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Praxis Precision Medicines (PRAX)


Market Price (12/18/2025): $265.97 | Market Cap: $5.8 Bil
Sector: Health Care | Industry: Biotechnology

Praxis Precision Medicines (PRAX)


Market Price (12/18/2025): $265.97
Market Cap: $5.8 Bil
Sector: Health Care
Industry: Biotechnology

Investment Highlights Why It Matters Which of these 2 stories sounds closer for this stock?

1. Generates cash flow

The stock generated 4% or more of the share price (called cash flow yield), and shows moderate 10-15% or more growth.

2. Riding a trend

Think Tesla during the pandemic of 2020 when EVs were riding a cultural high, or Nvidia in the current AI boom, or even Figma. These companies don’t have enough yield, or, enough growth, or both - however - they are riding a trend. They have momentum. These can be more volatile - they don’t have the floor of strong cash flow


0 Cash is significant % of market cap
Net D/ENet Debt/Equity. Debt net of cash. Negative indicates net cash. Equity is taken as the Market Capitalization is -23%
Trading close to highs
Dist 52W High is -3.8%, Dist 3Y High is -3.8%
Not profitable at operating income level
Op Inc LTMOperating Income, Last Twelve Months is -293 Mil, Op Mgn LTMOperating Margin = Operating Income / Revenue Reflects profitability before taxes and before impact of capital structure (interest payments). is -3928%
1 Strong revenue growth
Rev Chg LTMRevenue Change % Last Twelve Months (LTM) is 365%
Meaningful short interest
Short Interest % of Basic SharesShort Interest % of Basic Shares = (Short Interest Quantity) / (Basic Shares Outstanding). A high fraction of short interest can indicate potential risk of a short squeeze. is 16%
Expensive valuation multiples
P/SPrice/Sales ratio is 156x
2 Megatrend and thematic drivers
Megatrends include Precision Medicine, and Aging Population & Chronic Disease. Themes include Biopharmaceutical R&D, Targeted Therapies, Show more.
  Stock price has recently run up significantly
6M Rtn6 month market price return is 519%, 12M Rtn12 month market price return is 264%
3   Weak revenue growth
Rev Chg QQuarterly Revenue Change % is null
4   Not cash flow generative
CFO/Rev LTMCash Flow from Operations / Revenue (Sales), Last Twelve Months (LTM) is -3067%, FCF/Rev LTMFree Cash Flow / Revenue (Sales), Last Twelve Months (LTM) is -3067%
5   Valuation getting more expensive
P/S 6M Chg %Price/Sales change over 6 months. Declining P/S indicates valuation has become less expensive. is 59%
6   Yield minus risk free rate is negative
ERPEquity Risk Premium (ERP) = Total Yield - Risk Free Rate, Reflects the premium above risk free assets offered by the investment. is -28%
7   High stock price volatility
Vol 12M is 204%
8   Key risks
PRAX key risks include [1] precarious financial sustainability due to a high cash burn rate that may require dilutive capital raises, Show more.
0 Cash is significant % of market cap
Net D/ENet Debt/Equity. Debt net of cash. Negative indicates net cash. Equity is taken as the Market Capitalization is -23%
1 Strong revenue growth
Rev Chg LTMRevenue Change % Last Twelve Months (LTM) is 365%
2 Megatrend and thematic drivers
Megatrends include Precision Medicine, and Aging Population & Chronic Disease. Themes include Biopharmaceutical R&D, Targeted Therapies, Show more.
3 Trading close to highs
Dist 52W High is -3.8%, Dist 3Y High is -3.8%
4 Meaningful short interest
Short Interest % of Basic SharesShort Interest % of Basic Shares = (Short Interest Quantity) / (Basic Shares Outstanding). A high fraction of short interest can indicate potential risk of a short squeeze. is 16%
5 Not profitable at operating income level
Op Inc LTMOperating Income, Last Twelve Months is -293 Mil, Op Mgn LTMOperating Margin = Operating Income / Revenue Reflects profitability before taxes and before impact of capital structure (interest payments). is -3928%
6 Expensive valuation multiples
P/SPrice/Sales ratio is 156x
7 Stock price has recently run up significantly
6M Rtn6 month market price return is 519%, 12M Rtn12 month market price return is 264%
8 Weak revenue growth
Rev Chg QQuarterly Revenue Change % is null
9 Not cash flow generative
CFO/Rev LTMCash Flow from Operations / Revenue (Sales), Last Twelve Months (LTM) is -3067%, FCF/Rev LTMFree Cash Flow / Revenue (Sales), Last Twelve Months (LTM) is -3067%
10 Valuation getting more expensive
P/S 6M Chg %Price/Sales change over 6 months. Declining P/S indicates valuation has become less expensive. is 59%
11 Yield minus risk free rate is negative
ERPEquity Risk Premium (ERP) = Total Yield - Risk Free Rate, Reflects the premium above risk free assets offered by the investment. is -28%
12 High stock price volatility
Vol 12M is 204%
13 Key risks
PRAX key risks include [1] precarious financial sustainability due to a high cash burn rate that may require dilutive capital raises, Show more.

