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Dec 31, 2023

Axsome Q4 2023 Earnings Report

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

Key Takeaways

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.

Total Revenue
$71.5M
Previous year: $24.4M
+193.5%
EPS
-$0.73
Previous year: -$1.41
-48.2%
R&D Expenses
$30.8M
Previous year: $14.7M
+109.5%
SG&A Expenses
$86.8M
Previous year: $61.5M
+41.2%
Shares Outstanding
47.35M
Gross Profit
$64.2M
Previous year: $22.1M
+190.5%
Cash and Equivalents
$386M
Previous year: $201M
+92.3%
Free Cash Flow
-$30.4M
Previous year: -$27.7M
+9.5%
Total Assets
$588M
Previous year: $331M
+77.5%

Axsome

Axsome

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.

Positive Outlook

  • 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.