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Axsome Therapeutics Reports Third Quarter 2025 Financial Results and Provides Business Update

Key Takeaway: Axsome Therapeutics reported a strong financial performance for Q3 2025, with net product revenue reaching $171 million, a 63% increase from the previous year. The company's flagship product, AUVELITY, generated $136.1 million in sales, marking a 69% year-over-year growth. Additionally, Axsome submitted a supplemental NDA for AXS-05 targeting Alzheimer's disease agitation, highlighting its robust pipeline and commitment to addressing unmet medical needs.
Price reaction · baseline $134.99 (2025-10-31 close) · hit pre-market · 1 other AXSM headline(s) in the window, move may be shared
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Market Sentiment Analysis

POSITIVE FACTORS

  • 63% year-over-year growth in total net product revenue.
  • Successful submission of sNDA for AXS-05 in Alzheimer's disease agitation.
  • Strong commercial performance from AUVELITY and SUNOSI.

BiopharmaWatch Analysis

From our catalyst data and publicly available data · not financial advice
Best trade, last catalyst
+88%
120-day peak, hindsight
Typical move
11.8%
average across 9 past catalysts
Cash runway
~29 mo
Low dilution risk
Lead asset
Solriamfetol
Phase 3 · ADHD

Full Press Release Details

Total 3Q 2025 net product revenue of $171.0 million, representing 63% year-over-year growth
AUVELITY®3Q 2025 net product sales of $136.1 million, representing 69% year-over-year growth
SUNOSI®3Q 2025 net product revenue of $32.8 million, representing 35% year-over-year growth
SYMBRAVO®3Q 2025 net product sales of $2.1 million
sNDA for AXS-05 in Alzheimer’s disease agitation submitted to the FDA
Company to host conference call today at 8:00 AM Eastern
NEW YORK, Nov. 03, 2025 (GLOBE NEWSWIRE) -- Axsome Therapeutics, Inc. (NASDAQ: AXSM), a biopharmaceutical company leading a new era in the treatment of central nervous system (CNS) disorders, today announced financial results for the third quarter of 2025 and provided a general business update.
“Axsome posted strong revenue growth in the third quarter driven by contributions from all three of our marketed products,” said Herriot Tabuteau, MD, Chief Executive Officer of Axsome Therapeutics. “Our broad development pipeline continues to advance, and we recently submitted our supplemental NDA for AXS-05 for the treatment of Alzheimer’s disease agitation, a serious condition affecting millions of patients in the U.S., and a critical unmet medical need. With robust commercial performance and pipeline execution, Axsome is well positioned to continue delivering substantial and sustained growth and transformative new medicines for patients living with serious CNS disorders.”

Financial Highlights

Financial Guidance

Commercial Highlights

AUVELITY

AUVELITY is the first and only rapid-acting oral NMDA receptor antagonist and sigma-1 receptor agonist approved in the U.S. for the treatment of major depressive disorder.

SUNOSI

SUNOSI is the first and only dopamine and norepinephrine reuptake inhibitor approved for the treatment of excessive daytime sleepiness in narcolepsy or obstructive sleep apnea.

SYMBRAVO

SYMBRAVO is an oral, rapidly absorbed, multi-mechanistic, COX-2 preferential inhibitor and 5-HT1B/1Dagonist approved in the U.S. for the acute treatment of migraine with or without aura in adults.

Development Pipeline

Axsome is advancing an industry-leading neuroscience pipeline of innovative, late-stage, product candidates addressing serious psychiatric and neurological conditions. Recent and anticipated progress for key pipeline programs is summarized below.

AXS-05

AXS-05 (dextromethorphan-bupropion) is Axsome’s novel, oral, investigational N-methyl-D-aspartate (NMDA) receptor antagonist, sigma-1 agonist, and aminoketone CYP2D6 inhibitor being developed for the treatment of Alzheimer’s disease (AD) agitation and smoking cessation. AXS-05 has been granted FDA Breakthrough Therapy designation for AD agitation.

Solriamfetol

Solriamfetol is Axsome’s dopamine and norepinephrine reuptake inhibitor (DNRI), TAAR1 agonist, and 5-HT1Aagonist being developed for the treatment of attention deficit hyperactivity disorder (ADHD), major depressive disorder (MDD) with excessive daytime sleepiness (EDS), binge eating disorder (BED), and excessive sleepiness associated with shift work disorder (SWD).

