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← CockpitCompetitor Analysis › AXSM Axsome Therapeutics, Inc.Open in the cockpit ↗

Axsome Therapeutics, Inc.AXSMCompetitor analysis, valuation and peers

United States · USD·Health Care›Biotechnology

CNS biotech selling Auvelity for depression and developing/marketing other neuroscience drugs for narcolepsy and migraine.

Momentum laggard 9
Mkt cap
$6.96B
US dollars, full cap
Free float
84%
of shares outstanding
$/day
$161M
20-day average traded
Fwd P/E
75.5×
forward earnings
ROIC−WACC
n/a
WACC 9.0%
Hurdle
n/a
no reverse DCF
Next earnings
115 days
1 Mar 2027
Close · USD$132.37
1D+2.0%
1W-8.3%
1M-22.2%
3M-40.1%
6M-39.1%
YTD-27.5%
1Y-2.5%
ATR %6.0%
Beta0.53
52w lowhigh49.1% off high

What Axsome Therapeutics does

CNS biotech selling Auvelity for depression and developing/marketing other neuroscience drugs for narcolepsy and migraine.

Sells prescription drugs in the US through its own sales team, with Auvelity leading sales and Sunosi bought from Jazz Pharmaceuticals in 2022. Prescription growth and insurer coverage, rather than price, drive revenue, and further sales depend on getting approval for additional uses of its existing drugs.

Products and services

  • Auvelity (major depressive disorder)
  • Sunosi (narcolepsy/excessive sleepiness)
  • Symbravo (migraine, newly approved)

Customers

  • Psychiatrists and primary care physicians treating
  • Sleep medicine specialists

Where it sits in the supply chain

  • Healthcare
  • Biotechnology
  • CNS/neuroscience drug discovery and…

What could go right

  • Auvelity prescription growth/payer coverage expansion
  • New drug launches (Symbravo)

What could go wrong

  • Payer/formulary access hurdles for newer branded drugs
  • Competitive CNS drug launches

Moat: narrow (IP / patents, regulatory licence). A novel NMDA-receptor mechanism (Auvelity) is patent-protected and differentiated from standard antidepressants.

Headquarters: New York, New York, US · Founded: 2012 · Employees: 925

Named competitors

Axsome Therapeutics at a glance

Size Axsome Therapeutics (AXSM) is a United States Health Care company (Biotechnology) with a market value of $6.96B, the 964th largest of 3,117 United States companies the cockpit tracks. Shares closed at $132.37 on 6 Nov 2026.

Performance Over six months the shares fell 39.1%, against +2.4% for the median peer and -1.1% for the United States market (cap-weighted) — lowest of 21 in its peer set.

Growth Revenue grew 54.2% over the last twelve months (peer median +18.0%); the operating margin is -18.9% (peer median -2.3%).

Valuation It trades at 75.5× forward earnings against a peer median of 69.9× (3rd most expensive of 8).

Short interest Short interest is 5.9% of the free float (15 Oct 2026).

Next results Next results expected around 1 Mar 2027 (exchange calendar; dates can move).

Relative performance

608010012011 May 202611 Aug 20266 Nov 2026Peer median 104AXSM 61
Six months, rebased to 100: Axsome Therapeutics against the median of its 20 peers (local-currency closes).

Axsome Therapeutics financials

Reported figures in USD; fiscal year ends 2025-12-31. TTM = trailing twelve months.
TTMFY2025FY2024FY2023FY2022
Revenue$865M$638M$386M$271M$50.0M
Revenue growth—+66%+43%+441%—
Gross profit$796M$582M$344M$238M$39.3M
EBITDA-$153M-$160M-$244M-$176M-$170M
Net income-$157M-$183M-$287M-$239M-$187M
Free cash flow-$82.6M-$93.9M-$129M-$146M-$117M
Capital expenditure$839,000$480,000$270,000$582,000$702,109
Total debt$224M$218M$203M$186M$94.7M

Quarterly statements and history in the cockpit →

Axsome Therapeutics competitor charts

The default views of Competitor Analysis ▸ Charts, drawn from the same data. Open them in the cockpit to change the axes, pin companies and read every value.

Performance: 6-month against 1-month return

0%+50%+100%+150%-20%0%CAICGONIMVTTXGKODTWSTARWRSRRK33471548COGTANTHEMKRYS1530EWTX002252CRSPPCVXAXSM6-month return →1-month return →
Up and to the right = strong over both horizons. Axsome Therapeutics is the large dot.

Fundamentals: revenue growth against valuation

0%+50%+100%0×100×200×300×CAI33471548ANTHEMKRYS1530002252AXSMRevenue growth (TTM) →Forward P/E →
Further right = faster growth; higher = more expensive. The dashed lines are the peer medians. Axsome Therapeutics is the large dot.

