Axsome Therapeutics, Inc. AXSM

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Get access to target analyst prices, predictions, compound annual growth rates and more than four years of historical data.

Insider Decisions

Total sells 139.75
in millions of $
Nov 25 Feb 26 May 26 Aug 26
Buy
Sell 1 1 2 3 3 1 2 5 1 1 1
Insider Ownership 14.71%

Capital & Financial Ratios

Market Cap 10,310.00
Revenue 776.57
Net Income (191.64)
Free Cash Flow (71.96)
Net Debt (192.86)
Current Ratio 1.43
Debt/Equity 1.52
P/E ratio 0.00
P/S ratio 13.71
P/B ratio 127.78
Past 5Y EPS Growth (24.44%)
This Y EPS Growth 27.32%
Next Y EPS Growth 274.15%
Next 5Y EPS Growth
in millions of $

Dividends

Payout Ratio 0.00
Annual Dividend Rate
Annual Dividend Yield
total individual payouts
2025 ‡‡‡
2024 ‡‡‡
2023 ‡‡‡
2022 ‡‡‡
2021 ‡‡‡
2020 ‡‡‡
2019 ‡‡‡
2017 ‡‡‡
predictions in italic, special payouts not included in total or ratios

Assets vs Liabilities

2023 2024 2025 Q'26
Cash 386.19 315.35 322.93 319.85
Receivables 94.82 142.00 224.46 277.46
Inventory 15.14 15.73 27.94 37.88
Other
504.26 485.06 588.99 656.57
2023 2024 2025 Q'26
Payables 40.68 72.00 65.54 78.97
ST’ Debt
Other 6.41 8.29 10.01 11.20
138.85 230.10 378.84 460.45
in millions of $

Compound Annual Growth

10y 5y 3y
Sales ‡‡‡‡‡
Cash Flow ‡‡‡ ‡‡‡ ‡‡‡
Earnings ‡‡‡ ‡‡‡ ‡‡‡
Book Value ‡‡‡‡‡ ‡‡‡‡‡ ‡‡‡‡‡

Revenue

Mar Jun Sep Dec Year
’26 191.20 218.38
’25 121.46 150.04 170.99 196.00 638.50
’24 75.00 87.17 104.76 118.77 385.69
’23 94.58 46.70 57.79 71.53 270.60
in millions of $

Operating Cash Flow

Mar Jun Sep Dec Year
’26 (20.70) (32.95)
’25 (43.37) (32.42) 1.05 (18.65) (93.40)
’24 (53.47) (30.11) (18.63) (26.20) (128.41)
’23 (5.82) (55.35) (53.55) (30.36) (145.08)
’22 (32.65) (33.54) (22.76) (27.56) (116.51)
’21 (27.22) (25.39) (26.78) (28.84) (108.23)
’20 (23.27) (18.90) (15.73) (20.55) (78.46)
in millions of $

Free Cash Flow

Mar Jun Sep Dec Year
’26 (20.82) (33.40)
’25 (43.71) (32.44) 0.99 (18.72) (93.88)
’24 (53.56) (30.16) (18.72) (26.23) (128.68)
’23 (5.89) (55.48) (53.92) (30.37) (145.66)
’22 (32.87) (33.78) (22.82) (27.74) (117.21)
’21 (27.25) (25.41) (27.03) (28.84) (108.53)
’20 (23.28) (18.90) (15.75) (20.57) (78.50)
in millions of $

EPS

Mar Jun Sep Dec Year
’26 (1.26) (0.99)
’25 (1.22) (0.97) (0.94) (0.56) (3.68)
’24 (1.44) (1.67) (1.34) (1.54) (5.99)
’23 (0.26) (1.54) (1.32) (2.08) (5.27)
’22 (1.03) (1.06) (1.07) (1.41) (4.60)
’21 (0.78) (0.86) (0.93) (0.90) (3.47)
’20 (0.88) (0.49) (0.61) (0.78) (2.77)

