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 REVENUE earnings history estimate and actual scatter chart 8 reported fiscal quarters and 4 future estimate-only quarters. Q4 '23 estimate $68M Q4 '23 actual $72M, beat Q1 '24 estimate $87M Q1 '24 actual $75M, miss Q2 '24 estimate $87M Q2 '24 actual $87M, beat Q2 '25 estimate $140M Q2 '25 actual $150M, beat Q3 '25 estimate $191M Q3 '25 actual $171M, miss Q4 '25 estimate $193M Q4 '25 actual $195M, beat Q1 '26 estimate $191M Q1 '26 actual $189M, miss Q2 '26 estimate $221M Q2 '26 actual $216M, miss Q3 '26 estimate $258M Q4 '26 estimate $298M Q1 '27 estimate $296M Q2 '27 estimate $346M

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
Show 21 more rating actions

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
See 75 more

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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.