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Akebia Ther (AKBA)



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Upturn Advisory Summary
08/14/2025: AKBA (4-star) is currently NOT-A-BUY. Pass it for now.
1 Year Target Price $7.5
1 Year Target Price $7.5
3 | Strong Buy |
1 | Buy |
0 | Hold |
0 | Sell |
0 | Strong Sell |
Analysis of Past Performance
Type Stock | Historic Profit 0.33% | Avg. Invested days 32 | Today’s Advisory PASS |
Upturn Star Rating ![]() ![]() | Upturn Advisory Performance ![]() | Stock Returns Performance ![]() |
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Key Highlights
Company Size Small-Cap Stock | Market Capitalization 872.33M USD | Price to earnings Ratio - | 1Y Target Price 7.5 |
Price to earnings Ratio - | 1Y Target Price 7.5 | ||
Volume (30-day avg) 4 | Beta 0.96 | 52 Weeks Range 1.24 - 4.08 | Updated Date 08/15/2025 |
52 Weeks Range 1.24 - 4.08 | Updated Date 08/15/2025 | ||
Dividends yield (FY) - | Basic EPS (TTM) -0.18 |
Analyzing Revenue: Products, Geography and Growth
Revenue by Products
Product revenue - Year on Year
Earnings Date
Report Date 2025-08-07 | When - | Estimate -0.02 | Actual 0.0267 |
Profitability
Profit Margin -17.91% | Operating Margin (TTM) 22.71% |
Management Effectiveness
Return on Assets (TTM) 0.88% | Return on Equity (TTM) -553.45% |
Valuation
Trailing PE - | Forward PE - | Enterprise Value 788381175 | Price to Sales(TTM) 4.28 |
Enterprise Value 788381175 | Price to Sales(TTM) 4.28 | ||
Enterprise Value to Revenue 3.87 | Enterprise Value to EBITDA 71.63 | Shares Outstanding 265144992 | Shares Floating 259799714 |
Shares Outstanding 265144992 | Shares Floating 259799714 | ||
Percent Insiders 3.56 | Percent Institutions 42.17 |
Upturn AI SWOT
Akebia Ther