Target Price Range

High ‡‡‡‡‡ ‡‡‡‡‡
Average ‡‡‡‡‡ ‡‡‡‡‡
Low ‡‡‡‡‡ ‡‡‡‡‡

Recommendation Rating

1.2
1Buy 2 3Hold 4 5Sell
Powerpack only forecast
2016 2017 2018 2019 2020 2021 2022 2023 2024 2025 2026 2027 2028
‡‡‡‡ ‡‡‡‡ ‡‡‡‡ ‡‡‡‡ ‡‡‡‡‡ ‡‡‡‡‡ 20.63 53.71 64.11 79.19
Low Price
‡‡‡‡‡ ‡‡‡ ‡‡‡‡ ‡‡‡‡‡ ‡‡‡‡‡ ‡‡‡‡‡ 82.00 91.29 105.00 184.40
High Price
‡‡‡‡ ‡‡‡‡ ‡‡‡‡ ‡‡‡‡ ‡‡‡‡ ‡‡‡‡‡ 383 545 683 925
Employees
‡‡‡ ‡‡‡ ‡‡‡ ‡‡‡ ‡‡‡ ‡‡‡ 0.13 0.50 0.56 0.69
Revenue/Emp
50.04 270.60 385.69 638.50 ‡‡‡‡‡ ‡‡‡‡‡ ‡‡‡‡‡
Revenue
‡‡‡ ‡‡‡ ‡‡‡ ‡‡‡ ‡‡‡ ‡‡‡ 89.61% 90.37% 91.37% 92.56%
Gross Margin
‡‡‡‡‡ ‡‡‡‡‡ ‡‡‡‡‡ ‡‡‡‡‡ ‡‡‡‡‡ ‡‡‡‡‡ (187.13) (238.28) (287.13) (183.70)
EBT
‡‡‡ ‡‡‡ ‡‡‡ ‡‡‡ ‡‡‡ ‡‡‡ (373.99%) (88.06%) (74.45%) (28.77%) ‡‡‡ ‡‡‡ ‡‡‡
EBT Margin
‡‡‡‡‡ ‡‡‡‡‡ ‡‡‡‡‡ ‡‡‡‡‡ ‡‡‡‡‡ ‡‡‡‡‡ (187.13) (239.24) (287.22) (183.17) ‡‡‡‡‡ ‡‡‡‡‡ ‡‡‡‡‡
Net Income
‡‡‡‡‡ ‡‡‡‡‡ ‡‡‡‡‡ ‡‡‡‡‡ ‡‡‡‡‡ ‡‡‡‡‡ 5.89 9.41 10.60 10.37
Depreciation
‡‡‡ ‡‡‡ ‡‡‡ ‡‡‡ ‡‡‡ ‡‡‡ 1.23 5.96 8.05 12.83 ‡‡‡‡‡ ‡‡‡‡‡ ‡‡‡‡‡
Revenue/Sh
‡‡‡‡‡ ‡‡‡‡‡ ‡‡‡‡‡ ‡‡‡‡‡ ‡‡‡‡‡ ‡‡‡‡‡ (4.60) (5.27) (5.99) (3.68) ‡‡‡‡‡ ‡‡‡‡‡ ‡‡‡‡‡
Earnings/Sh
‡‡‡‡‡ ‡‡‡‡‡ ‡‡‡‡‡ ‡‡‡‡‡ ‡‡‡‡‡ ‡‡‡‡‡ (2.87) (3.19) (2.68) (1.88) ‡‡‡‡‡
Cash Flow/Sh
‡‡‡‡‡ ‡‡‡‡‡ ‡‡‡‡‡ ‡‡‡‡‡ ‡‡‡‡‡ ‡‡‡‡‡ (0.02) (0.01) (0.01) (0.01) ‡‡‡ ‡‡‡ ‡‡‡
Capex/Sh
