Praxis Precision Medicines Inc logo

Praxis Precision Medicines Inc(PRAX)

Top Performer Top performer
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ADVISORIES YOU CAN VERIFY
QUALITY SIGNAL
4-STAR RATING
PASS
LAST CLOSE
$285.65
09/28/2026
(24-hour delay)

Advisory History & Simulated Performance *

*as per simulation (see disclosures)
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Upturn Advisory & Investor View for PRAX

09/28/2026: PRAX (4-star) is currently NOT-A-BUY. Pass it for now.

Praxis Precision Medicines is a clinical-stage biotechnology company focused on developing targeted therapies for epilepsy and movement disorders using a proprietary genetics-based platform. The company's primary strength lies in its specialized approach to CNS disorders and a late-stage pipeline led by ulixacaltamide. While this creates a compelling investment story, the company remains pre-commercial, facing significant risks related to clinical trial execution and the need for future capital. It is best suited for growth-oriented investors who can tolerate high volatility. Key developments to monitor include Phase 3 clinical trial results and any potential strategic partnerships that could provide commercial validation.

How to Read the Upturn Advisory

The Upturn Star Rating and the current BUY, SELL, or PASS advisory are generated by Upturn’s AI advisory engine based on proprietary signal analysis, price behavior, advisory history, and historical signal performance.

Company fundamentals, valuation, risks, and news provide supporting context about the business.

Investor Fit

Investor styleFitWhy
Growth investorMixed fitThe company offers high growth potential linked to clinical breakthroughs but carries significant binary risk.
Momentum investorStrong fit while signal remains positiveThe stock can experience significant moves based on clinical trial news flow.
Value investorWeak fitThe company lacks current earnings, revenue, or assets that would satisfy traditional value metrics.
Dividend investorWeak fitThe company is not profitable and does not pay a dividend.
Low-risk investorWeak fitHigh volatility and the risks associated with drug development are unsuitable for conservative portfolios.

Risk Profile

Risk factorLevelWhy it matters
Price volatilityHighClinical-stage biotech stocks are prone to sharp price swings based on trial results and regulatory updates.
Valuation riskHighValuations are highly speculative and dependent on future market projections rather than current cash flows.
Competition risk (CNS drug development)HighThe company competes with much larger firms that have greater resources for drug development and commercialization.
Business qualityMediumWhile the platform and pipeline are technically focused, the company lacks a commercial track record or recurring revenue.
Dividend incomeLow / noneInvestors should not expect any income from this security.
Execution riskHighSuccess depends entirely on the company's ability to successfully navigate complex clinical and regulatory pathways.

Price Behavior

Steady Uptrend
PRICE PATH

Steady Uptrend

The stock demonstrates consistent and steady upward price momentum.

Choppy
PRICE STABILITY

Choppy

The stock has experienced frequent reversals and pronounced short-term price swings.

Analysis of Past Performance

Type Stock
Historic Profit 465.41%
Avg. Invested days 42
Today’s Advisory PASS
Upturn Advisory Rating upturn star rating icon
Upturn Advisory Performance Upturn Advisory Performance icon 3.0
Stock Returns Performance Upturn Returns Performance icon 5.0
Upturn Profits based on simulation icon Profits based on simulation
Upturn last close icon Last Close 09/28/2026

Upturn Scorecard

Upturn Star Rating

★★★★★
PRAX receives a 2-star rating, supported by solid analyst coverage. The rating is constrained by weak unit economics, soft quantitative characteristics, and weak price momentum.

Company Fundamentals

★★★★★
PRAX has moderate overall fundamentals (3 stars), with moderate financial health, weak growth momentum, and solid ownership. In FY2025 versus FY2024, growth and ownership metrics are mixed: negative earnings growth (-65.9%), soft cash generation (FCF margin 0.0%), negative revenue growth (-100.0%).

Financial Health Rating

★★★★★
PRAX's financial health is supported by strong efficiency, including operating-expense and cost-of-revenue discipline (opex 0.0% of revenue). Profitability is weak (1 stars), which helps explain the 3-star overall score.

Growth Momentum Score

★★★★★
PRAX's growth profile is soft, with the least-weak measure being earnings growth at -65.9% FY2025 versus FY2024. By comparison, while revenue growth (-100.0%, negative) and free-cash-flow growth (-89.1%, negative) hold the profile back, so recent growth is not broad-based across the business.

Ownership

★★★★★
Institutional ownership is 123.2% and approximately 86.2% of outstanding shares are publicly tradable, supporting liquidity and institutional participation. Insider ownership is only 0.28%, which materially reduces the ownership score.

Top 5 Institutional Investors

HHG PLC 12.39%
Orbis Allan Gray Ltd 8.86%
BlackRock Inc 8.33%
FMR Inc 7.74%
Perceptive Advisors LLC 7.29%

Unit Economics (Per $1K Revenue)

★★★★★
PRAX generates approximately $-0 of gross profit, $-0 of operating income, and $-0 of free cash flow for every $1,000 of revenue. Based on FY2025 results. Weak margins explain the 1-star rating, with weak cash conversion and weak capital efficiency.

Economic Dimensions

★★★★★
Effective Tax Rate: 0.00%

Quantitative Style Profile

★★★★★
PRAX has a liquid profile. Weak momentum is the primary drawback, while soft valuation.