AXS-12

AXS-12 (reboxetine) is Axsome’s novel, oral, investigational, highly selective and potent norepinephrine reuptake inhibitor and cortical dopamine modulator being developed for the treatment of narcolepsy. AXS-12 has been granted FDA Orphan Drug designation for narcolepsy.

AXS-14

AXS-14 (esreboxetine) is Axsome’s novel, oral, investigational, highly selective and potent norepinephrine reuptake inhibitor being developed for the management of fibromyalgia. Esreboxetine, the SS-enantiomer of reboxetine, is more potent and selective than racemic reboxetine.

Anticipated Milestones

Conference Call Information

Axsome will host a conference call and webcast today at 8:00 a.m. Eastern Time to discuss its third quarter 2025 financial results and provide a business update. To participate in the live conference call, please dial (877) 405-1239 (toll-free domestic) or +1 (201) 389-0851 (international). A live webcast of the conference call can be accessed on the “Webcasts & Presentations” page of the “Investors” section of the Company’s website at axsome.com. A replay of the conference call will be available for approximately 30 days following the live event.

About Axsome Therapeutics

Axsome Therapeutics is a biopharmaceutical company leading a new era in the treatment of central nervous system (CNS) conditions. We deliver scientific breakthroughs by identifying critical gaps in care and develop differentiated products with a focus on novel mechanisms of action that enable meaningful advancements in patient outcomes. Our industry-leading neuroscience portfolio includes FDA-approved treatments for major depressive disorder, excessive daytime sleepiness associated with narcolepsy and obstructive sleep apnea, and migraine, and multiple late-stage development programs addressing a broad range of serious neurological and psychiatric conditions that impact over 150 million people in the United States. Together, we are on a mission to solve some of the brain’s biggest problems so patients and their loved ones can flourish. For more information, please visit us atwww.axsome.comand follow us onLinkedInandX.

