Praxis Precision Medicines (PRAX)
Market Price (12/4/2025): $194.03 | Market Cap: $4.3 BilSector: Health Care | Industry: Biotechnology
Praxis Precision Medicines (PRAX)
Market Price (12/4/2025): $194.03Market Cap: $4.3 BilSector: Health CareIndustry: 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
| Cash is significant % of market capNet D/ENet Debt/Equity. Debt net of cash. Negative indicates net cash. Equity is taken as the Market Capitalization is -23% | Meaningful short interestShort 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% | Not profitable at operating income levelOp 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% |
| Strong revenue growthRev Chg LTMRevenue Change % Last Twelve Months (LTM) is 365% | Expensive valuation multiplesP/SPrice/Sales ratio is 156x | |
| Megatrend and thematic driversMegatrends include Precision Medicine, and Aging Population & Chronic Disease. Themes include Biopharmaceutical R&D, Targeted Therapies, Show more. | Stock price has recently run up significantly6M Rtn6 month market price return is 350%, 12M Rtn12 month market price return is 158% | |
| Weak revenue growthRev Chg QQuarterly Revenue Change % is null | ||
| Not cash flow generativeCFO/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% | ||
| Valuation getting more expensiveP/S 6M Chg %Price/Sales change over 6 months. Declining P/S indicates valuation has become less expensive. is 59% | ||
| Yield minus risk free rate is negativeERPEquity Risk Premium (ERP) = Total Yield - Risk Free Rate, Reflects the premium above risk free assets offered by the investment. is -28% | ||
| High stock price volatilityVol 12M is 202% |
| Cash is significant % of market capNet D/ENet Debt/Equity. Debt net of cash. Negative indicates net cash. Equity is taken as the Market Capitalization is -23% |
| Strong revenue growthRev Chg LTMRevenue Change % Last Twelve Months (LTM) is 365% |
| Megatrend and thematic driversMegatrends include Precision Medicine, and Aging Population & Chronic Disease. Themes include Biopharmaceutical R&D, Targeted Therapies, Show more. |
| Meaningful short interestShort 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% |
| Not profitable at operating income levelOp 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% |
| Expensive valuation multiplesP/SPrice/Sales ratio is 156x |
| Stock price has recently run up significantly6M Rtn6 month market price return is 350%, 12M Rtn12 month market price return is 158% |
| Weak revenue growthRev Chg QQuarterly Revenue Change % is null |
| Not cash flow generativeCFO/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% |
| Valuation getting more expensiveP/S 6M Chg %Price/Sales change over 6 months. Declining P/S indicates valuation has become less expensive. is 59% |
| Yield minus risk free rate is negativeERPEquity Risk Premium (ERP) = Total Yield - Risk Free Rate, Reflects the premium above risk free assets offered by the investment. is -28% |
| High stock price volatilityVol 12M is 202% |
Valuation, Metrics & Events
PRAX Stock
Why The Stock Moved
Qualitative Assessment
AI Generated Analysis | Feedback
Praxis Precision Medicines (PRAX) experienced a significant stock movement from approximately August 31, 2025, to December 4, 2025, driven by several key factors:
1. Advancements and Positive Data from Late-Stage Clinical Programs. In early fall of 2025, Praxis anticipated topline results for ulixacaltamide in essential tremor, with potential for an NDA submission to follow. The company also reported progress in the enrollment of the EMBOLD study for relutrigine in developmental and epileptic encephalopathies (DEEs), targeting an NDA filing in 2026. Additionally, in July 2025, relutrigine received FDA Breakthrough Therapy Designation (BTD) for seizures associated with SCN2A and SCN8A DEEs, which is expected to expedite its development. The vormatrigine ENERGY program was also advancing, with results from the RADIANT study anticipated in the first half of 2025 and POWER1 study results by year-end 2025.
2. Successful Public Offering and Extended Cash Runway. In October 2025, Praxis completed an underwritten public offering of common stock and pre-funded warrants, generating net proceeds of approximately $567.0 million. These funds, combined with existing cash, were projected to support the company's operations into 2028, significantly de-risking its financial position and providing capital for ongoing clinical development.
