Axsome Therapeutics, Inc. · AXSM · FY2026 Q1 · Calendar Q2 2026

Axsome rallies ~9% on AUVELITY Alzheimer's approval; lifts peak-sales view to $8B

Axsome is a commercial-stage CNS biotech whose bull case rests on a newly expanded AUVELITY franchise. Management said revenue grew 57% YoY on 59% AUVELITY sales growth, the FDA approved AUVELITY for Alzheimer's disease agitation, and peak-sales guidance was raised to at least $8B. The thesis is that a second validated indication plus a much larger sales force and better payer coverage can sustain the growth trajectory, with a cash position of $305M funding the pipeline through cash-flow positivity. That view is not without offsetting pressure: EPS of -$1.26 missed the -$0.85 estimate, elevated launch SG&A weighs on near-term profitability, and the Alzheimer's ramp is unproven at scale.

Reported Before market openNASDAQHealthcare $10.09B market cap
90quality score

Earnings scorecard

Reported versus consensus
Reported EPS $-1.26 Consensus $-0.85
EPS surprise -48.2% Reported versus consensus
Reported revenue $189.4M Consensus $190.9M
Revenue surprise -0.8% Reported versus consensus

Market reaction

prior-close to event-session close
Stock move +8.3% Event window
SPY move -0.4% Same window
Abnormal move +8.7% Stock minus SPY
Volume 3.2× Versus trailing sessions
Subsequent drift -0.7% Up to 20 sessions
AXSMSPY benchmark

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What changed

The stock rose ~8.7% on the event session versus a -0.4% benchmark move, on volume ~3.2x baseline, but has since drifted lower. The quarter featured a headline EPS miss (-$1.26 vs -$0.85 est) alongside 57% YoY revenue growth and the FDA approval of AUVELITY for Alzheimer's disease agitation. Management raised the AUVELITY peak-sales estimate to at least $8B, submitted an NDA for AXS-12, and guided to a June commercial launch for the new Alzheimer's indication.

Guidance delta

Raised. Management lifted its AUVELITY peak-sales estimate to at least $8 billion, citing roughly equal expected contribution from major depressive disorder and the newly approved Alzheimer's disease agitation indication.

Key takeaways

  • Revenue jumped 57% YoY, with AUVELITY net sales up 59%; EPS of -$1.26 missed the -$0.85 estimate
  • FDA approved AUVELITY for Alzheimer's disease agitation (breakthrough therapy, priority review)
  • Management raised the AUVELITY peak-sales estimate to at least $8B
  • Sales force expanded to ~630 reps for AUVELITY and 150 for SYMBRAVO
  • Pipeline advancing: Phase III trials for AXS-20, AXS-05 smoking cessation, solriamfetol indications, and FORWARD for AXS-14
  • Cash of $305M expected to fund operations into cash-flow positivity

Management priorities

  • Commercial launch of AUVELITY for Alzheimer's agitation beginning in June
  • Expanding the sales force and improving payer coverage (AUVELITY 86% of lives, SYMBRAVO 57%)
  • Advancing Phase III programs: AXS-20 (schizophrenia), AXS-05 (smoking cessation), AXS-14 (fibromyalgia), solriamfetol indications
  • NDA submission for AXS-12 (cataplexy in narcolepsy)
  • Searching for an outside-US partner to commercialize AUVELITY internationally

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Earnings History

Estimate Beat Miss Match
AXSM EPS earnings history estimate and actual scatter chart 8 reported fiscal quarters and 4 future estimate-only quarters. Q4 '23 estimate $-1.21 Q4 '23 actual $-0.73, beat Q1 '24 estimate $-1.20 Q1 '24 actual $-1.09, beat Q2 '24 estimate $-1.30 Q2 '24 actual $-1.24, beat Q2 '25 estimate $-1.00 Q2 '25 actual $-0.92, beat Q3 '25 estimate $-0.82 Q3 '25 actual $-0.94, miss Q4 '25 estimate $-0.70 Q4 '25 actual $-0.71, match Q1 '26 estimate $-0.85 Q1 '26 actual $-1.26, miss Q2 '26 estimate $-0.89 Q2 '26 actual $-0.99, miss Q3 '26 estimate $-0.50 Q4 '26 estimate $0.05 Q1 '27 estimate $0.02 Q2 '27 estimate $0.56

Analyst Consensus ?

