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Akebia Ther (AKBA)



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Upturn Advisory Summary
09/15/2025: AKBA (4-star) is currently NOT-A-BUY. Pass it for now.
1 Year Target Price $7.4
1 Year Target Price $7.4
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 782.18M USD | Price to earnings Ratio - | 1Y Target Price 7.4 |
Price to earnings Ratio - | 1Y Target Price 7.4 | ||
Volume (30-day avg) 4 | Beta 1.02 | 52 Weeks Range 1.24 - 4.08 | Updated Date 09/15/2025 |
52 Weeks Range 1.24 - 4.08 | Updated Date 09/15/2025 | ||
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 - | When - | Estimate - | Actual - |
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 26.81 | Enterprise Value 698231862 | Price to Sales(TTM) 3.84 |
Enterprise Value 698231862 | Price to Sales(TTM) 3.84 | ||
Enterprise Value to Revenue 3.43 | Enterprise Value to EBITDA 63.44 | Shares Outstanding 265144992 | Shares Floating 259799714 |
Shares Outstanding 265144992 | Shares Floating 259799714 | ||
Percent Insiders 3.56 | Percent Institutions 43.24 |
Upturn AI SWOT
Akebia Ther

Company Overview
History and Background
Akebia Therapeutics, Inc. is a biopharmaceutical company focused on developing and commercializing novel therapeutics for patients with kidney disease. Founded in 2007, it went public in 2014. Its primary focus has been on hypoxia-inducible factor (HIF) stabilizers.
Core Business Areas
- Renal Therapeutics: Focused on the discovery, development and commercialization of novel therapeutics for patients with kidney disease and specifically anemia due to chronic kidney disease (CKD).
Leadership and Structure
The leadership team consists of John P. Butler (CEO), and other key executives leading various departments like R&D, Commercial, and Finance. The company operates with a functional organizational structure.
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 (CKD) in adults who have been receiving dialysis for at least 3 months. It is approved in the US, EU, and other countries. Market share is difficult to determine precisely due to the competitive landscape; however, its success hinges on uptake in dialysis patients. Competitors include Aranesp (Amgen), Retacrit (Hospira), and Epogen (Amgen), all of which are erythropoiesis-stimulating agents (ESAs).
Market Dynamics
Industry Overview
The pharmaceutical industry segment focused on kidney disease therapeutics is driven by the growing prevalence of chronic kidney disease (CKD) globally, particularly in aging populations and those with diabetes and hypertension. The market is competitive, with established players and emerging companies.
Positioning
Akebia is positioned as an innovator in the renal therapeutics space, particularly with its oral HIF stabilizer. Its competitive advantage lies in providing an alternative to traditional injectable ESAs. Vafseo offers a novel mechanism of action which some patients may respond more favourably to, or prefer. However, the HIF class of drugs can also elevate VEGF which has potential safety concerns.
Total Addressable Market (TAM)
The global chronic kidney disease (CKD) market is estimated to be a multi-billion dollar market (north of $15B), and the anemia market within CKD represents a significant portion. Akebia is positioned to capture a share of this market with Vafseo, contingent on its successful commercialization and safety profile.
Upturn SWOT Analysis
Strengths
- Novel oral drug (Vafseo) for anemia in CKD
- Approved in multiple global markets
- Strong intellectual property portfolio
- Experienced management team
Weaknesses
- Reliance on a single product
- Commercialization execution is still in early stages
- Competition from established ESAs
- Potential safety concerns with HIF stabilizers (VEGF)
Opportunities
- Expansion into non-dialysis CKD patients
- Partnerships for broader market reach
- Development of new renal therapeutics
- Geographic expansion into new markets
Threats
- Competition from generics and biosimilars
- Regulatory hurdles and changes in reimbursement policies
- Unfavorable clinical trial results
- Adverse safety events associated with Vafseo
Competitors and Market Share
Key Competitors
- AMGN
- BMY
- MRK
Competitive Landscape
Akebia faces strong competition from established pharmaceutical companies with extensive experience and resources. Its advantage lies in providing an oral HIF stabilizer option, but it needs to overcome safety concerns and demonstrate superior efficacy compared to existing treatments.
Growth Trajectory and Initiatives
Historical Growth: Historically, growth has been focused on research and development. Revenue growth is dependent on future sales of Vafseo.
Future Projections: Future growth projections depend heavily on market acceptance of Vafseo. See analyst estimates for specific revenue forecasts.
Recent Initiatives: Recent initiatives include commercial launch of Vafseo in approved markets, expansion of partnerships, and ongoing clinical trials.
Summary
Akebia Therapeutics is a biopharmaceutical company with a novel oral drug for anemia in CKD. The company's success depends on the commercial uptake of Vafseo, which faces competition from established ESAs. While its innovative approach offers promise, Akebia must carefully manage safety concerns and execution to achieve its growth potential. Investors should monitor key financial data carefully.
Peer Comparison
Sources and Disclaimers
Data Sources:
- Company filings (10-K, 10-Q)
- Analyst reports
- Press releases
- Industry publications
Disclaimers:
This analysis is for informational purposes only and does not constitute financial advice. Investment decisions should be based on individual research and consultation with a qualified financial advisor.
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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