Valuation, Metrics & Events

PRAX Stock


Why The Stock Moved


Qualitative Assessment

AI Generated Analysis | Feedback

The significant movement in Praxis Precision Medicines (PRAX) stock from August 31, 2025, to December 18, 2025, can be attributed to several key developments:

1. Positive Phase 3 Clinical Trial Results for Ulixacaltamide. Praxis Precision Medicines announced positive topline results from two Phase 3 studies of ulixacaltamide (Essential3 program) for essential tremor (ET). The studies demonstrated a robust improvement in patients' daily functioning, meeting primary and all key secondary endpoints, which led to a substantial surge in the stock, exceeding 235% around October 2025.

2. Planned New Drug Application (NDA) Submission for Ulixacaltamide. Following the encouraging Phase 3 results for ulixacaltamide, Praxis announced plans to submit a New Drug Application to the U.S. Food and Drug Administration (FDA) by early 2026. The company had already requested a pre-NDA meeting with the FDA, signaling a clear path towards commercialization and boosting investor optimism.

Show more

Stock Movement Drivers

Return vs. Risk


Price Returns Compared

 202020212022202320242025Total [1]
Returns
PRAX Return-64%-88%-38%245%257%
Peers Return91%18%-7%38%-6%-6%155%
S&P 500 Return16%27%-19%24%23%14%108%

Monthly Win Rates [3]
PRAX Win Rate100%25%33%58%58%50% 
Peers Win Rate50%52%48%43%52%55% 
S&P 500 Win Rate58%75%42%67%75%73% 

Max Drawdowns [4]
PRAX Max Drawdown-76%-92%-66%-6%-63% 
Peers Max Drawdown-36%-26%-37%-26%-22%-41% 
S&P 500 Max Drawdown-31%-1%-25%-1%-2%-15% 


[1] Cumulative total returns since the beginning of 2020
[2] Peers: NBIX, JAZZ, XENE, DNLI, BHVN.
[3] Win Rate = % of calendar months in which monthly returns were positive
[4] Max drawdown represents maximum peak-to-trough decline within a year
[5] 2025 data is for the year up to 12/17/2025 (YTD)

How Low Can It Go

Unique KeyEventPRAXS&P 500
2022 Inflation Shock2022 Inflation Shock  
2022 Inflation Shock% Loss% Loss-98.7%-25.4%
2022 Inflation Shock% Gain to Breakeven% Gain to Breakeven7391.3%34.1%
2022 Inflation ShockTime to BreakevenTime to BreakevenNot Fully Recovered days464 days
2020 Covid Pandemic2020 Covid Pandemic  
2020 Covid Pandemic% Loss% Loss-21.8%-33.9%
2020 Covid Pandemic% Gain to Breakeven% Gain to Breakeven27.8%51.3%
2020 Covid PandemicTime to BreakevenTime to Breakeven15 days148 days

Compare to VRTX, ACSB, ALPS, APRI, CRMO


In The Past

Praxis Precision Medicines's stock fell -98.7% during the 2022 Inflation Shock from a high on 1/7/2021. A -98.7% loss requires a 7391.3% gain to breakeven.

Preserve Wealth

Limiting losses and compounding gains is essential to preserving wealth over time.

Asset Allocation

Actively managed asset allocation strategies protect wealth. Learn more.

About Praxis Precision Medicines (PRAX)

Better Bets than Praxis Precision Medicines (PRAX)

Latest Trefis Analyses

Trade Ideas

Select past ideas related to PRAX. For more, see Trefis Trade Ideas.