Style Classification

Quality Focused

High VolatilitySmall / Mid Cap RiskShort Squeeze RiskHighly Liquid / Institution-Friendly

Key Highlights

Company Size Mid-Cap Stock
Market Capitalization 7.84B USD
Price to earnings Ratio -
1Y Target Price 638.68
Price to earnings Ratio -
1Y Target Price 638.68
Volume (30-day avg) 405.1K shares
Beta 2.78
52 Weeks Range 50.31 - 392.70
Updated Date 09/27/2026
52 Weeks Range 50.31 - 392.70
Updated Date 09/27/2026
Dividends yield (FY) -
Basic EPS (TTM) -12.97

How Company Makes Money

Business areaWhat it includesRetail investor read
Drug Development (Pre-commercial)Research and development of proprietary ion channel therapeutics.Praxis does not currently sell products; it spends money to develop potential drugs that it hopes to sell in the future.

Analyzing Revenue: Products, Geography and Growth

Revenue by Products

Product revenue - Year on Year

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Valuation

Trailing PE -
Forward PE -
Enterprise Value 7.12B
Price to Sales(TTM) 144.69
Enterprise Value 7.12B
Price to Sales(TTM) 144.69
Enterprise Value to Revenue 110.91
Enterprise Value to EBITDA -6.86
Shares Outstanding 27.92M
Shares Floating 24.08M
Shares Outstanding 27.92M
Shares Floating 24.08M
Percent Insiders 0.28
Percent Institutions 123.2

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Financial Metrics

🧭 Investment Snapshot

Total Revenue (Scale)

Information icon Total money earned from selling products or services before any costs. It is needed to understand the scale of the business and its ability to generate income.

Net Income (Profit)

Information icon Final profit after all expenses, interest, and taxes are deducted. It is needed to determine the overall profitability available to shareholders.

Free Cash Flow (Cash Strength)

Information icon Cash remaining after operating activities and capital expenditures, showing cash available for growth. It is needed to evaluate the company’s ability to invest, pay dividends, or reduce debt.

📈 Growth & Strength

Operating Income (Core Profit)

Information icon Profit from core operations after deducting all operating expenses. It is needed to measure how efficiently the company runs its primary business activities.

EBITDA (Cash Earnings)

Information icon Earnings before interest, taxes, depreciation, and amortization, indicating operating cash potential. It is needed to compare operating performance across companies without accounting or financing differences.

Gross Profit (Unit Profitability)

Information icon Revenue minus cost of revenue, showing profit after direct production costs. It is needed to evaluate core business profitability before overhead expenses.

🛡️ Financial Safety

Cash (Liquidity Buffer)

Information icon Total cash and cash equivalents on hand. It is needed to evaluate immediate liquidity and financial flexibility.

Total Debt (Leverage Risk)

Information icon Total debt including both short-term and long-term components. It is needed to assess the company’s leverage and financial risk.

Net Working Capital (Short-Term Health)

Information icon Current assets minus current liabilities, indicating short-term liquidity strength. It is needed to assess whether the company can meet its short-term obligations.

🧱 Balance Sheet Strength

Stockholder Equity (Net Worth)

Information icon Total equity value held by shareholders. It is needed to understand the net worth of the company from the owners’ perspective.

Total Assets (Asset Base)

Information icon The full value of everything the company owns, including cash, inventory, equipment, and investments. It is needed to understand the resource base used to generate revenue.

Income Before Tax (Pre-Tax Earnings)

Information icon Income before provision for income taxes. It is needed to analyze profitability independent of tax structures.

⚙️ Cost & Drag Factors

Cost of Revenue (Production Cost)

Information icon Direct costs required to produce and deliver the products or services sold. It is needed to assess efficiency in production and service delivery.

Total Operating Expenses (Operating Cost)

Information icon Indirect costs of running the business such as salaries, marketing, and administration. It is needed to understand how much it costs to sustain ongoing business operations.

Income Tax Expense (Tax Drag)

Information icon Amount of taxes paid or payable to the government. It is needed to evaluate the impact of taxation on overall profitability.

About Praxis Precision Medicines Inc

Exchange NASDAQ
Headquarters Boston, MA, United States
IPO Launch date 2020-10-16
President, CEO & Director Mr. Marcio Silva De'Souza M.B.A.
Sector Healthcare
Industry Biotechnology
Full time employees 168
Full time employees 168

Praxis Precision Medicines, Inc., a clinical-stage biopharmaceutical company, engages in the development of therapies for central nervous system (CNS) disorders characterized by neuronal excitation-inhibition imbalance in the United States. The company's platforms include Cerebrum, a small molecule platform for CNS small molecule therapies to develop orally available precision therapies; and Solidus to discover and develop antisense oligonucleotide. It also develops ulixacaltamide, a small molecule inhibitor of T-type calcium channels that in NDA for the treatment of essential tremor; relutrigine, a small molecule, which is in NDA for the treatment of SCN2A- and SCN8A-developmental and epileptic encephalopathies (DEE), as well as in Phase 3 trial for broad DEEs; vormatrigine, a small molecule targeting the hyperexcitable state of sodium-channels in the brain that is in Phase 3 trial for the treatment of adjunctive focal epilepsy, as well as in Phase 2 trial for monotherapy focal epilepsy; and Elsunersen, a clinical-stage ASO designed to selectively decrease SCN2A gene expression, which is in Phase 3 trial for the treatment of SCN2A-DEE. In addition, the company is developing product candidates in pre-clinical trial comprising PRAX-020 to treat KCNT1; PRAX-080 that targets PCDH19 mosaic expression disorders; PRAX-090 for targeting SYNGAP1 loss-of-function; and PRAX-100 that targets SCN2A LoF mutations. It has a cooperation and license agreement with RogCon Inc.; research collaboration, option, and license agreement with Ionis Pharmaceuticals, Inc.; and research collaboration and license agreement to develop an iontophoretic transdermal patch for the delivery of ulixacaltamide. The company was formerly known as EpiPM Therapeutics, Inc. and changed its name to Praxis Precision Medicines, Inc. in October 2016. Praxis Precision Medicines, Inc. was incorporated in 2015 and is headquartered in Boston, Massachusetts.