‡‡‡‡‡ ‡‡‡‡‡ ‡‡‡‡‡ ‡‡‡‡‡ ‡‡‡‡‡ ‡‡‡‡‡ (2.88) (3.21) (2.69) (1.89)
Free CF/Sh
‡‡‡‡‡ ‡‡‡‡‡ ‡‡‡‡‡ ‡‡‡‡‡ ‡‡‡‡‡ ‡‡‡‡‡ 2.69 4.20 1.19 1.77 ‡‡‡‡
Book Value/Sh
‡‡‡‡‡ ‡‡‡‡‡ ‡‡‡‡‡ ‡‡‡‡‡ ‡‡‡‡‡ ‡‡‡‡‡ 40.66 45.43 47.91 49.75 ‡‡‡‡‡ ‡‡‡‡‡ ‡‡‡‡‡
Shares
0.00 0.00 0.00 0.00 ‡‡‡‡‡ ‡‡‡‡ ‡‡‡‡
PE Ratio
0.00 12.94 10.51 14.23 ‡‡‡ ‡‡‡ ‡‡‡
PS Ratio
27.21 18.33 71.10 102.90 ‡‡‡ ‡‡‡ ‡‡‡
PB Ratio
0.00 12.17 10.17 13.92 ‡‡‡‡ ‡‡‡‡ ‡‡‡‡
EV/Sales
(24.53) (22.61) (30.48) (94.64)
EV/FCF
‡‡‡‡‡ ‡‡‡‡‡ ‡‡‡‡‡ ‡‡‡‡‡ ‡‡‡‡‡ ‡‡‡‡‡ (116.51) (145.08) (128.41) (93.40) ‡‡‡ ‡‡‡ ‡‡‡
Op' Cash Flow
‡‡‡‡‡ ‡‡‡‡‡ ‡‡‡‡‡ ‡‡‡‡‡ ‡‡‡‡‡ ‡‡‡‡‡ (0.70) (0.58) (0.27) (0.48) ‡‡‡‡‡ ‡‡‡‡‡
Capex
‡‡‡‡‡ ‡‡‡‡‡ ‡‡‡‡‡ ‡‡‡‡‡ ‡‡‡‡‡ ‡‡‡‡‡ (117.21) (145.66) (128.68) (93.88) ‡‡‡‡‡
FCF
‡‡‡‡‡ ‡‡‡‡‡ ‡‡‡‡‡ ‡‡‡‡‡ ‡‡‡‡‡ ‡‡‡‡‡ 149.08 365.41 254.96 210.15
Working Cap'
‡‡‡‡‡ ‡‡‡‡‡ ‡‡‡‡‡ ‡‡‡‡‡ ‡‡‡‡‡ ‡‡‡‡‡ 94.68 178.07 183.65 121.95
Total Debt
‡‡‡‡‡ ‡‡‡‡‡ ‡‡‡‡‡ ‡‡‡‡‡ ‡‡‡‡‡ ‡‡‡‡‡ (106.16) (208.12) (131.70) (200.98)
Net Debt
‡‡‡‡‡ ‡‡‡‡‡ ‡‡‡‡‡ ‡‡‡‡‡ ‡‡‡‡‡ ‡‡‡‡‡ 109.56 190.98 57.02 88.30
Sh' Equity
‡‡‡‡‡ ‡‡‡‡‡ ‡‡‡‡‡ ‡‡‡‡‡ ‡‡‡‡‡ ‡‡‡‡‡ (89.27%) (52.02%) (49.66%) (29.11%)
ROA
‡‡‡ ‡‡‡ ‡‡‡ ‡‡‡ ‡‡‡ ‡‡‡ (3,307.37%) 0.00% 0.00% 0.00%
ROIC
‡‡‡‡‡ ‡‡‡‡‡ ‡‡‡‡‡ ‡‡‡‡‡ ‡‡‡‡‡ ‡‡‡‡‡ (298.97%) (159.21%) (231.63%) (252.11%)
ROE
predictions in italic, sparklines do not include predictions