ConsensusBuy26 ratings
Bullish2596.2%
Neutral13.8%
Bearish00.0%

Analyst 52W Price Targets

$195.09Current
$25Low
$225.31Average
$380High

Latest persisted target per named analyst; persisted current price from FN2's market snapshot as of Sep 26, 2026. Not an FN2 forecast.

Firm-level rating actions

FMP grade actions identify the grading firm, not a named analyst.

FirmRatingPrior ratingActionDate
Truist Securities Buy BuyMaintainSep 23, 2026
Piper Sandler Overweight OverweightMaintainSep 18, 2026
HC Wainwright & Co. Buy BuyMaintainAug 31, 2026
Mizuho Outperform OutperformMaintainAug 12, 2026
Wells Fargo Overweight OverweightMaintainAug 11, 2026
RBC Capital Outperform OutperformMaintainAug 11, 2026
Needham Buy BuyMaintainAug 11, 2026
Morgan Stanley Equal Weight Equal WeightMaintainAug 11, 2026
Guggenheim Buy BuyMaintainAug 11, 2026
TD Cowen Buy BuyMaintainJun 17, 2026
Baird Outperform OutperformMaintainMay 5, 2026
Jefferies Buy BuyMaintainMay 4, 2026
UBS Buy BuyMaintainApr 10, 2026
Leerink Partners Outperform OutperformMaintainJan 28, 2026
B of A Securities Buy BuyMaintainAug 5, 2025
Cantor Fitzgerald Overweight OverweightMaintainFeb 19, 2025
Citigroup Buy BuyMaintainMay 7, 2024
BTIG Buy BuyMaintainDec 23, 2022
SVB Leerink Outperform OutperformMaintainNov 29, 2022
Loop Capital Buy BuyMaintainNov 1, 2022
Cowen & Co. Outperform OutperformMaintainJun 29, 2022
Berenberg Buy BuyMaintainJun 10, 2021
H.C. Wainwright Buy BuyMaintainDec 30, 2019
William Blair Outperform OutperformMaintainSep 18, 2019
BTIG Research Buy BuyMaintainMay 19, 2017
Brean Capital Buy BuyMaintainDec 17, 2015
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Named analyst price targets

Upside is calculated against the persisted current price $195.09. FMP does not supply a rating on these named-analyst rows.