Stock Movement Drivers
Return vs. Risk
Price Returns Compared
| 2020 | 2021 | 2022 | 2023 | 2024 | 2025 | Total [1] | |
|---|---|---|---|---|---|---|---|
| Returns | |||||||
| PRAX Return | - | -64% | -88% | -38% | 245% | 133% | -78% |
| Peers Return | 6% | -1% | -7% | -13% | -25% | 2% | -34% |
| S&P 500 Return | 16% | 27% | -19% | 24% | 23% | 16% | 112% |
Monthly Win Rates [3] | |||||||
| PRAX Win Rate | 100% | 25% | 33% | 58% | 58% | 50% | |
| Peers Win Rate | 29% | 21% | 25% | 27% | 15% | 60% | |
| S&P 500 Win Rate | 58% | 75% | 42% | 67% | 75% | 70% | |
Max Drawdowns [4] | |||||||
| PRAX Max Drawdown | - | -76% | -92% | -66% | -6% | -63% | |
| Peers Max Drawdown | -19% | -10% | -17% | -24% | -25% | -2% | |
| S&P 500 Max Drawdown | -31% | -1% | -25% | -1% | -2% | -15% | |
[1] Cumulative total returns since the beginning of 2020
[2] Peers: VRTX, ACSB, ALPS, APRI, BBOT.
[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 12/3/2025 (YTD)
How Low Can It Go
| Event | PRAX | S&P 500 |
|---|---|---|
| 2022 Inflation Shock | ||
| % Loss | -98.7% | -25.4% |
| % Gain to Breakeven | 7391.3% | 34.1% |
| Time to Breakeven | Not Fully Recovered days | 464 days |
| 2020 Covid Pandemic | ||
| % Loss | -21.8% | -33.9% |
| % Gain to Breakeven | 27.8% | 51.3% |
| Time to Breakeven | 15 days | 148 days |
Compare to VRTX, ACSB, ALPS, APRI, BBOT
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.
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Asset Allocation
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Latest Trefis Analyses
Trade Ideas
Select past ideas related to PRAX. For more, see Trefis Trade Ideas.
| Date | Ticker | Company | Category | Trade Strategy | 6M Fwd Rtn | 12M Fwd Rtn | 12M Max DD |
|---|---|---|---|---|---|---|---|
| 11142025 | CRL | Charles River Laboratories International | Dip Buy | DB | FCFY OPMDip Buy with High FCF Yield and High MarginBuying dips for companies with high FCF yield and meaningfully high operating margin | 4.1% | 4.1% | -3.7% |
| 11142025 | GDRX | GoodRx | Dip Buy | DB | CFO/Rev | Low D/EDip Buy with High Cash Flow MarginsBuying dips for companies with significant cash flows from operations and reasonable debt / market cap | -9.8% | -9.8% | -11.8% |
| 11142025 | ASTH | Astrana Health | Dip Buy | DB | FCF Yield | Low D/EDip Buy with High Free Cash Flow YieldBuying dips for companies with significant free cash flow yield (FCF / Market Cap) and reasonable debt / market cap | 6.0% | 6.0% | -5.5% |
| 11142025 | SGRY | Surgery Partners | Dip Buy | DB | FCF Yield | Low D/EDip Buy with High Free Cash Flow YieldBuying dips for companies with significant free cash flow yield (FCF / Market Cap) and reasonable debt / market cap | 9.7% | 9.7% | -1.4% |
| 11072025 | TFX | Teleflex | Dip Buy | DB | FCFY OPMDip Buy with High FCF Yield and High MarginBuying dips for companies with high FCF yield and meaningfully high operating margin | 6.2% | 6.2% | -5.1% |
| Date | Ticker | Company | Category | Trade Strategy | 6M Fwd Rtn | 12M Fwd Rtn | 12M Max DD |
|---|---|---|---|---|---|---|---|
