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AXSMAxsome Therapeutics, Inc.Sell5.2·$245.64+4.47%
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Axsome Therapeutics, Inc. (AXSM) Stock Analysis

SellModerate Confidence

Healthcare · Biotechnology

Sell if holding. Engine safety override at $245.64: Quality below floor (3.8 < 4.0) triggers a hard block regardless of the otherwise-positive setup — overall score 5.2/10. Specifically: Below-average business quality; Rich valuation.

Axsome Therapeutics is a CNS biopharmaceutical company commercializing AUVELITY (MDD), SUNOSI (excessive daytime sleepiness), and SYMBRAVO (acute migraine, launched June 2025) in the U.S. Combined 2025 revenues were $638.5 million, up 66% year-over-year. Lead pipeline asset... Read more

$245.64-1.7% A.UpsideScore 5.2/10#78 of 157 Biotechnology
QualityF-score4 / 9FCF yield-0.03%
Stop $228.68Target $241.48(resistance)A.R:R -0.1:1
Analyst target$270.28+10.0%21 analysts
$241.48our TP
$245.64price
$270.28mean
$200
$329

Sell if holding. Engine safety override at $245.64: Quality below floor (3.8 < 4.0) triggers a hard block regardless of the otherwise-positive setup — overall score 5.2/10. Specifically: Below-average business quality; Rich valuation. Chart setup: No clear chart pattern; technical signals are mixed. Score 5.2/10, moderate confidence.

Passes 7/8 gates (positive momentum, clean insider activity, no SEC red flags, news events none recent, earnings proximity 55d clear, semi cycle peak clear, materials cycle peak clear). Fails on favorable risk/reward ratio. Suitability: moderate.

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.

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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 2026-06-09
TrendMatrix Research · upcoming catalyst calendar

Upcoming dated catalysts

Mon, Aug 3, 202655d to earnings· next earnings call

Thesis

Rewards
No bull case signals
Risks
Target reached (-1.0% upside)
Quality below floor (3.8 < 4.0)

Key Metrics

P/E (TTM)
P/E (Fwd)39.9
Mkt Cap$12.1B
EV/EBITDA-71.8
Profit Mgn-26.6%
ROE-349.4%
Rev Growth57.4%
Beta0.60
DividendNone
Rating analysts27

Quality Signals

Piotroski F4/9MoatNarrow

Options Flow

P/C0.29bullish
IV54%elevated
Max Pain$100-59.3% vs spot

Model-generated analysis — not investment advice. Not a registered investment advisor. Past performance does not guarantee future results.

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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.

Not investment advice. TrendMatrix is not a registered investment adviser. Our content is for informational and educational purposes only. Consult your own licensed investment adviser, broker, or tax professional before making any investment decision.

Conflicts and positions. The TrendMatrix editorial team frequently holds personal long-term positions in securities discussed. We disclose positions held at the time of publication on each piece. We maintain a trading-window policy: we do not initiate or close positions in the same direction as a TrendMatrix publication within 24 hours before or 72 hours after publication.

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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

4 floor-breakers·1 ceiling hit

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

Quality Rank
1.3
Value Rank
3.4
Growth Rank
6.9

Priced at a premium — multiples above sector norms. Needs delivery on growth + margins to justify.static

Ps
0.0
Forward Pe
2.8
Analyst Target
4.0
Peg Ratio
10.0
Forward P/E: 39.9xPEG: 0.15

Technicals below the gate floor. Component breakdown shows what dragged the score down.static

Bollinger
0.0
Support Resistance
0.2
52w Position
9.9

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
Fcf Quality
0.0
Piotroski F
4.4
Current Ratio
5.2
Moat
5.8
Rule Of 40
9.1
Gross Margin
10.0
Cash-burning: FCF -1% of revenueRule of 40: 57 (pass)
GatesA.R:R -0.1=NEGATIVEMomentum 6.0>=5.5Insider activity: OKNo SEC red flagsNEWS EVENTS NONE RECENTEARNINGS PROXIMITY 55d clearSEMI CYCLE PEAK CLEARMATERIALS CYCLE PEAK CLEARSuitability: Moderate
RSI
67 · Neutral
20D MA 50D MA 200D MAGOLDEN CROSSSupport $214.31Resistance $246.41

Price Targets

$229
$241
A.Upside-1.7%
A.R:R-0.1:1

Position Sizing

ConvictionNone
Suggested %0.5%
Max %1%
RegimeSteady

Risk Alerts

! Target reached (-1.0% upside)
! Quality below floor (3.8 < 4.0)
! Negative risk/reward — downside exceeds upside

Earnings

B
B
M
M
2/4 beats
Next Earnings2026-08-03 (55d)

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 $245.64: Quality below floor (3.8 < 4.0) triggers a hard block regardless of the otherwise-positive setup — overall score 5.2/10. Specifically: Below-average business quality; Rich valuation. Chart setup: No clear chart pattern; technical signals are mixed. Prior stop was $228.68. Score 5.2/10, moderate confidence.

What is the AXSM stock price target?

Take-profit target: $241.48 (-1.7% upside). Prior stop was $228.68. Stop-loss: $228.68.

What are the risks of investing in AXSM?

Target reached (-1.0% upside); Quality below floor (3.8 < 4.0).

Is AXSM overvalued or undervalued?

Axsome Therapeutics, Inc. trades at a P/E of N/A (forward 39.9). TrendMatrix value score: 3.4/10. Verdict: Sell.

What do analysts say about AXSM?

27 analysts cover AXSM with a consensus score of 4.3/5. Average price target: $270.

What does Axsome Therapeutics, Inc. do?Axsome Therapeutics is a CNS biopharmaceutical company commercializing AUVELITY (MDD), SUNOSI (excessive daytime...

Axsome Therapeutics is a CNS biopharmaceutical company commercializing AUVELITY (MDD), SUNOSI (excessive daytime sleepiness), and SYMBRAVO (acute migraine, launched June 2025) in the U.S. Combined 2025 revenues were $638.5 million, up 66% year-over-year. Lead pipeline asset AXS-05 received FDA Priority Review for Alzheimer's disease agitation with PDUFA date April 30, 2026; AXS-12 for narcolepsy is in NDA preparation.

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