Forward Looking Statements

Certain matters discussed in this press release are “forward-looking statements”. The Company may, in some cases, use terms such as “predicts,” “believes,” “potential,” “continue,” “estimates,” “anticipates,” “expects,” “plans,” “intends,” “may,” “could,” “might,” “will,” “should” or other words that convey uncertainty of future events or outcomes to identify these forward-looking statements. In particular, the Company’s statements regarding trends and potential future results are examples of such forward-looking statements. The forward-looking statements include risks and uncertainties, including, but not limited to, the commercial success of the Company’s SUNOSI®, AUVELITY®, and SYMBRAVO®products and the success of the Company’s efforts to obtain any additional indication(s) with respect to solriamfetol and/or AXS-05; the Company’s ability to maintain and expand payer coverage; the success, timing and cost of the Company’s ongoing clinical trials and anticipated clinical trials for the Company’s current product candidates, including statements regarding the timing of initiation, pace of enrollment and completion of the trials (including the Company’s ability to fully fund the Company’s disclosed clinical trials, which assumes no material changes to the Company’s currently projected revenues or expenses), futility analyses and receipt of interim results, which are not necessarily indicative of the final results of the Company’s ongoing clinical trials, and/or data readouts, and the number or type of studies or nature of results necessary to support the filing of a new drug application (“NDA”) for any of the Company’s current product candidates; the Company’s ability to fund additional clinical trials to continue the advancement of the Company’s product candidates; the timing of and the Company’s ability to obtain and maintain U.S. Food and Drug Administration (“FDA”) or other regulatory authority approval of, or other action with respect to, the Company’s product candidates, including statements regarding the timing of any NDA submission; the Company’s ability to successfully defend its intellectual property or obtain the necessary licenses at a cost acceptable to the Company, if at all; the Company’s ability to successfully resolve any intellectual property litigation, and even if such disputes are settled, whether the applicable federal agencies will approve of such settlements; the successful implementation of the Company’s research and development programs and collaborations; the success of the Company’s license agreements; the acceptance by the market of the Company’s products and product candidates, if approved; the Company’s anticipated capital requirements, including the amount of capital required for the commercialization of SUNOSI, AUVELITY, and SYMBRAVO and for the Company’s commercial launch of its other product candidates, if approved, and the potential impact on the Company’s anticipated cash runway; the Company’s ability to convert sales to recognized revenue and maintain a favorable gross to net sales; unforeseen circumstances or other disruptions to normal business operations arising from or related to domestic political climate, geo-political conflicts or a global pandemic and other factors, including general economic conditions and regulatory developments, not within the Company’s control. The factors discussed herein could cause actual results and developments to be materially different from those expressed in or implied by such statements. The forward-looking statements are made only as of the date of this press release and the Company undertakes no obligation to publicly update such forward-looking statements to reflect subsequent events or circumstances.
Axsome Therapeutics, Inc.Selected Consolidated Financial DataAxsome Therapeutics, Inc.Consolidated Balance Sheets(In thousands, except share and per share amounts)
September 30,2025 December 31,2024
(Unaudited)
Assets
Current assets:
Cash and cash equivalents $ 325,272 $ 315,353
Accounts receivable, net 196,507 142,001
Inventories, net 23,774 15,732
Prepaid and other current assets 19,789 11,978
Total current assets 565,342 485,064
Equipment, net 605 584
Right-of-use asset - operating lease 21,654 5,383
Goodwill 12,042 12,042
Intangible asset, net 42,126 46,894
Non-current inventory and other assets 27,481 18,531
Total assets $ 669,250 $ 568,498
Liabilities and stockholders’ equity
Current liabilities:
Accounts payable $ 54,227 $ 71,997
Accrued expenses and other current liabilities 225,632 147,987
Operating lease liability, current portion 736 1,835
Contingent consideration, current 9,695 8,285
Short-term borrowings 70,000
Total current liabilities 360,290 230,104
Contingent consideration, non-current 89,870 91,680
Loan payable, long-term 117,642 180,710
Operating lease liability, long-term 23,041 6,046
Finance lease liability, long-term 4,680 2,943
Total liabilities 595,523 511,483
Stockholders’ equity:
Preferred stock, $0.0001 par value per share (10,000,000 shares authorized, none issued and outstanding)
Common stock, $0.0001 par value per share (150,000,000 shares authorized, 50,307,834 and 48,667,587 shares issued and outstanding at September 30, 2025 and December 31, 2024, respectively) 5 5
Additional paid-in capital 1,351,124 1,179,797
Accumulated deficit (1,277,402 ) (1,122,787 )
Total stockholders’ equity 73,727 57,015
Total liabilities and stockholders’ equity $ 669,250 $ 568,498
Axsome Therapeutics, Inc.Consolidated Statements of Operations (Unaudited)(In thousands, except share and per share amounts)
Three months ended September 30, Nine months ended September 30,
2025 2024 2025 2024
Revenues:
Product sales, net $ 169,784 $ 103,736 $ 439,101 $ 264,352
Royalty revenue 1,208 1,026 3,396 2,575
Total revenues 170,992 104,762 442,497 266,927
Operating expenses:
Cost of revenue (excluding amortization and depreciation) 11,912 8,437 35,149 22,789
Research and development 40,162 45,388 134,488 132,071
Selling, general and administrative 150,235 95,564 401,302 298,088
Loss in fair value of contingent consideration 13,185 16,391 6,595 17,139
Intangible asset amortization 1,607 1,606 4,768 4,785
Total operating expenses 217,101 167,386 582,302 474,872
Loss from operations (46,109 ) (62,624 ) (139,805 ) (207,945 )
Interest expense, net (1,120 ) (1,978 ) (5,385 ) (4,359 )
Loss on debt extinguishment (10,385 )
Loss before income taxes (47,229 ) (64,602 ) (155,575 ) (212,304 )
Income tax benefit 960
Net loss $ (47,229 ) $ (64,602 ) $ (154,615 ) $ (212,304 )
Net loss per common share, basic and diluted $ (0.94 ) $ (1.34 ) $ (3.13 ) $ (4.45 )
Weighted average common shares outstanding, basic and diluted 50,021,851 48,140,519 49,449,220 47,703,508

Investors:Ashley DongDirector, Investor Relations(929) 687-1614adong@axsome.com

Media:Darren OplandDirector, Corporate Communications(929) 837-1065dopland@axsome.com

Frequently Asked Questions

What was Axsome's total revenue for Q3 2025?

Axsome Therapeutics reported total net product revenue of $171 million for Q3 2025.

How much did AUVELITY generate in sales?

AUVELITY generated net product sales of $136.1 million in Q3 2025.

What is the significance of AXS-05?

AXS-05 is being developed for Alzheimer's disease agitation and has a supplemental NDA submitted to the FDA.

What growth did Axsome achieve year-over-year?

Axsome achieved a 63% year-over-year growth in total net product revenue.

When will Axsome hold its conference call?

Axsome will host a conference call today at 8:00 AM Eastern Time.

Last updated: Nov 3, 2025