Axsome Therapeutics, Inc. (AXSM) FY2025 10-K Annual Report

Filed: Feb 23, 2026
Health Care
Pharmaceutical PreparationsSEC EDGAR

Axsome Therapeutics, Inc. (AXSM) 10-K annual report for fiscal year 2025, filed with SEC EDGAR on Feb 23, 2026. This page provides AI-powered analysis including business overview, management discussion & analysis (MD&A), risk factors, and key financial data such as revenue, net income, gross margin, operating margin, and return on equity (ROE) extracted from XBRL.

Axsome Therapeutics, Inc. FY2025 10-K Analysis

Business Overview

  • Core business: Development, commercialization, and sales of pharmaceutical products for CNS disorders, including AUVELITY, SUNOSI, and launch of SYMBRAVO in 2025
  • New product: Commercial launch of SYMBRAVO began June 2025, generating $6.6 million in net sales for the year, no sales in prior year
  • Strategic shift: Expanded commercial focus from AUVELITY and SUNOSI to include SYMBRAVO, increasing total revenues 65.6% YoY to $638.5 million in 2025
  • Quantitative metric: Net sales growth – AUVELITY sales up 74% to $507.1 million; SUNOSI up 33% to $120.1 million, total revenue increase from $385.7 million to $638.5 million
  • Noteworthy fact: Recorded a significant decrease in net loss, $183.2 million in 2025 vs $287.2 million in 2024, reflecting scaling commercialization efforts

Risk Factors

  • Regulatory risk: FDA Breakthrough Therapy designation for AXS-05 for AD agitation may not expedite approval or guarantee marketing authorization
  • Geopolitical risk: EU sanctions on Russia extended to July 31, 2026, with potential supply chain and capital market disruptions impacting operations
  • Supply chain risk: Dependence on third-party manufacturers subject to regulatory compliance and volume fulfillment could delay product commercialization
  • Market disruption risk: Competition from other pharma, biotech firms, government agencies, and research organizations may impair operating results
  • Financial risk: $570M Blackstone loan with restrictive covenants and minimum $30M liquidity may limit operational flexibility and risk default

Axsome Therapeutics, Inc. FY2025 Key Financial Metrics
XBRL

Revenue

$638M

+65.5% YoY

Net Income

-$183M

+36.2% YoY

Operating Margin

-26.1%

+4662bp YoY

Net Margin

-28.7%

+4578bp YoY

ROE

-207.5%

+29630bp YoY

Total Assets

$690M

+21.3% YoY

EPS (Diluted)

$-3.68

+38.6% YoY

Operating Cash Flow

-$93M

+27.3% YoY

Source: XBRL data from Axsome Therapeutics, Inc. FY2025 10-K filing on SEC EDGAR. All figures in USD.

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