FirmAnalyst52W targetPrice when postedUpsideDate
Truist FinancialSrikripa Devarakonda$285$203.1 +46.1%Sep 23, 2026
Mizuho SecuritiesGraig Suvannavejh$316$215.77 +62.0%Aug 12, 2026
RBC CapitalLeonid Timashev$297$219 +52.2%Aug 11, 2026
Morgan StanleyAnalyst unavailable$251$221.21 +28.7%Aug 11, 2026
NeedhamAmi Fadia$268$220.89 +37.4%Aug 11, 2026
GuggenheimAnalyst unavailable$275$220.89 +41.0%Aug 11, 2026
Wells FargoAnalyst unavailable$256$220.89 +31.2%Aug 11, 2026
BMO CapitalMalcolm Hoffman$310$221.64 +58.9%Jul 20, 2026
RBC CapitalLeonid Timashev$304$242.6 +55.8%Jul 7, 2026
JefferiesAndrew Tsai$380$246.34 +94.8%Jun 11, 2026
Deutsche BankDavid Hoang$280$230.1 +43.5%May 5, 2026
Morgan StanleyAnalyst unavailable$242$230.11 +24.0%May 5, 2026
NeedhamAnalyst unavailable$267$230.63 +36.9%May 5, 2026
RBC CapitalLeonid Timashev$302$231 +54.8%May 5, 2026
Robert W. BairdBrian Skorney$246$223.7 +26.1%May 5, 2026
H.C. WainwrightAnalyst unavailable$290$223.7 +48.6%May 5, 2026
OppenheimerAnalyst unavailable$280$223.34 +43.5%May 4, 2026
GuggenheimYatin Suneja$260$227.31 +33.3%May 4, 2026
Piper SandlerAnalyst unavailable$258$227.26 +32.2%May 4, 2026
Cantor FitzgeraldAnalyst unavailable$272$227.39 +39.4%May 4, 2026
JefferiesAndrew Tsai$275$227.92 +41.0%May 4, 2026
Deutsche BankDavid Hoang$281$227.35 +44.0%May 4, 2026
H.C. WainwrightRaghuram Selvaraju$270$206.53 +38.4%May 4, 2026
OppenheimerAnalyst unavailable$250$201.03 +28.1%May 1, 2026
Morgan StanleyAnalyst unavailable$217$207.75 +11.2%Apr 30, 2026
UBSAnalyst unavailable$259$179.26 +32.8%Apr 10, 2026
RBC CapitalAnalyst unavailable$222$168.35 +13.8%Feb 24, 2026
UBSAnalyst unavailable$251$170.81 +28.7%Feb 24, 2026
Morgan StanleyAnalyst unavailable$207$174.76 +6.1%Feb 24, 2026
GuggenheimAnalyst unavailable$220$174.76 +12.8%Feb 24, 2026
Wells FargoAnalyst unavailable$202$174.76 +3.5%Feb 24, 2026
Wolfe ResearchRudy Li$230$174.76 +17.9%Feb 23, 2026
Truist FinancialJoon Lee$200$173.55 +2.5%Feb 23, 2026
JefferiesAnalyst unavailable$215$173.9 +10.2%Feb 23, 2026
Mizuho SecuritiesAnalyst unavailable$230$184.74 +17.9%Feb 19, 2026
RBC CapitalLeonid Timashev$219$184.5 +12.3%Jan 21, 2026
H.C. WainwrightAnalyst unavailable$260$177.27 +33.3%Jan 20, 2026
Piper SandlerAnalyst unavailable$223$174.14 +14.3%Jan 16, 2026
Robert W. BairdAnalyst unavailable$209$175.98 +7.1%Jan 13, 2026
Wells FargoAnalyst unavailable$193$176.82 -1.1%Jan 13, 2026
Morgan StanleyAnalyst unavailable$204$170.69 +4.6%Jan 8, 2026
UBSAnalyst unavailable$248$175.14 +27.1%Jan 6, 2026
NeedhamAmi Fadia$225$178.69 +15.3%Jan 5, 2026
H.C. WainwrightRaghuram Selvaraju$200$178.69 +2.5%Jan 5, 2026
GuggenheimYatin Suneja$205$179.14 +5.1%Jan 2, 2026
Mizuho SecuritiesGraig Suvannavejh$217$182.86 +11.2%Dec 31, 2025
OppenheimerJay Olson$220$182.64 +12.8%Dec 31, 2025
H.C. WainwrightAnalyst unavailable$185$134.11 -5.2%Nov 4, 2025
RBC CapitalAnalyst unavailable$198$133.5 +1.5%Nov 4, 2025
Morgan StanleyAnalyst unavailable$196$133.81 +0.5%Nov 4, 2025
Wells FargoAnalyst unavailable$157$135.75 -19.5%Nov 4, 2025
Morgan StanleySean Laaman$194$127.94 -0.6%Oct 20, 2025
Wells FargoAnalyst unavailable$163$123.47 -16.4%Sep 2, 2025
Robert W. BairdJoel Beatty$162$112.16 -17.0%May 6, 2025
Mizuho SecuritiesGraig Suvannavejh$216$121.77 +10.7%Mar 27, 2025
Robert W. BairdAnalyst unavailable$160$127.15 -18.0%Mar 3, 2025
Mizuho SecuritiesGraig Suvannavejh$137$107.43 -29.8%Feb 3, 2025
Truist FinancialJoon Lee$190$107.43 -2.6%Feb 3, 2025
Robert W. BairdJoel Beatty$132$107.43 -32.3%Feb 3, 2025
GuggenheimYatin Suneja$135$99.49 -30.8%Nov 12, 2024
Mizuho SecuritiesGraig Suvannavejh$106$90.58 -45.7%Sep 11, 2024
Wells FargoCerena Chen$140$88.86 -28.2%Sep 3, 2024
H.C. WainwrightRaghuram Selvaraju$180$83.21 -7.7%Aug 6, 2024
Bank of America SecuritiesJason Gerberry$106$83.93 -45.7%Aug 6, 2024
RBC CapitalLeonid Timashev$131$84.85 -32.9%Jul 22, 2024
RBC CapitalLeonid Timashev$130$72.24 -33.4%Jun 5, 2024
Piper SandlerDavid Amsellem$115$75.19 -41.1%May 28, 2024
Morgan StanleyVikram Purohit$115$74.14 -41.1%Apr 29, 2024
Mizuho SecuritiesGraig Suvannavejh$109$79.17 -44.1%Mar 28, 2024
Robert W. BairdJoel Beatty$108$72.54 -44.6%Mar 18, 2024
Piper SandlerAnalyst unavailable$75$73.34 -61.6%Jan 5, 2023
BTIGRobert Hazlett$98$75.13 -49.8%Dec 23, 2022
Morgan StanleyAnalyst unavailable$86$74.95 -55.9%Nov 29, 2022
Leerink PartnersAnalyst unavailable$85$74.74 -56.4%Nov 29, 2022
GuggenheimAnalyst unavailable$80$55.48 -59.0%Nov 11, 2022
Truist FinancialJoon Lee$150$59.03 -23.1%Aug 19, 2022
Mizuho SecuritiesAnalyst unavailable$49$34.04 -74.9%May 3, 2022
Morgan StanleyAnalyst unavailable$27$30.59 -86.2%Apr 27, 2022
Truist FinancialJoon Lee$90$30.98 -53.9%Mar 1, 2022
Bank of America SecuritiesAshwani Verma$25$23.78 -87.2%Aug 10, 2021
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Company context