Analyst Commentary (Summary)

Axsome Therapeutics (AXSM) has evolved from a pre-revenue biotech into a CNS disorder powerhouse, fueled by FDA approval of Auvelity for depression in 2022 and the 2020 Sunosi acquisition for narcolepsy. Revenue exploded from $50 million in 2022 to $386 million in 2024, with per-share metrics up 554% amid efficient scaling—employee headcount surged 3,000% while revenue per employee hit $565,000. Analysts project 65% growth to $635 million in 2025, accelerating toward $1.55 billion by 2027, driven by label expansions and pipeline assets like AXS-12, tapping a $500 billion global mental health market.

Despite high gross margins (91%) and operational leverage, persistent losses ($287 million in 2024) and negative cash flows highlight R&D intensity, with debt at $184 million offset by net cash. Insider selling—$118 million in shares versus minimal buys—signals caution amid stock highs, though projections show EPS flipping positive at $0.74 in 2026 and ROE rebounding sharply.

Trading at a premium 10x EV/Sales with 44% upside to analyst targets, AXSM mirrors biotech booms but faces execution risks, FDA delays, and macro headwinds. Yet, with M&A tailwinds and asymmetric growth potential, it stands at an inflection point for long-term investors.

Axsome Therapeutics, Inc. (AXSM) Latest News

News by impact score

Fine-tune

21 Sep

3 GlobeNewswire, 7:00 AM

Axsome Therapeutics announced results from the Shared Goals: Navigating Alzheimer's Agitation survey, presented at Psych Congress 2026 in connection with World Alzheimer's Day. The Harris Poll survey of 751 informal caregivers found agitation in Alzheimer's disease is often not recognized until daily life is severely disrupted. Caregivers reported 97% of patients’ agitation hurting overall quality of life, 96% self-care, 95% community engagement, and 89% relationships. While 85% are involved in treatment decisions, 76% wished symptoms had been recognized earlier and 53% regret not discussing agitation with the patient’s clinician sooner. Nonaggressive agitation symptoms—like complaining, negativism, repetitive questions, and pacing—were most detrimental. Caregivers want tools to track symptoms (89%) and share data with doctors (81%), and 93% wish for a medication that reduces agitation without negative side effects. Axsome sponsored the survey; results were presented Sept 17–18, 2026. Shows substantial caregiver burden and a clear market need for safer agitation treatments, with Axsome's sponsorship signaling potential upside for its CNS portfolio, yielding a moderate impact.

19 Sep

4 www.marketbeat.com, 2:02 PM

Axsome Therapeutics reports accelerating AUVELITY prescriptions as its Alzheimer’s launch gains traction. Accelerating prescriptions and Alzheimer’s launch traction signal strong commercial momentum for Axsome.

4 , 7:14 AM

Axsome Therapeutics released new central nervous system data to support its neuropsychiatric portfolio, with questions raised on whether the results sufficiently strengthen the company's overall story. New CNS clinical data directly affects Axsome's product pipeline and could materially shift its market position and investor sentiment in neuropsychiatry.

4 , 12:18 AM

Axsome Therapeutics reported new clinical data on treatments for depression and Alzheimer’s agitation. New clinical data in core CNS indications can drive pipeline advancement and valuation shifts for Axsome.

3 www.marketbeat.com, 4:02 AM

Axsome Therapeutics highlighted continued Auvelity sales growth and pipeline advancements at the H.C. Wainwright Global Investment Conference. Conference updates on Auvelity growth and pipeline progress may lift near-term sentiment but lack major regulatory or launch events.

11 Sep

3 stocktwits.com, 3:04 PM

AXSM shares rose 6% after Mizuho labeled Auvelity’s Alzheimer’s launch a strong start. Mizuho positive commentary on Auvelity launch points to moderate revenue upside and positioning gains.

1 Sep

3 , 12:05 PM

Axsome Therapeutics initiates Phase III clinical study of AXS-05 for smoking cessation. Phase III start for AXS-05 in smoking cessation expands pipeline and may lift sentiment yet remains pre-approval with no near-term revenue impact.

31 Aug

3 , 7:00 AM

Axsome Therapeutics, Inc. (AXSM) initiates the SUMMIT Phase 3 Trial of AXS-05 in smoking cessation. Phase 3 trial start expands AXS-05 pipeline into smoking cessation and may influence near-term development progress.

23 Aug

3 www.fool.com, 5:20 PM

Axsome Therapeutics stock rose 16% year to date with Wall Street analysts projecting additional upside from upcoming company catalysts. Analyst views on further stock gains can lift near-term sentiment and trading without altering core operations.

11 Aug

3 , 2:16 PM

Axsome Therapeutics reported Q2 earnings matching estimates with Auvelity driving year-over-year revenue growth. Meeting estimates with Auvelity-led revenue growth signals moderate positive effects on financial trajectory.

10 Aug

4 stocktwits.com, 2:51 PM

Axsome Therapeutics CEO claims one new drug filing yearly through 2030, advancing AXSM stock. Long-term pipeline commitment of annual filings signals major strategic expansion likely to reshape growth trajectory.

3 , 9:30 AM

Axsome Therapeutics reported Q2 earnings with analysis of key financial metrics. Quarterly earnings metrics can shift near-term investor sentiment on financial results.

3 transcript www.marketbeat.com, 9:03 AM

Axsome Therapeutics Q2 earnings call covered financial results, pipeline progress on CNS treatments, revenue updates and outlook for upcoming regulatory milestones. Q2 earnings call supplies financial metrics and pipeline status that moderately shape near-term investor sentiment and valuation.

