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Axsome Therapeutics Inc (AXSM)

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Upturn Advisory Summary
12/05/2025: AXSM (1-star) has a low Upturn Star Rating. Not recommended to BUY.
1 Year Target Price $179.74
1 Year Target Price $179.74
| 14 | Strong Buy |
| 5 | Buy |
| 0 | Hold |
| 0 | Sell |
| 0 | Strong Sell |
Analysis of Past Performance
Type Stock | Historic Profit -14.81% | Avg. Invested days 29 | Today’s Advisory Consider higher Upturn Star rating |
Upturn Star Rating ![]() | Upturn Advisory Performance | Stock Returns Performance |
Key Highlights
Company Size Mid-Cap Stock | Market Capitalization 7.52B USD | Price to earnings Ratio - | 1Y Target Price 179.74 |
Price to earnings Ratio - | 1Y Target Price 179.74 | ||
Volume (30-day avg) 19 | Beta 0.47 | 52 Weeks Range 75.56 - 152.94 | Updated Date 12/8/2025 |
52 Weeks Range 75.56 - 152.94 | Updated Date 12/8/2025 | ||
Dividends yield (FY) - | Basic EPS (TTM) -4.67 |
Analyzing Revenue: Products, Geography and Growth
Revenue by Products
Product revenue - Year on Year
Revenue by Geography
Geography revenue - Year on Year
Earnings Date
Report Date 2025-11-10 | When - | Estimate -0.827 | Actual -0.94 |
Profitability
Profit Margin -40.9% | Operating Margin (TTM) -19.25% |
Management Effectiveness
Return on Assets (TTM) -19.79% | Return on Equity (TTM) -275.5% |
Valuation
Trailing PE - | Forward PE 370.37 | Enterprise Value 7415898140 | Price to Sales(TTM) 13.4 |
Enterprise Value 7415898140 | Price to Sales(TTM) 13.4 | ||
Enterprise Value to Revenue 13.21 | Enterprise Value to EBITDA -14.81 | Shares Outstanding 50412640 | Shares Floating 42492814 |
Shares Outstanding 50412640 | Shares Floating 42492814 | ||
Percent Insiders 15.7 | Percent Institutions 76.49 |
Upturn AI SWOT
Axsome Therapeutics Inc

Company Overview
History and Background
Axsome Therapeutics, Inc. was founded in 2012 and is a biopharmaceutical company focused on developing novel therapeutics for central nervous system (CNS) disorders. Key milestones include its initial public offering (IPO) in 2015, significant clinical trial progress for its lead candidates, and successful FDA approvals. The company has evolved by strategically advancing its pipeline and securing partnerships to bring treatments to market.
Core Business Areas
- Neurology and Psychiatry Therapeutics: Axsome's primary business revolves around the development and commercialization of prescription therapies for neurological and psychiatric conditions. This includes a focus on unmet medical needs in areas such as migraine, Alzheimer's disease, and other CNS disorders. The company aims to deliver differentiated treatments that improve patient outcomes and quality of life.
Leadership and Structure
Axsome Therapeutics is led by a seasoned management team with expertise in drug development, regulatory affairs, and commercialization. The organizational structure is typical of a biopharmaceutical company, with distinct departments for research and development, clinical operations, regulatory affairs, manufacturing, commercial, and corporate functions.
Top Products and Market Share
Key Offerings
- Sunosi (solriamfetol): Sunosi is approved for the treatment of excessive daytime sleepiness (EDS) in adult patients with narcolepsy or obstructive sleep apnea (OSA). Its market share is growing within the sleep disorder market, facing competition from other stimulant and non-stimulant medications. Competitors include Jazz Pharmaceuticals (Xywav, Xyrem), and other treatments for EDS.
- Auvelity (dextromethorphan-bupropion): Auvelity is approved for the treatment of major depressive disorder (MDD) in adults. It represents a novel oral therapy for depression. Competitors include a broad range of antidepressant medications such as SSRIs, SNRIs, and other novel therapies. Market share is developing as it gains traction in the MDD treatment landscape.
