Axsome Therapeutics
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Axsome Therapeutics (AXSM) investor relations material

Axsome Therapeutics Q3 2026 earnings summary

Complete event summary combining all related documents: earnings call transcript, report, and slide presentation.
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Q3 2026 earnings summary2 Nov, 2026

Executive summary

  • Q3 revenue was $259.7M, up 52% YoY and 19% sequentially; annualized commercial revenue run rate exceeded $1B.

  • AUVELITY led commercial growth, while development advanced across CNS indications, including seven Phase 3 trials.

Financial highlights

  • Q3 product sales were $250.0M and royalty plus milestone revenue was $9.7M, including an $8.5M SUNOSI milestone; total revenue was $259.7M versus $171.0M a year earlier.

  • AUVELITY sales were $207.6M, up 53% YoY; SUNOSI revenue was $48.2M, up 47%; SYMBRAVO sales were $3.9M, up 88%.

  • R&D expense was $50.6M versus $40.2M; SG&A was $203.1M versus $150.2M; cost of revenue was $17.8M versus $11.9M.

  • Net loss narrowed to $12.9M, or $0.25/share, from $47.2M, or $0.94/share; Q3 loss included $26.4M of stock-based compensation.

Outlook and guidance

  • No specific Q4 or 2027 revenue guidance; Q4 was tracking to expectations for continued AUVELITY growth across MDD and Alzheimer’s agitation.

  • Cash is expected to fund anticipated operations into cash flow positivity under the current operating plan; R&D and SG&A expenses are expected to rise as trials and commercialization continue.

  • AUVELITY gross-to-net discounts were in the mid-to-high 40% range in Q3, with a slight Q4 increase expected from seasonal accruals; 2027 is expected to be similar to 2026.

  • Milestones include ENGAGE BED results in Q1 2027, AXS-12 FDA action by May 1, 2027, and multiple solriamfetol and AXS-05 readouts in 2H 2027.

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Frequently asked questions

Axsome Therapeutics Inc. is a biopharmaceutical company focused on developing and commercializing therapies for central nervous system (CNS) disorders. The company's portfolio includes product candidates designed to address conditions such as depression, migraines, and other neurological and psychiatric disorders. The company is headquartered in New York, New York, and its shares are listed on the NASDAQ.