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Axsome Therapeutics (AXSM) Stock Fundamentals, Analysis & Risk Signals

Health score, price, valuation, risk signals, and key metrics at a glance.

Axsome Therapeutics
NasdaqGM•Healthcare•Biotechnology
$220.75+9.63(0.05%)Market closed
Market Cap
$10.76B
P/S
13.9x
P/B
129.2x

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 II 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 treatment. The company was incorporated in 2012 and is based in New York, New York.

B

How this company scores

GoodMetricSide Score: 61/100

Strongest: Growth (20/25); weakest: Cash & Earnings Quality (7/25).

Profitability17/25
Growth20/25
Balance Sheet & Red Flags17/25
Cash & Earnings Quality7/25
Strengths
Growing revenueLong cash runwayProfit converts from growthImproving leverage

Valuation vs. 5-year range

Today's multiple positioned against its own trailing range — a visual premium/discount check.

P/S · 13.9x5y range 10.4x – 417.9x
P/S 13.9x · near its 17-quarter median

Currently near its 17-quarter median.

P/B · 129.2x5y range 14.8x – 242.5x
P/B 129.2x · above its 17-quarter median

Currently above its 17-quarter median.

Watch items

Data-driven signals worth keeping an eye on across the last 8 quarters

High Risk

Margin Pressure

Red Flag

The company posted negative operating margins in recent quarters — core operations are unprofitable.

Earnings Quality

Red Flag

Free cash flow has been negative in 7 of the last 8 quarters — earnings are not translating to cash.

Price & Volume
Market Cap $10.76B

Metrics at a Glance

as of June 2026

Revenue & Profit

Revenue, EBITDA, operating income, net income, EPS, and shares

TTM Revenue
$776.57M
7Q
Q. Revenue
$218.38M
46%
TTM EBITDA
$-186.07M
2Q
TTM Op. Income
$-186.07M
2Q
Q. Op. Income
$-49.65M
35%
TTM Net Income
$-191.64M
2Q
Q. Net Income
$-51.31M
7%
EPS
$-0.99
2%
Shares Out.
$51.80M
7Q
$776.57M in TTM revenue grew 56.9% YoY, reaching $218.38M last quarter. TTM EBITDA of $-186.07M and TTM operating income of $-186.07M show growth is flowing through to the bottom line. However, net income is negative at $191.64M — growth is not yet reaching the bottom line. Across the last 8 quarters, TTM revenue has risen for 7 consecutive quarters — an improving trend.

Margins

Gross, EBITDA, operating, and net margin trends

EBITDA Margin
-22.7%
7%
Op. Margin
-22.7%
7%
Net Margin
-23.5%
27%
Op. margin of -22.7% is up 1.7% YoY — cost efficiency is improving. Net margin at -23.5% Over the past year, operating margin is up 7% — an improving trend.

Price Ratios

P/E, P/S, P/B, EV/EBITDA, FCF yield, and earnings yield

P/E Ratio
N/A
P/S Ratio
13.9x
33%
P/B Ratio
129.2x
83%
P/S of 13.9x and P/B of 129.2x. P/S is high, meaning growth expectations are priced in.

Assets & Liabilities

Total assets, cash, debt, book value, and leverage

Total Assets
$761.45M
7Q
Cash
$319.85M
6%
Long-Term Debt
$117.96M
4Q
Book Value
$83.30M
14%
D/E Ratio
1.4
12%
Debt/EBITDA
N/A
With $761.45M in assets and $117.96M in long-term debt, D/E is 1.4and book value is $83.30M — moderate leverage. Over the past year, debt/equity is down 12% — an improving trend.

Cash Flow

Operating cash flow, free cash flow, FCF margin, and earnings quality

Op. Cash Flow
$-32.95M
3Q
TTM Free Cash Flow
$-71.96M
41%
FCF Margin
-9.3%
7Q
FCF / Net Income
0.4
2Q
TTM FCF of $-71.96M on $-32.95M in operating cash flow. The FCF / Net Income ratio of 0.4x means cash covers only part of net income — earnings quality needs attention. Over the past year, free cash flow is up 41% — a weakening trend.

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Cash Burn

Red Flag

The last 4 consecutive quarters had negative FCF — the company is burning cash and may need external funding.

Share Dilution

Red Flag

Shares outstanding increased 7.6% — significant dilution, likely from stock compensation or capital raises.