AXSM · NASDAQ · Biotechnology

Axsome Therapeutics (AXSM)

Developer of CNS medicines for depression, Alzheimer’s agitation, daytime sleepiness, and migraine.

$200.14
vs last close−2.96 (−1.46%)
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Axsome Therapeutics, Inc.AXSM
Health Care

Develops and sells CNS medicines for depression and Alzheimer’s agitation, excessive daytime sleepiness, and migraine, while advancing candidates for narcolepsy and other neurological and psychiatric conditions. Revenue is concentrated in U.S. product sales, and the business depends on FDA approval, payer access, and outsourced manufacturing and distribution.

Develops and commercializes medicines for central nervous system conditions through a single operating segment. Auvelity treats major depressive disorder and agitation associated with dementia due to Alzheimer’s disease; Sunosi treats excessive daytime sleepiness tied to narcolepsy or obstructive sleep apnea; and Symbravo treats acute migraine in adults.

Combines internal drug development with acquired and licensed assets, supported by a focused U.S. commercial organization. AXS-12, a narcolepsy candidate, is under FDA review, while other programs target fibromyalgia and additional neurological and psychiatric conditions. Product sales are concentrated in the United States, with Sunosi rights extending to international markets outside selected Asian countries.

Commercialization depends on regulatory approvals, payer coverage and reimbursement, patent protection, and third parties for manufacturing, clinical work, warehousing, and distribution.

Company facts

CEOHerriot Tabuteau
ListedNov 19, 2015
ExchangeNASDAQ
HeadquartersNew York City, NY
CountryUnited States
Employees925
CIK0001579428
ISINUS05464T1043

Market cap$10.45B
EPS (ttm)−$3.75
P/E (ttm)−54.16
ROE-255.6%
P/B125.46
P/S13.46
Dividend yieldDiv yield
Beta0.61vs XLV 0.54

Price target$277.50+36.6%Average of 26 analysts
ConsensusBuy25 of 26 analysts
Ratings

Target rangeAs of Sep 22, 2026

Latest analyst notes

DateFirmActionPriorCurrent
Sep 23, 2026Truist FinancialTarget
Target: $200
Target: $285
Aug 12, 2026Mizuho SecuritiesTarget
Target: $230
Target: $316
Aug 11, 2026RBC CapitalReiterate
Rating: Target: $304
Rating: OutperformTarget: $297
Aug 11, 2026Morgan StanleyReiterate
Rating: Target: $242
Rating: Equal WeightTarget: $251
Aug 11, 2026NeedhamReiterate
Rating: Target: $267
Rating: BuyTarget: $268

Next report
Nov 2, 26
in 40 days
EPS estimate
−$0.49
Revenue estimate
$258.3M
Fiscal quarter
Q3 FY26

EPSReportedEstimate

Feb '25May '25Aug '25Nov '25Feb '26May '26Aug '26Nov '26
Reported−$1.54−$1.22−$0.92−$0.94−$0.71−$1.26−$0.99Pending
Estimate−$1.00−$1.26−$1.00−$0.82−$0.70−$0.85−$0.89−$0.49
Surprise−54.0%+3.2%+8.0%−14.6%−1.4%−48.2%−11.0%

RevenueReportedEstimate

Feb '25May '25Aug '25Nov '25Feb '26May '26Aug '26Nov '26
Reported$118.8M$121.5M$150.0M$171.0M$194.7M$189.4M$216.4MPending
Estimate$118.1M$119.2M$140.0M$191.3M$193.4M$190.9M$221.1M$258.3M
Surprise+0.6%+1.9%+7.2%−10.6%+0.7%−0.8%−2.2%
Estimate−$0.49
ReportedDue Nov 2, 2026
Estimate$258.3M
ReportedDue Nov 2, 2026
View details

Debt to equity263.10%
Current ratio142.60%

ProfitabilityRevenueNet incomeNet margin

Q3 FY24Q4 FY24Q1 FY25Q2 FY25Q3 FY25Q4 FY25Q1 FY26Q2 FY26
Revenue$104.8M$118.8M$121.5M$150.0M$171.0M$196.0M$191.2M$218.4M
Net income−$64.6M−$74.9M−$59.4M−$48.0M−$47.2M−$28.6M−$64.5M−$51.3M
Net margin0.0%0.0%0.0%0.0%0.0%0.0%0.0%0.0%