Snapshot as of publication

Axsome Therapeutics, Inc. is a biopharmaceutical company dedicated to discovering and advancing innovative treatments for a range of central nervous system (CNS) disorders within the United States. Its robust product pipeline features several promising candidates, including: AXS-05, an investigational therapy currently being developed for major depressive disorder and treatment-resistant depression. This compound is also in Phase III clinical evaluation for Alzheimer's disease agitation and has successfully finished Phase II trials investigating its use for smoking cessation.…

Historical context

All AXSM earnings

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Latest beats and misses

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Sources

  1. Earnings call transcript and parsed analysis · 2026-05-11T10:29:34.698584+00:00
  2. FN2 earnings calendar · 2026-07-26T00:37:12.209961+00:00
  3. Polygon adjusted daily market bars · 2026-09-26T00:01:10.411520+00:00
  4. Financial Modeling Prep analyst price-target consensus and quote snapshot · 2026-09-26T00:01:10.408657+00:00

Methodology

Reported and consensus figures come from FN2's earnings event records. Market reaction and volume are calculated from daily adjusted bars around the event; abnormal move subtracts the SPY move over the same window.

Analyst target low, average, and high values are derived at request time from each named analyst's latest persisted FMP target. The current-price marker comes from FN2's persisted market snapshot. They are sell-side estimates, not an FN2 valuation or recommendation.

Transcript intelligence is a structured synthesis of the current and prior earnings-call analyses. Missing values stay missing and are never estimated.

By FN2 Research · Updated · As of 2026-09-26. For educational purposes only; not investment advice.