Unique KeyDateTickerCompanyCategoryTrade Strategy6M Fwd Rtn12M Fwd Rtn12M Max DD
CRL_11142025_Dip_Buyer_FCFYield11142025CRLCharles River Laboratories InternationalDip BuyDB | FCFY OPMDip Buy with High FCF Yield and High Margin
Buying dips for companies with high FCF yield and meaningfully high operating margin
16.8%16.8%-3.7%
GDRX_11142025_Dip_Buyer_High_CFO_Margins_ExInd_DE11142025GDRXGoodRxDip BuyDB | CFO/Rev | Low D/EDip Buy with High Cash Flow Margins
Buying dips for companies with significant cash flows from operations and reasonable debt / market cap
-6.4%-6.4%-11.8%
ASTH_11142025_Dip_Buyer_High_FCF_Yield_ExInd_DE_RevG11142025ASTHAstrana HealthDip BuyDB | FCF Yield | Low D/EDip Buy with High Free Cash Flow Yield
Buying dips for companies with significant free cash flow yield (FCF / Market Cap) and reasonable debt / market cap
5.2%5.2%-5.5%
SGRY_11142025_Dip_Buyer_High_FCF_Yield_ExInd_DE_RevG11142025SGRYSurgery PartnersDip BuyDB | FCF Yield | Low D/EDip Buy with High Free Cash Flow Yield
Buying dips for companies with significant free cash flow yield (FCF / Market Cap) and reasonable debt / market cap
3.4%3.4%-1.4%
TFX_11072025_Dip_Buyer_FCFYield11072025TFXTeleflexDip BuyDB | FCFY OPMDip Buy with High FCF Yield and High Margin
Buying dips for companies with high FCF yield and meaningfully high operating margin
14.4%14.4%-5.1%
Unique KeyDateTickerCompanyCategoryTrade Strategy6M Fwd Rtn12M Fwd Rtn12M Max DD
CRL_11142025_Dip_Buyer_FCFYield11142025CRLCharles River Laboratories InternationalDip BuyDB | FCFY OPMDip Buy with High FCF Yield and High Margin
Buying dips for companies with high FCF yield and meaningfully high operating margin
16.8%16.8%-3.7%
GDRX_11142025_Dip_Buyer_High_CFO_Margins_ExInd_DE11142025GDRXGoodRxDip BuyDB | CFO/Rev | Low D/EDip Buy with High Cash Flow Margins
Buying dips for companies with significant cash flows from operations and reasonable debt / market cap
-6.4%-6.4%-11.8%
ASTH_11142025_Dip_Buyer_High_FCF_Yield_ExInd_DE_RevG11142025ASTHAstrana HealthDip BuyDB | FCF Yield | Low D/EDip Buy with High Free Cash Flow Yield
Buying dips for companies with significant free cash flow yield (FCF / Market Cap) and reasonable debt / market cap
5.2%5.2%-5.5%
SGRY_11142025_Dip_Buyer_High_FCF_Yield_ExInd_DE_RevG11142025SGRYSurgery PartnersDip BuyDB | FCF Yield | Low D/EDip Buy with High Free Cash Flow Yield
Buying dips for companies with significant free cash flow yield (FCF / Market Cap) and reasonable debt / market cap
3.4%3.4%-1.4%
TFX_11072025_Dip_Buyer_FCFYield11072025TFXTeleflexDip BuyDB | FCFY OPMDip Buy with High FCF Yield and High Margin
Buying dips for companies with high FCF yield and meaningfully high operating margin
14.4%14.4%-5.1%

Recent Active Movers

Recent Active Movers

More From Trefis

Peer Comparisons for Praxis Precision Medicines

Peers to compare with:

Financials

PRAXNBIXJAZZXENEDNLIBHVNMedian
NamePraxis P.Neurocri.Jazz Pha.Xenon Ph.Denali T.Biohaven  
Mkt Price265.86141.70164.9143.0116.8110.8792.35
Mkt Cap5.814.110.03.42.91.24.6
Rev LTM72,6834,1588007
Op Inc LTM-293554454-341-548-793-317
FCF LTM-2295931,239-253-412-650-241
FCF 3Y Avg-1484731,069-192-378-492-170
CFO LTM-2296371,392-252-398-650-240
CFO 3Y Avg-1485081,274-188-364-489-168

Growth & Margins

PRAXNBIXJAZZXENEDNLIBHVNMedian
NamePraxis P.Neurocri.Jazz Pha.Xenon Ph.Denali T.Biohaven  
Rev Chg LTM365.0%19.6%4.1%---19.6%
Rev Chg 3Y Avg-24.6%5.1%---14.8%
Rev Chg Q-100.0%27.8%6.7%---6.7%
QoQ Delta Rev Chg LTM-3.9%6.9%1.7%0.0%--0.9%
Op Mgn LTM-3,927.5%20.6%10.9%-4,543.7%---1,958.3%
Op Mgn 3Y Avg-7,131.3%22.1%14.3%---14.3%
QoQ Delta Op Mgn LTM-429.9%0.8%-4.1%-302.1%---153.1%
CFO/Rev LTM-3,066.7%23.7%33.5%-3,360.3%---1,521.5%
CFO/Rev 3Y Avg-5,091.4%22.6%32.0%---22.6%
FCF/Rev LTM-3,066.7%22.1%29.8%-3,377.1%---1,522.3%
FCF/Rev 3Y Avg-5,091.4%21.1%26.8%---21.1%