| 11142025 | CRL | Charles River Laboratories International | Dip Buy | DB | FCFY OPMDip Buy with High FCF Yield and High MarginBuying dips for companies with high FCF yield and meaningfully high operating margin | 4.1% | 4.1% | -3.7% |
| 11142025 | GDRX | GoodRx | Dip Buy | DB | CFO/Rev | Low D/EDip Buy with High Cash Flow MarginsBuying dips for companies with significant cash flows from operations and reasonable debt / market cap | -9.8% | -9.8% | -11.8% |
| 11142025 | ASTH | Astrana Health | Dip Buy | DB | FCF Yield | Low D/EDip Buy with High Free Cash Flow YieldBuying dips for companies with significant free cash flow yield (FCF / Market Cap) and reasonable debt / market cap | 6.0% | 6.0% | -5.5% |
| 11142025 | SGRY | Surgery Partners | Dip Buy | DB | FCF Yield | Low D/EDip Buy with High Free Cash Flow YieldBuying dips for companies with significant free cash flow yield (FCF / Market Cap) and reasonable debt / market cap | 9.7% | 9.7% | -1.4% |
| 11072025 | TFX | Teleflex | Dip Buy | DB | FCFY OPMDip Buy with High FCF Yield and High MarginBuying dips for companies with high FCF yield and meaningfully high operating margin | 6.2% | 6.2% | -5.1% |
Research & Analysis
Invest in Strategies
Wealth Management
Peer Comparisons for Praxis Precision Medicines
| Peers to compare with: |
Financials
| Median | |
|---|---|
| Name | |
| Mkt Price | 98.61 |
| Mkt Cap | 61.2 |
| Rev LTM | 7 |
| Op Inc LTM | -93 |
| FCF LTM | -60 |
| FCF 3Y Avg | 958 |
| CFO LTM | -60 |
| CFO 3Y Avg | 1,135 |
Growth & Margins
| Median | |
|---|---|
| Name | |
| Rev Chg LTM | 187.7% |
| Rev Chg 3Y Avg | 10.5% |
| Rev Chg Q | -44.5% |
| QoQ Delta Rev Chg LTM | -0.6% |
| Op Mgn LTM | -1,964.1% |
| Op Mgn 3Y Avg | -3,552.6% |
| QoQ Delta Op Mgn LTM | -214.5% |
| CFO/Rev LTM | -1,517.5% |
| CFO/Rev 3Y Avg | -2,534.2% |
| FCF/Rev LTM | -1,519.1% |
| FCF/Rev 3Y Avg | -2,535.8% |
Valuation
| Median | |
|---|---|
| Name | |
| Mkt Cap | 61.2 |
| P/S | 82.3 |
| P/EBIT | 9.2 |
| P/E | 11.5 |
| P/CFO | 10.9 |
| Total Yield | -9.9% |
| Dividend Yield | 0.0% |
| FCF Yield 3Y Avg | -12.0% |
| D/E | 0.0 |
| Net D/E | -0.1 |
Returns
| Median | |
|---|---|
| Name | |
| 1M Rtn | 2.3% |
| 3M Rtn | 16.8% |
| 6M Rtn | 176.9% |
| 12M Rtn | 79.7% |
| 3Y Rtn | 255.4% |
| 1M Excs Rtn | 2.3% |
| 3M Excs Rtn | 11.3% |
| 6M Excs Rtn | 162.2% |
| 12M Excs Rtn | 52.0% |
| 3Y Excs Rtn | 217.2% |
Returns Analyses
SEC Filings
Expand for More| Report Date | Filing Date | Filing |
|---|---|---|
| 9302025 | 11052025 | 10-Q 9/30/2025 |
| 6302025 | 8042025 | 10-Q 6/30/2025 |
| 3312025 | 5022025 | 10-Q 3/31/2025 |
| 12312024 | 2282025 | 10-K 12/31/2024 |
| 9302024 | 11062024 | 10-Q 9/30/2024 |
| 6302024 | 8132024 | 10-Q 6/30/2024 |
| 3312024 | 5132024 | 10-Q 3/31/2024 |
| 12312023 | 3052024 | 10-K 12/31/2023 |
| 9302023 | 11072023 | 10-Q 9/30/2023 |
| 6302023 | 8092023 | 10-Q 6/30/2023 |
| 3312023 | 5112023 | 10-Q 3/31/2023 |
| 12312022 | 2072023 | 10-K 12/31/2022 |
| 9302022 | 11092022 | 10-Q 9/30/2022 |
| 6302022 | 8082022 | 10-Q 6/30/2022 |
| 3312022 | 5092022 | 10-Q 3/31/2022 |
| 12312021 | 2282022 | 10-K 12/31/2021 |
Industry Resources
External Quote Links
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