Axsome Therapeutics competitors and peer comparison

Head to head with its named competitors (AXSM vs JNJ vs 4578.T vs JAZZ)
CompanyMarket cap6M returnRevenue growthOp. marginForward P/EReq g
Axsome Therapeutics AXSM$6.96B-39%+54%-19%75.5×n/a
Johnson & Johnson JNJ$665B+26%+8%26%24.5×3.5%
Otsuka Hldgs 4578.T$38.6B+2%+11%18%16.3×0.4%
Jazz Pharmaceuticals Public JAZZ$15.1B+4%+13%25%8.9×-3.9%

How Axsome Therapeutics compares with its peers

Peer set: Industry: the same industry and sector in any market, nearest in size. This is the same default set the interactive Competitor Analysis opens with.

Axsome Therapeutics against its 20 peers (data as of 6 Nov 2026)
MeasureAXSMPeer medianRank in peer set
1-month return-22.2%-1.2%3rd lowest of 21
6-month return-39.1%+2.4%lowest of 21
Distance from 52-week high-49.1%-29.4%2nd lowest of 21
Revenue growth (TTM)+54.2%+18.0%4th highest of 15
Operating margin-18.9%-2.3%7th lowest of 15
Forward P/E75.5×69.9×3rd most expensive of 8

Peer table

Peer set: Industry: the same industry and sector in any market, nearest in size
CompanyMarketMarket cap6M returnRevenue growthOp. marginForward P/EReq gDelivered g
Axsome Therapeutics AXSMUnited States$6.96B-39%+54%-19%75.5×n/an/a
Caris Life Sciences CAIUnited States$7.13B+56%+85%15%86.1×18.7%+85.4%
CG Oncology CGONUnited States$6.74B+9%+1,030%-4,056%n/an/an/a
Immunovant IMVTUnited States$6.31B+5%n/an/an/an/an/a
10x Genomics TXGUnited States$7.72B+174%-4%-14%n/a41.8%+16.6%
Kodiak Sciences KODUnited States$6.24B+142%n/an/an/an/an/a
Twist Bioscience TWSTUnited States$7.95B+112%+19%-32%n/an/an/a
Arrowhead Pharmaceuticals ARWRUnited States$8.22B-20%+17%-34%n/an/an/a
Scholar Rock SRRKUnited States$5.72B-3%n/an/an/an/an/a
Hangzhou Tigermed Consulting 3347.HKHong Kong$5.65B-1%+22%10%71.8×28.3%+15.6%
Genscript Biotech 1548.HKHong Kong$8.81B+96%+53%12%297.9×36.5%+19.8%
Cogent Biosciences COGTUnited States$5.49B-9%n/an/an/an/an/a
Anthem Biosciences ANTHEM.NSIndia$5.46B+17%-1%35%69.9×36.7%+26.2%
Krystal Biotech KRYSUnited States$8.92B-2%+26%48%34.7×11.9%+26.0%
Chongqing Zhifei Biological Products 300122.SZChina$5.35B-2%-28%-210%n/a-6.4%-10.0%
3SBio 1530.HKHong Kong$4.92B-34%+102%61%13.7×n/an/a
Edgewise Therapeutics EWTXUnited States$4.89B+28%n/an/an/an/an/a
Shanghai RAAS Blood Products 002252.SZChina$4.89B-11%-22%17%13.7×n/an/a
CRISPR Therapeutics CRSPUnited States$4.86B-9%-34%-2,059%n/an/an/a
Vaxcyte PCVXUnited States$10.1B+21%n/an/an/an/an/a
Dianthus Therapeutics DNTHUnited States$4.81B-1%-61%-11,441%n/an/an/a

Questions

Who are Axsome Therapeutics's main competitors?
Named competitors: Johnson & Johnson (Spravato) (JNJ), Otsuka (Rexulti) (4578.T), Jazz Pharmaceuticals (JAZZ). The cockpit's measured peer set (industry) also includes Caris Life Sciences (CAI), CG Oncology (CGON), Immunovant (IMVT), 10x Genomics (TXG), Kodiak Sciences (KOD), Twist Bioscience (TWST).
Is Axsome Therapeutics expensive compared with its peers?
On forward p/e it trades at 75.5× against a peer median of 69.9×, 3rd most expensive of 8 in its peer set.
How has Axsome Therapeutics stock performed?
Over six months to 6 Nov 2026 the shares returned -39.1% against +2.4% for the median peer; over one year -2.5%.

How these numbers are made. Returns are close-to-close in local currency. Revenue growth and margins are trailing twelve months. Req g is the revenue growth that today's enterprise value requires for seven years at the company's own cost of capital; Delivered g is what it actually grew; the gap is the hurdle (honest precision about ±8 points, so read the ranking more than the decimal). No fair values, price targets or analyst ratings are shown, by design. Method and validation.