NASDAQ$AXSM

Axsome Therapeutics Inc · Q4 2023 earnings

Q4 2023 earnings · · Investor relations

Briefing

Axsome reported fourth quarter and full year 2023 financial results and provided a business update.

Axsome Therapeutics reported a transformational year in 2023, marked by successful commercial execution and substantial pipeline advancement. Total net product revenues for Q4 2023 were $71.5 million, a 193% increase year-over-year, driven by Auvelity and Sunosi sales. The company is advancing its pipeline with multiple Phase 3 trials and anticipates NDA submissions for AXS-07 and AXS-14 in the first half of 2024.

  • Total net product revenues reached $71.5 million in Q4 2023, representing a 193% year-over-year growth.
  • Auvelity net product sales were $49.0 million in Q4 2023, its first full year of launch.
  • Sunosi net product revenues were $22.5 million in Q4 2023, a 17% increase year-over-year.
  • The company anticipates NDA submissions for AXS-07 in migraine and AXS-14 in fibromyalgia in the first half of 2024.

Headline financials

Total Revenue

$71.5M

Previous: $24.4M+193.5%
EPS (adj)

-$0.73

Previous: -$1.41+48.2%
R&D Expenses

$30.8M

Previous: $14.7M+109.5%
SG&A Expenses

$86.8M

Previous: $61.5M+41.2%
Total Shares Outstanding

47.4M

No prior period
Capital Expenditures

$7K

Previous: $181K-96.1%
Net Income

-$98.7M

Previous: -$61.2M-61.2%
Operating Income

-$98.1M

Previous: -$55.7M-76.1%
Gross Profit

$64.2M

Previous: $22.1M+190.5%
R&D Expense

$30.8M

No prior period
Stock-Based Comp

$18.9M

Previous: $10.8M+75.7%

Revenue & EPS history

Axsome · Revenue · Quarterly

$71.5M

Q4 2023+193.5%vs Q4 2022
Beat estimate in 9 of 15 quarters(60%)
ActualEstimate

Revenue by segment

Axsome · $57.8M total across 2 segments · Q3 2023

  • AUVELITY
    $37.7M
  • SUNOSI
    $20.1M+19.6%

Forward guidance

Axsome anticipates continued momentum in 2024, focusing on driving growth for Auvelity and Sunosi, potential NDA submissions for migraine and fibromyalgia, and Phase 3 trial readouts in narcolepsy, Alzheimer's disease agitation, and ADHD. The company also plans to initiate new pivotal trials in depression, binge eating disorder, and shift work disorder.

Tailwinds

  • NDA resubmission for AXS-07 for migraine is expected in 1H 2024.
  • NDA submission for AXS-14 for fibromyalgia is expected in 1H 2024.
  • Topline results from the Phase 3 SYMPHONY trial of AXS-12 in narcolepsy are anticipated in 1Q 2024.
  • Phase 3 trials of solriamfetol in major depressive disorder, binge eating disorder, and shift work disorder are expected to be initiated in 1Q 2024.
  • Topline results from the Phase 3 ADVANCE-2 trial of AXS-05 for Alzheimer’s disease agitation and the Phase 3 FOCUS trial of solriamfetol in ADHD are expected in 2H 2024.

Historical earnings impact

How earnings announcements have historically affected this stock's price.

Avg. return before/after earnings

Based on 20 quarterly earnings reports · overlaid with Q4 2023

Historical avgQ4 2023

-1.0%

Avg return

Earnings day

-2.9%

Avg return

5 days after

+1.7%

Avg return

30 days after

51%

21 / 41 earnings

Positive

+12.9%

Q1 2022

Best reaction

-53.5%

Q2 2021

Worst reaction

Earnings price reactions
QuarterReport dateReaction (Day 0)+5 days+30 days
Q1 2026+8.1%+5.3%+13.0%
Q4 2025-4.7%-10.8%-11.9%
Q3 2025+1.9%+2.3%+9.5%
Q1 2025+3.7%-4.0%-3.6%
Q4 2024-2.3%+5.0%-3.7%
Q3 2024+7.5%+2.4%+3.7%
Q2 2024+1.3%-1.6%+13.2%
Q1 2024+2.9%-3.1%-0.9%
Q4 2023-11.5%-14.9%-12.9%
Q3 2023-3.1%-11.9%+6.5%
Q2 2023-1.5%-5.5%+10.7%
Q1 2023+4.1%+7.1%+2.4%
Q4 2022+11.7%+6.9%+2.3%
Q3 2022+11.2%+3.4%+36.9%
Q2 2022+11.7%+6.8%+41.3%
Q1 2022+12.9%-6.1%-24.3%
Q4 2021+11.9%+6.4%+47.2%
Q3 2021+1.4%-2.3%-12.6%
Q2 2021-53.5%-55.3%-48.9%
Q1 2021+0.1%+2.6%+11.5%
Q4 2020+3.6%-3.5%-15.9%
Q3 2020-9.7%-6.3%+7.1%
Q2 2020-0.6%+1.2%-7.3%
Q1 2020-2.8%-7.9%-15.7%
Q4 2019-16.8%-38.7%-23.8%
Q3 2019-1.2%-4.6%+76.4%
Q2 2019+2.2%+11.0%-0.5%
Q1 2019+7.2%+10.7%+12.2%
Q4 2018+4.6%+24.3%+29.2%
Q3 2018-15.8%-28.1%-24.7%
Q2 2018-1.9%-8.6%+27.6%
Q1 2018+1.5%+3.0%+4.5%
Q4 2017+2.6%+6.5%-8.4%
Q3 2017-4.1%+1.0%-0.5%
Q2 2017-5.0%-12.6%-19.3%
Q1 2017-1.2%-1.2%-4.8%
Q4 2016-4.1%+6.1%-27.6%
Q3 2016+0.7%+4.1%-17.8%
Q2 2016-1.4%-3.4%-1.6%
Q1 2016-1.4%-3.4%-1.6%
Q4 2015-10.0%
Q3 2015
Q2 2015
Q1 2015
Q4 2014
Q3 2014
Q2 2014
Q1 2014

Discussion

Share your read of this quarter. Sign-in carries your eToro identity.

Join the conversation

Sign in with eToro to post your read of this quarter and vote on others'.

Sign in with eToro