Company Overview
History and Background
Akebia Therapeutics, Inc. is a biopharmaceutical company founded in 2007. It focuses on the development and commercialization of therapeutics for patients with kidney disease. The company has primarily focused on HIF (hypoxia-inducible factor) inhibitors.
Core Business Areas
- Renal Therapeutics: Akebia focuses on developing and commercializing therapies for patients with chronic kidney disease (CKD) and related conditions.
Leadership and Structure
Akebia's leadership includes the CEO, CMO, CFO, and other executives. The organizational structure comprises various departments, including research and development, commercial operations, and corporate functions.
Top Products and Market Share
Key Offerings
- Vafseo (vadadustat): Vafseo is an oral hypoxia-inducible factor prolyl hydroxylase (HIF-PH) inhibitor indicated for the treatment of anemia due to chronic kidney disease in adults who have been receiving dialysis for at least 3 months. Revenue information for Vafseo can be difficult to directly obtain due to recent launches and varying regional approvals. The market includes various ESAs (Erythropoiesis-Stimulating Agents) and other anemia treatments. Competitors include Amgen (Epogen/Aranesp), and other HIF-PH inhibitors.
Market Dynamics
Industry Overview
The renal disease therapeutics market is driven by the growing prevalence of CKD, diabetes, and hypertension. It's characterized by intense competition, evolving treatment paradigms, and a focus on improving patient outcomes.
Positioning
Akebia aims to establish Vafseo as a leading oral treatment option for anemia associated with CKD, offering a convenient alternative to injectable ESAs. The company has struggled to gain market share due to regulatory hurdles and competition.
Total Addressable Market (TAM)
The global anemia in CKD market is estimated to be several billion dollars annually. Akebia's TAM depends on the successful launch and adoption of Vafseo, particularly in key markets like the US and Europe.
Upturn SWOT Analysis
Strengths
- Oral drug delivery for anemia treatment
- Novel HIF-PH inhibitor mechanism
- Partnerships for commercialization
Weaknesses
- Regulatory setbacks in key markets (e.g., US)
- Commercialization challenges
- Reliance on partnerships
- Financial instability and liquidity concerns
Opportunities
- Expanding into new geographic markets
- Developing new formulations or indications for Vafseo
- Acquiring or partnering with other companies in the renal space
- Positive clinical data from ongoing studies to support label expansion
Threats
- Competition from established ESAs and other HIF-PH inhibitors
- Pricing pressures and reimbursement challenges
- Unfavorable regulatory decisions
- Potential safety concerns with Vafseo
Competitors and Market Share
Key Competitors
- AMGN
- FGEN
- AZN
Competitive Landscape
Akebia faces intense competition from established players and other emerging biopharmaceutical companies in the renal space. Its success hinges on differentiating Vafseo and effectively commercializing it in key markets.
Growth Trajectory and Initiatives
Historical Growth: Akebia's historical growth has been limited by clinical and regulatory setbacks.
Future Projections: Future growth depends on the successful commercialization of Vafseo and potential pipeline expansion. Analyst estimates vary widely due to uncertainty surrounding regulatory approvals and market uptake.
Recent Initiatives: Akebia's recent initiatives include seeking regulatory approval for Vafseo in various regions, partnering with other companies for commercialization, and advancing its pipeline of renal therapeutics.
Summary
Akebia Therapeutics faces significant challenges, including regulatory hurdles and intense competition. While Vafseo holds promise, its commercial success is uncertain. The company's financial stability is a concern, and it needs to effectively execute its commercial strategy and explore new growth opportunities. Regulatory approval and effective market penetration are key to the company's long-term success, and lack thereof makes Akebia a very risky investment. Financial stability is a paramount concern.
Peer Comparison
Sources and Disclaimers
Data Sources:
- Company filings (SEC)
- Analyst reports
- Industry publications
Disclaimers:
This analysis is for informational purposes only and should not be considered investment advice. Market share data is estimated and may vary. Forward-looking statements are subject to risks and uncertainties.
AI Summarization is directionally correct and might not be accurate.
Summarized information shown could be a few years old and not current.
Fundamental Rating based on AI could be based on old data.
AI-generated summaries may have inaccuracies (hallucinations). Please verify the information before taking action.
About Akebia Ther
Exchange NASDAQ | Headquaters Cambridge, MA, United States | ||
IPO Launch date 2014-03-20 | CEO, President & Director Mr. John P. Butler MBA | ||
Sector Healthcare | Industry Drug Manufacturers - Specialty & Generic | Full time employees 181 | Website https://www.akebia.com |
Full time employees 181 | Website https://www.akebia.com |
Akebia Therapeutics, Inc., a biopharmaceutical company, focuses on the development and commercialization of therapeutics for patients with kidney diseases. Its product portfolio includes Vafseo (vadadustat), an oral hypoxia-inducible factor prolyl hydroxylase, which is in Phase III development for the treatment of anemia due to chronic kidney disease (CKD) in dialysis-dependent (DD) and non-dialysis dependent (NDD) patients; and Auryxia, a ferric citrate that is used to control the serum phosphorus levels in adult patients with DD-CKD and the treatment of iron deficiency anemia in adult patients with NDD-CKD. The company is also developing AKB-9090 for treating cardiac surgery-related acute kidney injury and acute respiratory distress syndrome; and AKB-10108 for the treatment of retinopathy of prematurity in neonates. The company has license and collaboration agreements with Mitsubishi Tanabe Pharma Corporation for the development and commercialization of Vafseo in Japan and other Asian countries. Akebia Therapeutics, Inc. was incorporated in 2007 and is headquartered in Cambridge, Massachusetts.

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