3 , 8:30 AM

Axsome Therapeutics reported a Q2 loss and missed revenue estimates. Q2 earnings miss may pressure near-term stock price and sentiment.

3 Aug

3 , 10:00 AM

Analysts forecast Axsome Therapeutics (AXSM) will report lower earnings. Earnings decline estimates may pressure AXSM stock and near-term sentiment.

24 Jul

4 , 10:06 AM

Axsome Therapeutics (AXSM) stock appears attractive due to strength of its key drug. Positive outlook tied to key drug implies major influence on company trajectory and investor views.

18 Jul

3 , 3:11 AM

Jazz Pharmaceuticals refocuses its sleep franchise while analysts question whether the stock remains undervalued amid shifting priorities and competitive pressures in narcolepsy and related markets. Jazz's sleep franchise adjustments alter competitive dynamics for Axsome's pipeline assets in overlapping indications.

16 Jul

4 , 11:58 AM

FDA accepts Axsome Therapeutics NDA for AXS-12 in narcolepsy. NDA acceptance moves AXS-12 toward potential approval and directly lifts company trajectory.

15 Jul

4 , 7:00 AM

FDA accepts Axsome Therapeutics' New Drug Application for AXS-12 to treat cataplexy in narcolepsy. NDA acceptance for AXS-12 marks key regulatory progress toward potential approval and revenue.

9 Jul

4 , 5:14 PM

Axsome Therapeutics advances Solriamfetol into Phase 3 pediatric ADHD trials. Phase 3 initiation expands Solriamfetol addressable market into pediatric ADHD and can materially shift revenue outlook.

3 , 4:14 PM

Axsome Therapeutics advances FOCUS 2 dosing in ADHD program as market assesses whether potential upside is already reflected in AXSM shares. ADHD trial progress offers moderate pipeline visibility without new pivotal data or approvals.

8 Jul

4 , 11:19 AM

Axsome Therapeutics initiates Phase III trial of Solriamfetol for ADHD treatment in children. Phase III start for new pediatric ADHD indication advances pipeline and expands future revenue potential.

7 Jul

4 , 7:00 AM

Axsome Therapeutics initiates FOCUS-2 Phase 3 trial of Solriamfetol in children with ADHD. Phase 3 initiation expands Solriamfetol into large pediatric ADHD market with major revenue potential.

26 Jun

3 , 7:00 AM

Axsome Therapeutics initiates FOCUS-3 Phase 3 trial of solriamfetol in adolescents with ADHD. Phase 3 trial start expands solriamfetol pipeline into adolescent ADHD with moderate long-term revenue impact.

15 Jun

3 , 7:00 AM

Axsome Therapeutics presented new data highlighting its innovative sleep medicine portfolio at SLEEP 2026. Conference data presentation on sleep portfolio advances product visibility and innovation perception with moderate influence on future trajectory.

6 Jun

4 www.marketbeat.com, 12:02 AM

Axsome Therapeutics prepares Auvelity launch for Alzheimer’s agitation treatment while expanding its central nervous system pipeline. Auvelity launch in new indication plus pipeline expansion represent major strategic moves with potential to significantly boost revenue and market position.

5 Jun

3 Simply Wall St., 2:13 PM

Patent peace on SUNOSI and new migraine data prompt reevaluation of Axsome Therapeutics bull case. SUNOSI patent settlement plus migraine data may shift company trajectory and sentiment but effects remain balanced by other factors.

4 Jun

3 GlobeNewswire, 7:00 AM

Axsome Therapeutics presented new SYMBRAVO data at the American Headache Society 68th Annual Scientific Meeting. Conference data release on SYMBRAVO can lift visibility and short-term sentiment without shifting long-term trajectory.

3 Jun

3 GlobeNewswire, 7:00 AM

Axsome Therapeutics settled all patent litigation over SUNOSI (solriamfetol), ending disputes and securing resolution on the drug's intellectual property rights. Settlement removes litigation risks around SUNOSI and supports ongoing commercialization without altering core company trajectory.

26 May

3 GlobeNewswire, 7:00 AM

Axsome Therapeutics presented new AUVELITY data in major depressive disorder at the American Society of Clinical Psychopharmacology 2026 Annual Meeting. New clinical data presentation for lead product may moderately shift investor views on efficacy without changing operations or approvals.