Valuation

PRAXNBIXJAZZXENEDNLIBHVNMedian
NamePraxis P.Neurocri.Jazz Pha.Xenon Ph.Denali T.Biohaven  
Mkt Cap5.814.110.03.42.91.24.6
P/S156.15.21.9424.2--80.6
P/EBIT-4.023.9-15.9-9.3-4.6-1.5-4.3
P/E-4.332.6-21.7-10.4-5.0-1.5-4.6
P/CFO-5.121.95.7-12.6-6.3-1.8-3.4
Total Yield-23.4%3.1%-4.6%-9.6%-19.9%-67.8%-14.8%
Dividend Yield0.0%0.0%0.0%0.0%0.0%0.0%0.0%
FCF Yield 3Y Avg-26.3%3.8%14.1%-6.8%-12.1%-22.9%-9.4%
D/E0.00.00.70.00.00.30.0
Net D/E-0.2-0.00.4-0.1-0.30.0-0.1

Returns

PRAXNBIXJAZZXENEDNLIBHVNMedian
NamePraxis P.Neurocri.Jazz Pha.Xenon Ph.Denali T.Biohaven  
1M Rtn34.6%-1.3%-3.0%5.9%-3.2%31.4%2.3%
3M Rtn503.8%-0.7%27.3%17.2%28.7%-26.1%22.3%
6M Rtn518.7%11.3%52.4%34.8%19.3%-24.5%27.1%
12M Rtn264.1%3.7%34.6%4.2%-27.6%-72.2%3.9%
3Y Rtn677.4%20.9%4.6%10.8%-41.4%-28.0%7.7%
1M Excs Rtn33.8%-2.0%-3.8%5.2%-4.0%30.7%1.6%
3M Excs Rtn486.4%-4.1%24.4%12.6%26.2%-31.3%18.5%
6M Excs Rtn506.3%-1.1%40.0%22.4%6.9%-36.8%14.7%
12M Excs Rtn267.7%0.8%23.0%-3.7%-37.9%-82.8%-1.5%
3Y Excs Rtn675.6%-49.8%-60.4%-55.8%-112.0%-101.5%-58.1%

Financials

Segment Financials

Revenue by Segment

$ Mil20242023202220212020
Discovers and develops therapies for central nervous system (CNS) disorders2    
Total2    


Assets by Segment
$ Mil20242023202220212020
Discovers and develops therapies for central nervous system (CNS) disorders 11529330348
Total 11529330348


Price Behavior

Short Interest

Short Interest: As Of Date11282025
Short Interest: Shares Quantity3,550,804
Short Interest: % Change Since 11152025-1.7%
Average Daily Volume1,166,693
Days-to-Cover Short Interest3.04
Basic Shares Quantity21,977,268
Short % of Basic Shares16.2%

Earnings Returns History

Expand for More

 Forward Returns
Earnings Date1D Returns5D Returns21D Returns
11/5/2025-4.1%6.9%44.4%
8/4/2025-5.5%-15.1%-16.9%
5/2/20255.7%0.0%4.6%
1/29/20252.9%19.2%-47.9%
11/6/2024-1.2%14.1%-6.3%
8/13/20240.8%0.0%11.8%
3/5/2024-1.9%-3.0%-3.1%
11/7/20236.5%-11.7%22.8%
...
SUMMARY STATS   
# Positive10106
# Negative8812
Median Positive2.3%15.0%33.6%
Median Negative-3.0%-8.6%-17.5%
Max Positive24.6%47.8%49.1%
Max Negative-5.8%-19.4%-77.0%

SEC Filings

Expand for More

Report DateFiling DateFiling
93020251105202510-Q 9/30/2025
6302025804202510-Q 6/30/2025
3312025502202510-Q 3/31/2025
12312024228202510-K 12/31/2024
93020241106202410-Q 9/30/2024
6302024813202410-Q 6/30/2024
3312024513202410-Q 3/31/2024
12312023305202410-K 12/31/2023
93020231107202310-Q 9/30/2023
6302023809202310-Q 6/30/2023
3312023511202310-Q 3/31/2023
12312022207202310-K 12/31/2022
93020221109202210-Q 9/30/2022
6302022808202210-Q 6/30/2022
3312022509202210-Q 3/31/2022
12312021228202210-K 12/31/2021