Tearsheet

Axsome Therapeutics (AXSM)


Market Price (9/16/2025): $117.79 | Market Cap: $5.8 Bil
Sector: Health Care | Industry: Biotechnology

Axsome Therapeutics (AXSM)


Market Price (9/16/2025): $117.79
Market Cap: $5.8 Bil
Sector: Health Care
Industry: Biotechnology

Investment Highlights

0 Strong revenue growth
Rev Chg LTMRevenue Change % Last Twelve Months (LTM) is 70%
Weak multi-year price returns
2Y Excs Rtn is -2.5%
Not profitable at operating income level
Op Inc LTMOperating Income, Last Twelve Months is -208 Mil, Op Mgn LTMOperating Margin = Operating Income / Revenue Reflects profitability before taxes and before impact of capital structure (interest payments). is -42%
1 Low stock price volatility
Vol 12M is 46%
  Not cash flow generative
CFO/Rev LTMCash Flow from Operations / Revenue (Sales), Last Twelve Months (LTM) is -24%, FCF/Rev LTMFree Cash Flow / Revenue (Sales), Last Twelve Months (LTM) is -24%
2   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 -8.8%
0 Strong revenue growth
Rev Chg LTMRevenue Change % Last Twelve Months (LTM) is 70%
1 Low stock price volatility
Vol 12M is 46%
2 Weak multi-year price returns
2Y Excs Rtn is -2.5%
3 Not profitable at operating income level
Op Inc LTMOperating Income, Last Twelve Months is -208 Mil, Op Mgn LTMOperating Margin = Operating Income / Revenue Reflects profitability before taxes and before impact of capital structure (interest payments). is -42%
4 Not cash flow generative
CFO/Rev LTMCash Flow from Operations / Revenue (Sales), Last Twelve Months (LTM) is -24%, FCF/Rev LTMFree Cash Flow / Revenue (Sales), Last Twelve Months (LTM) is -24%
5 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 -8.8%

Market Valuation

 9/16/252024202320222021
Share Price CYE$117.79$84.61$79.59$77.13$37.78
Market Cap CYE ($ Bil)5.84.13.83.41.4
Total Debt ($ Bil)0.20.20.20.10.0
Total Cash ($ Bil)0.30.30.40.20.1
Enterprise Value ($ Bil)5.74.34.03.51.4
Valuation Ratios     
P/S TTM11.810.513.462.70.0
P/EBIT TTM-24.3-14.4-15.6-17.4-11.4
P/E TTM-23.6-14.1-15.1-16.8-10.9
Sector Ratios     
P/S TTM (Sector)3.83.64.14.57.3
P/EBIT TTM (Sector)-1.6-1.3-1.4-1.3-2.9
P/E TTM (Sector)-1.9-1.6-1.5-1.4-2.9
 9/16/2520242023
Share Price CYE$117.79$84.61$79.59
Market Cap CYE ($ Bil)5.84.13.8
Total Debt ($ Bil)0.20.20.2
Total Cash ($ Bil)0.30.30.4
Enterprise Value ($ Bil)5.74.34.0
Valuation Ratios   
P/S TTM11.810.513.4
P/EBIT TTM-24.3-14.4-15.6
P/E TTM-23.6-14.1-15.1
Sector Ratios   
P/S TTM (Sector)3.83.64.1
P/EBIT TTM (Sector)-1.6-1.3-1.4
P/E TTM (Sector)-1.9-1.6-1.5

Business Description

Axsome Therapeutics, Inc., a biopharmaceutical company, engages in the development of novel therapies for central nervous system (CNS) disorders in the United States. The company's product pipeline includes AXS-05, a therapeutic for the treatment of major depressive disorder and resistant depression disorders; and that is in the 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. It is also developing AXS-07, a novel, oral, rapidly absorbed, multi-mechanistic, and investigational medicine that has completed two Phase III trials for the acute treatment of migraine; AXS-12, a selective and potent norepinephrine reuptake inhibitor, which is in Phase III trial to treat narcolepsy; and AXS-14, a novel, oral, and investigational medicine that is in Phase III trial for the treatment of fibromyalgia. Show more

Price Returns Compared

Expand for Detailed View

 202020212022202320242025Total [1]
Returns
AXSM Return-21%-54%104%3%6%38%15%
Peers Return9%5%5%5%-7%17%37%
S&P 500 Return16%27%-19%24%23%12%104%

[1] Cumulative total returns since the beginning of 2020
[2] Peers: ACT, PRGO, PCRX, ABBV, AMGN. See AXSM Returns vs. Peers.
[3] 2025 data is for the year up to 9/15/2025 (YTD)

Latest Trefis Analyses

Recent Active Movers

Recent Active Movers

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Peer Comparisons for Axsome Therapeutics

Financials

AXSMACTPRGOPCRXABBVAMGNMedian
NameAxsome T.Enact Perrigo Pacira B.AbbVie Amgen  
Mkt Price116.7838.2221.7526.86217.61274.4077.50
Mkt Cap5.85.73.01.2384.7147.65.8
Rev LTM4951,2264,32670658,32834,9172,776
Op Inc LTM-208-4136913,6958,192413
FCF LTM-12170125711718,23910,605479
FCF 3Y Avg-13464123814320,2738,590439
CFO LTM-12170136613519,28312,013533
CFO 3Y Avg-13364134215921,1549,753491

