Axsome Therapeutics, Inc. · AXSM · FY2026 Q3 · Calendar Q4 2026

Axsome reports Q3 growth led by AUVELITY; pipeline advances

Q3 management commentary supports a growth thesis built around AUVELITY adoption and contributions from SUNOSI and SYMBRAVO, alongside a late-stage pipeline. The evidence remains balanced by reimbursement, gross-to-net, competition and clinical execution risks.

Reported Before market openNASDAQHealthcare $7.57B market cap
80quality score

Earnings scorecard

Reported versus consensus
Reported EPS — Consensus $-0.63
EPS surprise — Reported versus consensus
Reported revenue — Consensus $249.2M
Revenue surprise — Reported versus consensus

Market reaction

prior-close to event-session close
Stock move -14.0% Event window
SPY move +0.6% Same window
Abnormal move -14.6% Stock minus SPY
Volume 1.2× Versus trailing sessions
Subsequent drift 0.0% Up to 20 sessions
AXSMSPY benchmark

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Transcript intelligence

What changed

Management reported AUVELITY gross-to-net discounts in the mid- to high-40% range in Q3, with a slight seasonal increase expected in Q4. The Q3 call also described continued commercial growth and a narrower net loss; no formal guidance was provided in the supplied analysis.

Guidance delta

No formal guidance was provided in the supplied analysis. Management expects a slight seasonal increase in AUVELITY gross-to-net discounts in Q4 and outlined pipeline trial plans extending into 2027.

Key takeaways

  • The supplied analysis says Q3 revenue was $260 million, with the commercial portfolio growing 52% year over year.
  • AUVELITY sales were $208 million, up 53% year over year; SUNOSI and SYMBRAVO revenue grew 47% and 382%, respectively.
  • The analysis reports a $12.9 million net loss and $314 million in cash; management expects cash to fund operations into cash-flow positivity.
  • Management discussed advancing solriamfetol and AXS-05 label-expansion work and plans for AXS-20 and AXS-17 trials in 2027.

Management priorities

  • Continue expanding AUVELITY adoption, including primary-care prescriber activation.
  • Advance solriamfetol label-expansion trials across the indications identified on the call.
  • Progress AXS-05 smoking-cessation Phase III work, with topline results planned for H2 2027.
  • Prepare AXS-12 for its FDA review and advance planned AXS-20 and AXS-17 trials.

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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 $249M Q4 '26 estimate $289M Q1 '27 estimate $293M Q2 '27 estimate $344M

Analyst Consensus ?

ConsensusBuy27 ratings
Bullish2696.3%
Neutral13.7%
Bearish00.0%

Analyst 52W Price Targets

$132Current
$25Low
$227.83Average
$380High

Latest persisted target per named analyst; persisted current price from FN2's market snapshot as of Nov 2, 2026. Not an FN2 forecast.

Firm-level rating actions

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

FirmRatingPrior ratingActionDate
Piper Sandler Overweight OverweightMaintainOct 26, 2026
RBC Capital Outperform OutperformMaintainOct 8, 2026
Deutsche Bank Buy BuyMaintainSep 29, 2026
Morgan Stanley Equal Weight Equal WeightMaintainSep 25, 2026
Truist Securities Buy BuyMaintainSep 23, 2026
Show 22 more rating actions

Named analyst price targets

Upside is calculated against the persisted current price $132. FMP does not supply a rating on these named-analyst rows.

FirmAnalyst52W targetPrice when postedUpsideDate
Piper SandlerAnalyst unavailable$238$145.04 +80.3%Oct 26, 2026
RBC CapitalAnalyst unavailable$295$168.6 +123.5%Oct 8, 2026
Deutsche BankAnalyst unavailable$267$188.66 +102.3%Sep 29, 2026
Morgan StanleyAnalyst unavailable$247$198.57 +87.1%Sep 25, 2026
Truist FinancialSrikripa Devarakonda$285$203.1 +115.9%Sep 23, 2026
See 79 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

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Sources

  1. Earnings call transcript and parsed analysis · 2026-11-02T16:05:33.809126+00:00
  2. FN2 earnings calendar · 2026-11-02T01:23:13.261602+00:00
  3. Polygon adjusted daily market bars · 2026-11-02T16:30:46.588496+00:00
  4. Financial Modeling Prep analyst price-target consensus and quote snapshot · 2026-11-02T16:30:46.585908+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 2026-11-02. For educational purposes only; not investment advice.