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AXSMAxsome Therapeutics, Inc.Sell5.8·$139.61
SellModerate Confidence
Investment thesis

Axsome Therapeutics is growing revenue 46% YoY with analysts targeting 73.1% upside against 10.1% downside, but it is still burning cash, missed EPS in 3 of the last 4 quarters and reports in 1 day. The stock is 44% off its high with RSI at 26, so it is a speculative biotech rebound candidate.

Thesis pillars

  • Rapid Revenue Growth→Stable
  • Large Upside To Analyst Target→Stable
  • Cash Burn And Earnings Misses→Stable
  • +2 more pillars — see the Why tab for full reasoning

Pillars as of Nov 1, 2026, based on the 10-K filed Feb 23, 2026

Full reasoning →

Open full analysis

Axsome Therapeutics, Inc. (AXSM) Stock Analysis

Oversold Bounce setup

SellVALUE-TRAP 1/5GrowthModerate Confidence

Healthcare · Biotechnology

Sell if holding. Engine safety override at $139.61: Quality below floor (3.6 < 4.0) triggers a hard block regardless of the otherwise-positive setup — overall score 5.8/10 and A.R:R 6.5:1 is above the 1.5:1 BUY gate. Specifically: Below-average business quality; Below long-term trend.

Axsome Therapeutics markets three FDA-approved CNS medicines in the U.S. — AUVELITY for MDD (approved August 2022), SUNOSI for excessive daytime sleepiness (acquired 2022), and SYMBRAVO for acute migraine (approved January 2025) — which together generated $638.5 million in... Read more

$139.61+77.6% A.UpsideScore 5.8/10#53 of 241 Biotechnology
QualityF-score4 / 9FCF yield—
Stop $129.84Analyst target $247.97(−10% haircut)A.R:R 6.5:1
Analyst consensus$275.52+97.4%21 analysts with price targets
$247.97Analyst target
$139.61price
$275.52mean
$380

Sell if holding. Engine safety override at $139.61: Quality below floor (3.6 < 4.0) triggers a hard block regardless of the otherwise-positive setup — overall score 5.8/10 and A.R:R 6.5:1 is above the 1.5:1 BUY gate. Specifically: Below-average business quality; Below long-term trend. Chart setup: Oversold RSI 23, near Bollinger lower, volume surge. Score 5.8/10, moderate confidence.

Passes 8/9 gates (positive momentum, favorable risk/reward ratio, clean insider activity, no SEC red flags, news boost analyst 0.60, earnings proximity 110d clear, semi cycle peak clear, materials cycle peak clear). Suitability: speculative.

10-K grounded · weekly refresh

About Axsome Therapeutics, Inc.

About Axsome Therapeutics, Inc.

Axsome Therapeutics generated $638.5 million in combined revenue from three FDA-approved CNS products in 2025, representing 66% growth year-over-year: AUVELITY (approved August 2022 for major depressive disorder), SUNOSI (acquired 2022 for excessive daytime sleepiness in patients with obstructive sleep apnea or narcolepsy), and SYMBRAVO (approved January 2025 for acute migraine). The lead pipeline asset, AXS-05, received Priority Review designation from the FDA in December 2025 for Alzheimer's disease agitation, with a PDUFA target action date of April 30, 2026.

Axsome commercializes all three approved products directly in the United States through a focused sales and marketing organization, targeting approximately 21 million U.S. MDD patients, 22 million adults with obstructive sleep apnea or narcolepsy, and 39 million adults experiencing migraine. SUNOSI's ex-U.S. rights outside 12 Asian markets — retained by originator SK Biopharmaceuticals — are licensed to Pharmanovia under a 2023 agreement covering Europe and parts of the Middle East and North Africa. Manufacturing is outsourced to third-party contract manufacturers under non-exclusive commercial supply agreements with no material contractual obligations beyond ordered supply. The company carries a credit facility with Blackstone Alternative Credit Advisors providing up to $570.0 million in term and revolving credit — closed May 8, 2025, bearing interest at SOFR plus 4.75% and maturing May 8, 2030.

Show full overview

The primary near-term binary risk is the FDA decision on AXS-05 for Alzheimer's disease agitation. The FDA granted Priority Review and Breakthrough Therapy designation for this indication. Across four Phase 3 trials, three met their primary endpoint and one did not, providing mixed but largely positive efficacy data. If the FDA declines approval, the commercial trajectory of the company's self-described lead product candidate could be materially disrupted. A parallel setback illustrates pipeline-wide regulatory exposure: the AXS-14 fibromyalgia NDA received a Refusal to File letter in 2025 because one pivotal trial used an endpoint structure the FDA deemed inadequate, with the FORWARD Phase 3 trial now underway to address the deficiency.

See also: Healthcare · Biotechnology

From Axsome Therapeutics, Inc.'s most recent 10-K filing, extracted June 9, 2026.

news + 30-day 8-K events · 5-min refresh

Recent developments

updated Nov 3, 2026

Recent Developments — Axsome Therapeutics, Inc.

Latest item Nov 3, 2026 · Generated 2026-11-04T11:44:35Z.