GrowthOperating income

Q3 FY24Q4 FY24Q1 FY25Q2 FY25Q3 FY25Q4 FY25Q1 FY26Q2 FY26
Operating income−$62.6M−$72.6M−$57.0M−$36.7M−$46.1M−$29.4M−$63.4M−$49.6M
YoY growthLoss widenedLoss narrowedLoss narrowedLoss narrowedLoss narrowedLoss narrowedLoss widenedLoss widened

Balance sheet, Jun 30, 2026Cash & short-term investments $319.9M · Total debt $219.2M · Total assets $761.4M · Shareholders' equity $83.3M

Revenue
$218.4M
Operating income
−$49.6M
Net income
−$51.3M
View details

No dividends on record.

Institutions≈ 70.40%36.88M shares
539 holders · as of Jun 30, 2026 · largest filers plus last quarter's tail
Insiders0.29%151.1K shares
6 holders · as of Aug 7, 2026
Other≈ 29.31%15.35M shares
remainder

52.38M company shares as of Sep 23, 2026 · institutions as of Jun 30, 2026 · holders as of their latest filing

This quarter's institutional total failed a plausibility check; shown: the largest filers plus last quarter's remainder.

Top shareholders13F · 13D/G · Form 4

HolderStakeSharesDate
BlackRock, Inc.Institution
5.93%3.10Mas of Jun 30, 2026
Vanguard Portfolio Management LLCInstitution
3.79%1.98Mas of Jun 30, 2026
Vanguard Capital Management LLCInstitution
3.75%1.97Mas of Jun 30, 2026
Invesco Ltd.Institution
3.19%1.67Mas of Jun 30, 2026
FMR LLCInstitution
2.94%1.54Mas of Jun 30, 2026

Insider tradesForm 4

DateInsiderRoleSharesAvg price
Sep 3, 2026Mark L. Jacobsonofficer: Chief Operating Officer−10,000$208.65
Aug 6, 2026Herriot Tabuteaudirector, 10 percent owner, officer: Chief Executive Officer−4,660$213.95
Aug 5, 2026Herriot Tabuteaudirector, 10 percent owner, officer: Chief Executive Officer−45,004$212.01
Jul 1, 2026Herriot Tabuteaudirector, 10 percent owner, officer: Chief Executive Officer−49,666$240.25
Jun 11, 2026Roger Jeffsdirector−286$249.12
View details

  • Johnson & Johnson

    Spravato and Caplyta contest Auvelity across MDD, TRD, and schizophrenia.

  • Jazz Pharmaceuticals

    Dominant narcolepsy franchise with Xywav directly competing with Sunosi.

  • Harmony Biosciences

    Pure-play narcolepsy company; Wakix targets the same EDS patients as Sunosi.

  • Neurocrine Biosciences

    Phase 3 MDD and schizophrenia programs directly challenge Auvelity and pipeline.

  • AbbVie

    Dominant gepant franchise and Vraylar adjunct bracket Symbravo and Auvelity.

  • Acadia Pharmaceuticals

    CNS neuropsychiatric peer with MDD and Alzheimer's-disease pipeline overlap.

Compare

CompanyPriceChange
Axsome Therapeutics$200.14−1.46%$10.45B1,194.113.5+44.2%
Johnson & Johnson$271.24+0.76%$648.72B31.222.96.6+6.6%
Jazz Pharmaceuticals$241.14+0.24%$15.11B16.49.63.3+15.6%
Harmony Biosciences$41.59+0.14%$2.40B13.510.42.5+30.3%
Neurocrine Biosciences$141.66−0.41%$14.30B20.915.54.2+39.5%
AbbVie$267.20+0.75%$468.77B74.817.67.3+10.2%
Acadia Pharmaceuticals$25.87−2.04%$4.52B11.928.94.0+16.4%
Median18.716.54.1+16.0%