmet needs, providing a base for future extensions 12.
    • The company has expanded its sales force and the payer access of its main products is already considerable 3.

    Weaknesses

    • The company has not yet reached profitability and continues to record net losses and a large accumulated deficit 12.
    • Its commercial track record is short and experience commercializing products is limited, making performance hard to predict 2.
    • Payer coverage for SYMBRAVO remains limited, which could slow product uptake 3.

    Opportunities

    • If new Alzheimer's agitation prescriptions consolidate, AUVELITY could become a major revenue driver 3.
    • Partnerships outside the United States could monetize products without large investment in proprietary sales forces 1.

    Threats

    • Failure to achieve objectives in clinical studies could delay or halt important pipeline programs 1.
    • Pricing pressure and payer policies could limit revenue from already marketed products 1.
    • Dependence on the success of a few products means difficulties with any one of them could significantly affect the whole company 1.

    Risks

    • Continuing net losseshigh

      The company has not yet achieved profitability and may never do so, which could limit investment and business development 12.

    • Need for additional fundinghigh

      Clinical programs and commercialization could require additional capital, and failure to raise it in time could force programs to be delayed or reduced 1.

    • Restrictions in the loan agreementmedium

      Covenants tied to the loan facility with Blackstone could restrict operations, and on an event of default early repayment could have serious effects 1.

    • Dependence on third partiesmedium

      The company relies on third parties for manufacturing, warehousing, distribution and clinical studies, and their failures could delay commercialization 1.

    • Market acceptancemedium

      If products do not achieve broad acceptance, revenues could remain below expectations, particularly for products in their early commercial phase 1.

    Investment thesis

    What would need to be true (bull case)

    • Rapid growth in AUVELITY sales, supported by the new indication and rising new prescriptions, could strengthen the company's position if the trend continues 23.
    • A diversified portfolio with approved products and several Phase 3 programs could reduce dependence on a single product over the medium term 23.
    • If sales force investments convert into prescriptions, operating margins could improve in the following period 3.

    What would break the thesis

    • Persistent net losses and the accumulated deficit could force the company into costly or dilutive additional financing 12.
    • Commercialization costs have risen sharply, and if revenues do not keep pace, pressure on results could persist 3.
    • A failed Phase 3 study or delayed approvals could reduce the pipeline's potential and weigh on investor confidence 12.

    What to watch

    • Evolution of AUVELITY prescriptions for Alzheimer's agitationQ3 2026
    • Start of the AXS-05 Phase 2/3 smoking cessation studyQ3 2026
    • Topline results of the ENGAGE study of solriamfetol in binge eating disorderQ4 2026

    Products, market & competition

    AI-generatedAI-generated analysis (Claude) from cited public sources; it may contain errors. Not investment advice. As of 27 Oct 2026 · Model: claude-haiku-5-5.

    Possibly outdated: the newest document it read is from 10 Aug 2026; since then the company filed 8-K (02 Nov 2026 · results), 10-Q (02 Nov 2026).

    The business

    Financially, the company reported a net loss of 183.2 million USD in 2025 and an accumulated deficit of 1,421.8 million USD at June 30, 2026, so profitability remains a goal still being built 12. The company states its current cash is sufficient to fund operations into cash flow positivity, based on the current operating plan 3.

    Trends

    • Expansion of AUVELITY indicationstailwind

      The approval and launch of AUVELITY for Alzheimer's agitation opens a new market for an already marketed product, and early new-prescription data suggest early adoption 23. If this trend holds, it could support revenue growth in the coming quarters.

    • Investment in the sales forcemixed

      Expanding the sales force for AUVELITY and SYMBRAVO raised commercialization costs, and selling, general and administrative expenses increased markedly in 2026 3. The effect on revenue is still uncertain and depends on how quickly the investment converts into prescriptions 3.

    • Pressure from net lossesheadwind

      The company continues to report net losses and a growing accumulated deficit, which could limit its ability to fund new programs without additional capital 12. This context is a constraint on expansion plans.

    • Progress of the CNS pipelinetailwind

      Several Phase 3 programs and filings under review could extend the portfolio over the medium term, particularly in narcolepsy and psychiatric disorders 23. Future results nevertheless remain uncertain.

    Competitive position

    In excessive sleepiness, SUNOSI is described as the first and only DNRI approved for this indication, giving it a distinctive position, though competition in the category remains 2. In migraine and depression the company implicitly competes with established treatments already on the market 1.

    • Pharmaceutical companies developing antipsychotics used in Alzheimer's agitation

      Antipsychotics are frequently used off-label in this population despite a mortality warning, making them de facto competitors in the indication 1.

    • Makers of approved treatments for shift work disorder

      The filing notes that only two products are approved for sleepiness associated with shift work disorder and that no new treatments have been approved since 2007 1.

    • Makers of treatments for binge eating disorder

      Few products are approved in this field, which describes a limited competitive landscape for the solriamfetol program 1.

    • Developers of acute migraine treatments

      The acute migraine market has numerous competitors, and the company supports SYMBRAVO with a rapidly absorbed multi-mechanism profile 1.

    News & filings

    In the press

    The latest news item in our archive is from 19 Sept 2026; the newest SEC filing is from 02 Nov 2026. The press archive comes from the RSS feeds we follow and does not necessarily cover the latest event — the filings alongside do.

    SEC filings

    Sources

    1. [1] Form 10-K, fiscal year ended 2025-12-31 · SEC / Axsome Therapeutics, Inc. · 23 Feb 2026
    2. [2] Form 10-Q, quarter ended 2026-06-30 · SEC / Axsome Therapeutics, Inc. · 10 Aug 2026
    3. [3] Form 8-K, results release (exhibit 99.1) · SEC / Axsome Therapeutics, Inc. · 10 Aug 2026

    Figures computed by olivLaw from SEC filings and closing prices; the qualitative analysis is AI-generated from cited sources. Not investment advice.