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Praxis Precision Medicines (PRAX) Stock Fundamentals, Analysis & Risk Signals

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

Praxis Precision Medicines
NasdaqGS•Healthcare•Biotechnology
$351.81-3.34(-0.01%)Market closed
Market Cap
$9.04B
P/B
6.7x

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.

D

How this company scores

WeakMetricSide Score: 33/100

Strongest: Balance Sheet & Red Flags (15/25); weakest: Growth (3/25).

Profitability9/25
Growth3/25
Balance Sheet & Red Flags15/25
Cash & Earnings Quality6/25
Strengths
Interest easily coveredNet cash positionImproving margins

Valuation vs. 5-year range

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

P/S · 154.3x5y range 60.0x – 677.0x
P/S 154.3x · above its 11-quarter median

Currently above its 11-quarter median.

P/B · 6.7x5y range 1.0x – 7.6x
P/B 6.7x · above its 20-quarter median

Currently above its 20-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 8 of the last 8 quarters — earnings are not translating to cash.

Price & Volume
Market Cap $9.04B

Metrics at a Glance

as of June 2026

Revenue & Profit

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

TTM Revenue
$0
100%
Q. Revenue
$0
TTM EBITDA
$-377.98M
7Q
TTM Op. Income
$-378.17M
7Q
Q. Op. Income
$-96.90M
27%
TTM Net Income
$-339.13M
7Q
Q. Net Income
$-83.72M
18%
EPS
$-2.87
2Q
Shares Out.
$29.13M
6Q
$0 in TTM revenue declined 100.0% YoY, reaching $0 last quarter. TTM EBITDA of $-377.98M and TTM operating income of $-378.17M show growth is flowing through to the bottom line. However, net income is negative at $339.13M — growth is not yet reaching the bottom line. Over the past year, TTM revenue is down 100% — a steady trend.

Margins

Gross, EBITDA, operating, and net margin trends

EBITDA Margin
N/A
Op. Margin
-9690400000.0%
27%
Net Margin
-8372000000.0%
18%
Op. margin of -9690400000.0% is down 2083700000.0% YoY — costs are rising relative to revenue. Net margin at -8372000000.0% Over the past year, operating margin is down 27% — 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
N/A
2Q
P/B Ratio
6.7x
202%
P/S of 0.0x and P/B of 6.7x.

Assets & Liabilities

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

Total Assets
$1.39B
207%
Cash
$474.76M
202%
Long-Term Debt
N/A
Book Value
$1.34B
232%
D/E Ratio
N/A
Debt/EBITDA
N/A

Cash Flow

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

Op. Cash Flow
$-77.54M
42%
TTM Free Cash Flow
$-305.38M
7Q
FCF Margin
N/A
3Q
FCF / Net Income
0.9
2Q
TTM FCF of $-305.38M on $-77.54M in operating cash flow. The FCF / Net Income ratio of 0.9x means free cash flow covers net income — earnings are backed by cash. Across the last 8 quarters, free cash flow has fallen for 7 consecutive quarters — a weakening trend.

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Revenue Decline

Red Flag

TTM revenue has contracted 71.3% — significant decline indicating deteriorating demand.

Cash Burn

Red Flag

The last 8 consecutive quarters had negative FCF — the company is burning cash and may need external funding.

Share Dilution

Red Flag

Shares outstanding increased 54.3% — significant dilution, likely from stock compensation or capital raises.