Axsome Therapeutics Reports Fourth Quarter and Full Year 2025 Financial Results and Provides Business Update

21 hours ago 3

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About Axsome Therapeutics

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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 at www.axsome.com and follow us on LinkedIn and X.

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Forward Looking Statements

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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.

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Axsome Therapeutics, Inc.
Selected Consolidated Financial Data
 

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Axsome Therapeutics, Inc.
Consolidated Balance Sheets
(Unaudited, in thousands, except share and per share amounts)
 
 December 31,
2025
 December 31,
2024
 
Assets        
Current assets:        
Cash and cash equivalents$322,933  $315,353  
Accounts receivable, net 224,464   142,001  
Inventories, net 27,938   15,732  
Prepaid and other current assets 13,651   11,978  
Total current assets 588,986   485,064  
Equipment, net 562   584  
Right-of-use asset – operating lease 20,858   5,383  
Goodwill 12,042   12,042  
Intangible asset, net 40,519   46,894  
Non-current inventory and other assets 26,838   18,531  
Total assets$689,805  $568,498  
Liabilities and stockholders’ equity        
Current liabilities:        
Accounts payable$65,537  $71,997  
Accrued expenses and other current liabilities 232,853   147,987  
Operating lease liability, current portion 434   1,835  
Contingent consideration, current 10,012   8,285  
Short-term borrowings 70,000     
Total current liabilities 378,836   230,104  
Contingent consideration, non-current 77,540   91,680  
Loan payable, long-term 117,746   180,710  
Operating lease liability, long-term 23,182   6,046  
Finance lease liability, long-term 4,206   2,943  
Total liabilities 601,510   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,
50,882,766 and 48,667,587 shares issued and outstanding at December 31,
2025 and December 31, 2024, respectively)
 5   5  
Additional paid-in capital 1,394,251   1,179,797  
Accumulated deficit (1,305,961)  (1,122,787) 
Total stockholders’ equity 88,295   57,015  
Total liabilities and stockholders’ equity$689,805  $568,498  
 

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Axsome Therapeutics, Inc.
Consolidated Statements of Operations
(Unaudited, in thousands, except share and per share amounts)
 
 Three months ended
December 31,
 Year ended
December 31,
 
 2025 2024 2025 2024 
Revenues:                
Product sales, net$194,695  $117,325  $633,796  $381,677  
Royalty revenue and milestone revenue 1,304   1,441   4,700   4,016  
Total revenues 195,999   118,766   638,496   385,693  
Operating expenses:                
Cost of revenue (excluding amortization and
depreciation)
 12,329   10,514   47,478   33,303  
Research and development 48,791   55,006   183,279   187,077  
Selling, general and administrative 169,297   113,271   570,599   411,359  
Loss (Gain) in fair value of contingent consideration (9,068)  10,985   (2,473)  28,124  
Intangible asset amortization 1,607   1,607   6,375   6,392  
Total operating expenses 222,956   191,383   805,258   666,255  
Loss from operations (26,957)  (72,617)  (166,762)  (280,562) 
Interest expense, net (1,172)  (2,210)  (6,557)  (6,569) 
Loss on debt extinguishment       (10,385)    
Loss before income taxes (28,129)  (74,827)  (183,704)  (287,131) 
Income tax benefit (expense) (430)  (85)  530   (85) 
Net loss$(28,559) $(74,912) $(183,174) $(287,216) 
Net loss per common share, basic and diluted$(0.56) $(1.54) $(3.68) $(5.99) 
Weighted average common shares outstanding, basic and
diluted
 50,631,337   48,541,905   49,747,178   47,914,253  
 

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Investors:
Ashley Dong
Director, Investor Relations
(929) 687-1614
[email protected]

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Media:
Darren Opland
Senior Director, Corporate Communications
(929) 837-1065
[email protected]

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