Growth & Margins

AXSMACTPRGOPCRXABBVAMGNMedian
NameAxsome T.Enact Perrigo Pacira B.AbbVie Amgen  
Rev Chg LTM69.8%3.4%-2.3%2.3%6.1%12.9%4.7%
Rev Chg 3Y Avg699.5%3.7%-0.0%4.8%0.6%10.0%4.3%
Rev Chg Q72.1%1.9%-0.9%1.7%6.6%9.4%4.3%
QoQ Delta Rev Chg LTM14.5%0.5%-0.2%0.4%1.7%2.3%1.1%
Op Mgn LTM-42.0%-9.6%9.7%23.5%23.5%9.7%
Op Mgn 3Y Avg-73.9%-6.2%11.5%27.2%26.4%11.5%
QoQ Delta Op Mgn LTM13.3%-0.3%-3.2%1.0%1.6%1.0%
CFO/Rev LTM-24.4%57.1%8.5%19.1%33.1%34.4%26.1%
CFO/Rev 3Y Avg-47.6%54.5%7.7%23.1%37.5%32.0%27.5%
FCF/Rev LTM-24.5%57.1%5.9%16.6%31.3%30.4%23.5%
FCF/Rev 3Y Avg-47.8%54.5%5.3%20.8%36.0%28.2%24.5%

Valuation

AXSMACTPRGOPCRXABBVAMGNMedian
NameAxsome T.Enact Perrigo Pacira B.AbbVie Amgen  
Mkt Cap5.85.73.01.2384.7147.65.8
P/S11.74.70.71.76.64.24.5
P/EBIT-24.16.310.6-13.465.314.28.5
P/E-23.48.5-37.4-9.6102.222.3-0.6
P/CFO-47.98.28.29.120.012.38.6
Total Yield-4.3%13.9%-1.4%-10.4%3.9%7.9%1.3%
Dividend Yield0.0%2.0%1.3%0.0%2.9%3.4%1.6%
FCF Yield 3Y Avg-3.4%13.4%6.1%10.5%7.3%6.2%6.7%
D/E0.00.11.20.50.20.40.3
Net D/E-0.0-0.31.10.20.20.30.2

Returns

AXSMACTPRGOPCRXABBVAMGNMedian
NameAxsome T.Enact Perrigo Pacira B.AbbVie Amgen  
1M Rtn6.9%2.1%-3.0%8.4%5.3%-7.4%3.7%
3M Rtn14.8%7.2%-17.5%10.4%15.0%-6.4%8.8%
6M Rtn-7.1%15.6%-21.3%15.2%3.3%-12.0%-1.9%
12M Rtn24.7%8.3%-18.2%104.9%16.1%-14.7%12.2%
3Y Rtn97.3%89.9%-39.3%-49.9%69.1%30.6%49.9%
1M Excs Rtn5.1%-2.3%-6.7%5.2%4.0%-7.0%0.9%
3M Excs Rtn1.5%-2.8%-28.1%0.1%4.2%-17.0%-1.4%
6M Excs Rtn-21.5%-1.6%-35.7%0.1%-12.7%-28.4%-17.1%
12M Excs Rtn9.2%-7.8%-34.2%87.5%-3.3%-33.2%-5.6%
3Y Excs Rtn25.7%12.0%-102.0%-116.8%8.2%-42.1%-16.9%

Comparison Analyses

Financials

Segment Financials

Revenue by Segment

$ Mil20242023202220212020
Auvelity1305   
Sunosi7245   
Sunosi license revenue660   
Sunosi royalty revenue20   
Total27150   


Assets by Segment
$ Mil20242023202220212020
Business of developing and delivering novel therapies for the management of CNS disorders  88186221
Total  88186221


Price Behavior

Short Interest

Short Interest: As Of Date8292025
Short Interest: Shares Quantity3,509,493
Short Interest: % Change Since 8152025-5.7%
Average Daily Volume576,553
Days-to-Cover Short Interest6.09
Basic Shares Quantity49,442,001
Short % of Basic Shares7.1%

Earnings Returns History

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 Forward Returns
Earnings Date1D Returns5D Returns21D Returns
8/4/20253.4%1.7%19.9%
5/5/20253.8%-4.0%-1.9%
2/18/2025-2.3%-0.3%-4.9%
11/12/20249.4%1.6%7.4%
8/5/2024-1.4%-1.6%6.2%
5/6/20241.5%-3.1%-3.4%
2/20/2024-12.6%-11.3%-17.2%
11/6/2023-4.2%-11.9%5.3%
...
SUMMARY STATS   
# Positive131112
# Negative91110
Median Positive4.8%3.4%15.6%
Median Negative-4.2%-3.5%-12.9%
Max Positive10.2%8.4%76.4%
Max Negative-46.5%-55.3%-48.1%

SEC Filings

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Report DateFiling DateFiling
6302025804202510-Q 6/30/2025
3312025505202510-Q 3/31/2025
12312024218202510-K 12/31/2024
93020241112202410-Q 9/30/2024
6302024805202410-Q 6/30/2024
3312024506202410-Q 3/31/2024
12312023223202410-K 12/31/2023
93020231106202310-Q 9/30/2023
6302023807202310-Q 6/30/2023
3312023509202310-Q 3/31/2023
12312022228202310-K 12/31/2022
93020221107202210-Q 9/30/2022
6302022809202210-Q 6/30/2022
3312022502202210-Q 3/31/2022
12312021301202210-K 12/31/2021
93020211108202110-Q 9/30/2021

Insider Activity

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 OwnerTitleFiling DateActionPriceSharesTransacted
Value
Value of
Held Shares
Form
0JEFFS ROGER 8292025Sell122.3020,0002,446,00013,572,120Form
1JEFFS ROGER 8262025Sell120.0816,6942,004,61618,128,958Form
2Coleman Mark 5292025Sell105.473,750395,5125,314,317Form
3Coleman Mark 5202025Sell107.493,000322,4735,819,240Form