TrendMatrix Research · upcoming catalyst calendar

Upcoming dated catalysts

Mon, Feb 22, 2027110d to earnings· next earnings call

Thesis

Rewards
Recent Analyst detected in news
Risks
Quality below floor (3.6 < 4.0)

Key Metrics

P/E (TTM)—
P/E (Fwd)34.7
Mkt Cap$7.3B
EV/EBITDA-47.5
Profit Mgn-18.2%
ROE-175.6%
Rev Growth51.9%
Beta0.83
DividendNone
Analysts with ratings29

Quality Signals

Piotroski F4/9MoatNarrow

Options Flow

P/C0.94neutral
IV59%elevated
Max Pain$115-17.6% vs spot

Concentration Risks(10-K Item 1A)

  • MEDIUMpipelineAXS-05 for Alzheimer's disease agitation
    10-K Item 1: 'Our lead product candidate, AXS-05 (dextromethorphan and bupropion), is currently being developed for the treatment of Alzheimer's disease (AD) agitation'

Model-generated analysis — not investment advice. Not a registered investment advisor. Past performance does not guarantee future results. How we score · Editorial policy

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About TrendMatrix. TrendMatrix is a publisher of general securities research and market commentary. We publish on a regular schedule. All content is the same for every subscriber in a tier — we do not provide personalized investment advice and we do not take into account any individual subscriber's financial situation, investment objectives, risk tolerance, tax situation, or holdings.

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Conflicts and positions. People who build TrendMatrix, or entities they control, may hold positions, long or short, in securities it covers, and may trade them at any time. Positions are not disclosed individually. Verdicts are generated by an automated model applied by the same rules to every covered stock, and are not adjusted for any position held by the people who build TrendMatrix. We do not accept payment from issuers for coverage.

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Performance. Past performance is not indicative of future results. Performance figures reflect the published model only and do not reflect any individual subscriber's actual results.

Methodology · Editorial policy & full disclaimer

Rating Breakdown

2 floor-breakers·1 ceiling hit

Clinical-stage biotech: losses expected pre-commercialisation. Quality floor doesn't distinguish R&D investment from operational decay — components above tell the real story.static

Roa
0.0
Operating Margin
0.0
Net Margin
0.0
Piotroski F
4.4
Current Ratio
5.3
Moat
5.8
Gross Margin
10.0

Ranks in the bottom of its industry peers on the composite signal. Better names in the same sector exist.static

Quality Rank
1.7
Value Rank
5.4
Growth Rank
7.2
GatesMomentum 5.1<5.5 (soft — BUY_NOW allowed but watch)Momentum 5.1>=4.5A.R:R 6.5 ≥ 1.5Insider activity: OKNo SEC red flagsNEWS BOOST ANALYST 0.60EARNINGS PROXIMITY 110d clearSEMI CYCLE PEAK CLEARMATERIALS CYCLE PEAK CLEAROversold BounceSuitability: Speculative
RSI
23 · Oversold
↓ 20D MA↓ 50D MA↓ 200D MADEATH CROSSSupport $123.00Resistance $177.91

Price Targets

$130
$248
A.Upside+77.6%
A.R:R6.5:1

Position Sizing

ConvictionNone
Suggested %0%
Max %0%
RegimeSteady

Risk Alerts

! Quality below floor (3.6 < 4.0)

Earnings

B
B
M
M
2/4 beats
Next Earnings2027-02-22 (110d)

Verdict History

reverse chrono — latest first
Loading history...
Verdicts are recorded on every nightly pipeline run. Rows capture transitions (verdict flips, score deltas ≥0.3, entry/TP/SL changes). Rows with a ▶ can be expanded to see the change reason. Aggregate cohort performance is tracked in the recommendation ledger.
Frequently Asked Questions
Is AXSM stock a buy right now?

Sell if holding. Engine safety override at $139.61: Quality below floor (3.6 < 4.0) triggers a hard block regardless of the otherwise-positive setup — overall score 5.8/10 and A.R:R 6.5:1 is above the 1.5:1 BUY gate. Specifically: Below-average business quality; Below long-term trend. Chart setup: Oversold RSI 23, near Bollinger lower, volume surge. Prior stop was $129.84. Score 5.8/10, moderate confidence.

What is the AXSM stock price target?

Analyst target: $247.97 (+77.6% upside). Prior stop was $129.84. Stop-loss: $129.84.

What are the risks of investing in AXSM?

Quality below floor (3.6 < 4.0).

Is AXSM overvalued or undervalued?

Axsome Therapeutics, Inc. trades at a P/E of N/A (forward 34.7). TrendMatrix value score: 6.2/10. Verdict: Sell.

What do analysts say about AXSM?

29 analysts rate AXSM, with a consensus score of 4.3/5. 21 analysts publish price targets averaging $276.

What does Axsome Therapeutics, Inc. do?Axsome Therapeutics markets three FDA-approved CNS medicines in the U.S. — AUVELITY for MDD (approved August 2022),...

Axsome Therapeutics markets three FDA-approved CNS medicines in the U.S. — AUVELITY for MDD (approved August 2022), SUNOSI for excessive daytime sleepiness (acquired 2022), and SYMBRAVO for acute migraine (approved January 2025) — which together generated $638.5 million in revenue for 2025, representing 66% annual growth. The pipeline is anchored by AXS-05 for Alzheimer's disease agitation, with Priority Review designation and a PDUFA target date of April 30, 2026.

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