- AXS-07 (montelukast and ibuprofen): AXS-07 is a novel oral combination therapy under development for the acute treatment of migraine. Its potential market share is in the large and competitive acute migraine market. Key competitors include triptans (e.g., Sumatriptan), gepants (e.g., Ubrogepant, Rimegepant), and ditans (e.g., Lasmiditan).
- AXS-05 (dextromethorphan-bupropion): AXS-05 is under development for the treatment of Alzheimer's disease agitation. If approved, it will enter the significant market for Alzheimer's care, facing competition from symptomatic treatments and therapies aiming to slow disease progression. Competitors include approved and investigational treatments for Alzheimer's disease symptoms and underlying pathology.
Market Dynamics
Industry Overview
The biopharmaceutical industry, particularly in the CNS segment, is characterized by high R&D costs, stringent regulatory processes, and significant market opportunities due to the prevalence of neurological and psychiatric disorders. Innovation in novel drug delivery and mechanism of action is a key driver. The market is competitive with both large pharmaceutical companies and smaller biotechs vying for market share.
Positioning
Axsome Therapeutics is positioned as an innovative biopharmaceutical company focused on addressing unmet needs in CNS disorders. Its competitive advantages lie in its focused pipeline of differentiated therapies targeting specific patient populations, a strong understanding of CNS pathways, and a demonstrated ability to navigate the regulatory landscape to achieve approvals. The company's strategy of acquiring and developing assets with clear clinical and commercial potential contributes to its positioning.
Total Addressable Market (TAM)
The TAM for Axsome's therapeutic areas is substantial. For example, the global migraine market is estimated to be tens of billions of dollars, and the Alzheimer's disease market is also in the tens of billions. Axsome is positioned to capture a significant portion of the TAM for its specific indications as its products gain market penetration and as new indications are explored. For Auvelity, the MDD market is vast, representing billions of dollars annually.
Upturn SWOT Analysis
Strengths
- Strong pipeline of differentiated CNS therapeutics
- Successful track record in clinical development and regulatory approvals
- Experienced management team with expertise in biopharmaceuticals
- Focus on significant unmet medical needs in neurology and psychiatry
- Potential for multiple product launches in the coming years
Weaknesses
- Reliance on a few key product candidates for future growth
- Challenges associated with market access and reimbursement
- Intense competition in the pharmaceutical industry
- Need for significant capital investment for R&D and commercialization
Opportunities
- Growing demand for effective treatments for CNS disorders
- Potential for label expansions and new indications for existing products
- Strategic partnerships and collaborations to accelerate development and commercialization
- Advancements in understanding of CNS diseases leading to new therapeutic targets
- Acquisition of complementary assets or technologies
Threats
- Regulatory hurdles and potential delays in drug approvals
- Failure of clinical trials or unexpected safety issues
- Increased competition from established players and emerging biotechs
- Pricing pressures and reimbursement challenges from payers
- Patent expirations and generic competition for future products
Competitors and Market Share
Key Competitors
- Jazz Pharmaceuticals (JAZZ)
- Sumitomo Pharma Co., Ltd. (SHPG - though not a US-listed entity, its products compete)
- AbbVie Inc. (ABBV)
- Eli Lilly and Company (LLY)
- Pfizer Inc. (PFE)
- Bristol Myers Squibb Company (BMY)
- Novartis AG (NVS)
- Takeda Pharmaceutical Company Limited (TAK)
Competitive Landscape
Axsome Therapeutics faces a competitive landscape populated by larger pharmaceutical companies with established sales forces and broader portfolios. However, Axsome's strength lies in its focused approach to specific CNS disorders and its development of novel, differentiated therapies. Its advantages include agility and a deep understanding of its target patient populations. Its disadvantages might include less brand recognition and smaller commercial infrastructure compared to established giants.
