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Akebia Ther (AKBA)

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Upturn Advisory Summary
02/27/2026: AKBA (2-star) is currently NOT-A-BUY. Pass it for now.
1 Year Target Price $4.4
1 Year Target Price $4.4
| 3 | Strong Buy |
| 1 | Buy |
| 0 | Hold |
| 0 | Sell |
| 0 | Strong Sell |
Key Highlights
Company Size Small-Cap Stock | Market Capitalization 347.63M USD | Price to earnings Ratio - | 1Y Target Price 4.4 |
Price to earnings Ratio - | 1Y Target Price 4.4 | ||
Volume (30-day avg) 4 | Beta 0.37 | 52 Weeks Range 1.14 - 4.08 | Updated Date 02/28/2026 |
52 Weeks Range 1.14 - 4.08 | Updated Date 02/28/2026 | ||
Dividends yield (FY) - | Basic EPS (TTM) -0.08 |
Analyzing Revenue: Products, Geography and Growth
Revenue by Products
Product revenue - Year on Year
Earnings Date
Report Date - | When - | Estimate - | Actual - |
Profitability
Profit Margin -2.26% | Operating Margin (TTM) -14.84% |
Management Effectiveness
Return on Assets (TTM) 4.92% | Return on Equity (TTM) -553.45% |
Valuation
Trailing PE - | Forward PE 10 | Enterprise Value 236416110 | Price to Sales(TTM) 1.47 |
Enterprise Value 236416110 | Price to Sales(TTM) 1.47 | ||
Enterprise Value to Revenue 1.05 | Enterprise Value to EBITDA 11.13 | Shares Outstanding 265365993 | Shares Floating 262221629 |
Shares Outstanding 265365993 | Shares Floating 262221629 | ||
Percent Insiders 4.25 | Percent Institutions 47.97 |
Upturn AI SWOT
Akebia Ther

Company Overview
History and Background
Akebia Therapeutics, Inc. was founded in 2007 and is a biopharmaceutical company focused on the development and commercialization of therapies for patients with kidney disease. A significant milestone was the development of vadadustat, their lead product candidate for anemia due to chronic kidney disease (CKD). The company has faced regulatory challenges and strategic shifts in its commercialization plans for this product.
Core Business Areas
- Renal Disease Therapies: Akebia Therapeutics focuses on developing and commercializing innovative therapies for patients with kidney disease. Their primary area of focus has been on treatments for anemia associated with chronic kidney disease (CKD).
Leadership and Structure
Akebia Therapeutics is led by a management team with experience in the biopharmaceutical industry. Key leadership roles include Chief Executive Officer, Chief Medical Officer, Chief Financial Officer, and heads of various functional departments like Research & Development, Commercial Operations, and Regulatory Affairs. The company operates as a publicly traded entity with a board of directors overseeing its strategic direction.
Top Products and Market Share
Key Offerings
- Vadadustat (Auryxia/Vafseo): Vadadustat is a hypoxia-inducible factor (HIF) inhibitor developed by Akebia for the treatment of anemia due to chronic kidney disease (CKD) in adult patients on dialysis and not on dialysis. Market share data is difficult to ascertain definitively due to ongoing commercialization efforts and varying approval statuses by region. Key competitors in this space include erythropoiesis-stimulating agents (ESAs) like Epogen (epoetin alfa) and Aranesp (darbepoetin alfa), as well as other HIF inhibitors. Akebia has faced regulatory hurdles and has entered into agreements for its commercialization in different markets.
Market Dynamics
Industry Overview
The biopharmaceutical industry, particularly the nephrology sector, is characterized by significant research and development investment, stringent regulatory oversight, and a competitive landscape driven by innovation and the need for effective treatments for chronic diseases like kidney disease. The market for anemia associated with CKD is substantial, with a growing patient population.
Positioning
Akebia Therapeutics is positioned as a developer of novel oral therapies for kidney disease, aiming to provide alternatives to existing injectable treatments. Their competitive advantage lies in their proprietary HIF inhibitor technology and their focus on addressing unmet needs in CKD patient care. However, they face intense competition from established players and have navigated complex regulatory pathways.
Total Addressable Market (TAM)
The TAM for anemia due to CKD is significant and growing, driven by the increasing prevalence of diabetes and hypertension, major causes of CKD. Estimates vary, but the global market for anemia in CKD is projected to be in the billions of dollars. Akebia's positioning within this TAM is dependent on the successful commercialization and adoption of its approved therapies and its ability to capture market share from existing treatments.
Upturn SWOT Analysis
Strengths
- Proprietary HIF inhibitor technology
- Focus on a significant unmet medical need in kidney disease
- Experienced management team
Weaknesses
- Dependence on a single lead product candidate (vadadustat)
- Past regulatory challenges and delays
- Limited commercial infrastructure in certain regions
- Financial constraints for a small-cap biopharmaceutical company
Opportunities
- Growing prevalence of CKD globally
- Potential for expanded indications for vadadustat
- Strategic partnerships for commercialization and development
- Advancements in understanding kidney disease pathogenesis
Threats
- Competition from established pharmaceutical companies and novel therapies
- Ongoing regulatory scrutiny and potential future challenges
- Pricing pressures and reimbursement hurdles
- Patent expirations and generic competition for older treatments
Competitors and Market Share
Key Competitors
- Amgen (AMGN)
- GSK plc (GSK)
- FibroGen, Inc. (FGEN)
- Bayer AG (BAYRY)
Competitive Landscape
Akebia's competitive advantages lie in its specific HIF inhibitor mechanism, which offers a different approach to anemia management in CKD compared to traditional ESAs. However, they face disadvantages in terms of established market presence, extensive product portfolios, and significant marketing and sales infrastructures of larger competitors like Amgen and GSK.
Growth Trajectory and Initiatives
Historical Growth: Historically, Akebia's growth has been driven by advancements in its drug pipeline, particularly vadadustat, and strategic partnerships. Revenue has been modest and often dependent on milestone payments until broader product commercialization.
Future Projections: Future growth projections for Akebia Therapeutics are contingent upon the successful commercialization of vadadustat in key markets, potential label expansions, and the development of any future pipeline assets. Analyst estimates would reflect these factors, but also the competitive landscape and regulatory environment.
Recent Initiatives: Recent initiatives likely include focusing on the commercial launch and market access strategies for vadadustat in approved regions, managing ongoing clinical trials, and potentially exploring new therapeutic targets or strategic collaborations.
Summary
Akebia Therapeutics is a biopharmaceutical company focused on kidney disease treatments, primarily vadadustat. While possessing innovative technology and addressing a significant unmet need, the company faces intense competition, regulatory hurdles, and financial pressures. Its future success hinges on the effective commercialization of its lead product and its ability to navigate the complex market and regulatory landscape.
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Sources and Disclaimers
Data Sources:
- Company SEC Filings (10-K, 10-Q)
- Industry Market Research Reports
- Financial News Outlets
- Biopharmaceutical Industry Analysis
Disclaimers:
This analysis is based on publicly available information and is for informational purposes only. It does not constitute investment advice. Financial data and market share estimates are subject to change and may require further verification from official sources.
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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