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Akebia Therapeutics (AKBA) investor relations material
Akebia Therapeutics Q3 2026 earnings summary
Complete event summary combining all related documents: earnings call transcript, report, and slide presentation.Executive summary
Q3 revenue fell 37% YoY to $36.9M, primarily as Auryxia sales declined amid generic competition; net loss was $14.4M versus $0.5M net income a year earlier.
Vafseo active patients reached ~11,500, up ~140% YoY, while Q3 revenue was $14.8M versus $14.3M; inventory reductions muted reported sales despite patient growth.
VOICE and VOCAL results strengthened vadadustat’s clinical and commercial case, with VOICE showing fewer hospitalizations and VOCAL meeting its hemoglobin non-inferiority endpoint.
Ebribafusp and praliciguat Phase II programs advanced; initial ebribafusp data are expected in 2027.
Financial highlights
Total revenue was $36.9M versus $58.8M in Q3 2025; product revenue was $34.8M versus $56.8M, and license, collaboration and other revenue was $2.1M versus $2.0M.
Q3 operating loss was $11.5M versus $4.4M operating income; net loss was $14.4M versus $0.5M net income, with diluted EPS of $(0.05) versus $0.00.
R&D expense rose to $16.2M from $14.9M; SG&A fell to $23.5M from $29.1M, and COGS declined to $6.4M from $9.4M.
9M revenue was $139.6M versus $178.6M; net loss was $32.3M versus $6.9M net income, and operating cash flow was $(15.4)M versus $36.9M provided.
Outlook and guidance
Post-TDAPA pricing is expected within the ESA price range; higher Vafseo unit volume is expected in 2027, but revenue is expected to decline significantly versus 2026.
Vafseo access is expected to expand beyond TDAPA-only patients in 2027; the post-TDAPA period begins Jan. 1, with reimbursement through the dialysis bundle and expected annual treatment cost of $1,000–$1,500.
Customer inventory reductions are expected to continue at year-end 2026; DaVita’s gradual rollout is expected to begin in Q4 and become more significant in early 2027.
Cash and expected product, royalty, supply and license receipts are expected to fund the current plan for at least two years, contingent on refinancing the secured term loan; without refinancing, runway is at least 12 months from filing.
Initial ebribafusp Phase II data are expected in 2027; praliciguat data timing will be set as enrollment visibility improves.
- Vafseo's growth offset Auryxia's decline, but total Q2 2026 revenues and net income fell year-over-year.AKBA
Q2 2026 - Vafseo's launch accelerates with broad market access, pivotal trials, and strong financial outlook.AKBA
Wells Fargo 20th Annual Healthcare Conference 2025 - All proposals passed, including director elections and share authorization increase.AKBA
AGM 2026 - Vafseo growth accelerates, pipeline advances, and broad access expected post-2026.AKBA
Jefferies Global Healthcare Conference 2026 - Vafseo revenues rose 32% as Auryxia declined, with $162.6M cash to fund operations for two years.AKBA
Q1 2026 - Key votes include director elections, share authorization increase, and auditor ratification.AKBA
Proxy filing - Shareholders will vote on director elections, share increases, compensation, and auditor ratification.AKBA
Proxy filing - Vafseo is gaining traction in dialysis anemia, with strong growth and robust clinical support.AKBA
Jefferies London Healthcare Conference 2025 - Vafseo launch on track for January 2025; Auryxia stable, net loss narrowed, cash runway secured.AKBA
Q2 2024
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