Growth Trajectory and Initiatives
Historical Growth: Axsome has demonstrated consistent growth in its operational capabilities and pipeline development since its inception. Revenue growth has begun with the launch of its first commercial products, and the company is on a trajectory to expand its commercial footprint.
Future Projections: Analyst projections indicate significant revenue growth for Axsome Therapeutics, driven by the commercialization of Auvelity and Sunosi, and the potential approval of pipeline candidates like AXS-07 and AXS-05. Profitability is anticipated as sales scale and operational efficiencies are realized. The company is expected to continue investing in its R&D pipeline for sustained long-term growth.
Recent Initiatives: Recent strategic initiatives include the successful FDA approval and launch of Auvelity and Sunosi, ongoing clinical trials for AXS-07 and AXS-05, and potential business development activities to expand its pipeline or commercial reach.
Summary
Axsome Therapeutics is a promising biopharmaceutical company with a strong focus on developing novel CNS therapies. Its key strengths lie in its innovative pipeline, successful regulatory track record, and experienced leadership. The company has significant opportunities in large and growing markets for neurological and psychiatric disorders. However, it faces challenges from intense competition, regulatory hurdles, and the need for substantial capital investment. Continued execution on its product launches and pipeline development will be crucial for its success.
Similar Stocks
Sources and Disclaimers
Data Sources:
- Axsome Therapeutics Inc. Investor Relations
- Company SEC Filings (10-K, 10-Q)
- Pharmaceutical Industry Market Research Reports
- Financial News and Data Providers (e.g., Bloomberg, Refinitiv)
Disclaimers:
This JSON output is based on publicly available information and is intended for informational purposes only. It does not constitute financial or investment advice. Market share data is illustrative and subject to change. Readers should conduct their own due diligence before making any investment decisions.
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 Axsome Therapeutics Inc
Exchange NASDAQ | Headquaters New York, NY, United States | ||
IPO Launch date 2015-11-19 | Founder, Chairman, CEO & President Dr. Herriot Tabuteau M.D. | ||
Sector Healthcare | Industry Biotechnology | Full time employees 816 | Website https://www.axsome.com |
Full time employees 816 | Website https://www.axsome.com | ||
Axsome Therapeutics, Inc., a biopharmaceutical company, develops and delivers novel therapies for the management of central nervous system (CNS) disorders in the United States. The company's commercial product portfolio includes Auvelity (dextromethorphan-bupropion), a N-methyl-D-aspartate receptor antagonist, sigma-1 receptor agonist, aminoketone, and CYP2D6 inhibitor indicated for the treatment of major depressive disorder in adults; Sunosi (solriamfetol), a dopamine and norepinephrine reuptake inhibitor, trace amine-associated receptor 1 agonist, and 5-HT1A agonist indicated for the treatment of excessive daytime sleepiness in patients with narcolepsy or obstructive sleep apnea; and Symbravo (MoSEIC meloxicam rizatriptan), or AXS-07, a rapidly absorbed, multi-mechanistic, selective COX-2 inhibitor, and 5-HT1B/1D agonist indicated for the acute treatment of migraine with or without aura. It also develops AXS-05 (dextromethorphan-bupropion), an investigational N-methyl-D-aspartate receptor antagonist, which has completed Phase III clinical trial to treat Alzheimer's disease agitation, as well as that has completed phase II clinical trial for the treatment of smoking cessation; AXS-12 (reboxetine), a highly selective and potent norepinephrine reuptake inhibitor and cortical dopamine modulator, which has completed Phase III trial to treat narcolepsy; AXS-14 (esreboxetine), a selective and potent norepinephrine reuptake inhibitor that has completed Phase III trial for the treatment of fibromyalgia and other conditions; and Solriamfetol, a dopamine and norepinephrine reuptake inhibitor, which is in Phase III trial for treating attention deficit hyperactivity, major depressive, binge eating, and excessive sleepiness associated with shift work disorder. It has a research collaboration agreement with Duke University for evaluating AXS-05 in a Phase 2 clinical trial in smoking cessation. The company was incorporated in 2012 and is based in New York, New York.

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