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Axsome Therapeutics, Inc. (AXSM)

Healthcare | Biotechnology | New York, United States | NasdaqGM
188.99 USD +4.80 (2.606%) ⇧ (April 17, 2026, 4 p.m. EDT)
After hours: 191.17 +2.17 (1.151%) ⇧ (April 17, 2026, 7:34 p.m. EDT)

Short-term: ★★★★☆ | Long-term: ★★★☆☆ | Dividends: ☆☆☆☆☆
Hot Take | April 19, 2026, 12:58 a.m. EDT

AXSM is in a high-stakes volatility setup around its $190-200 resistance. The $1.9B FDA decision mentioned in headlines is clearly the catalyst driving the options skew, creating a 'fencepost' scenario where buyers cluster at 200 while put sellers attract heavy downside speculation at 125-160. Long-term, the company is a cash-burning biopharma with negative P/E and ROA, making it a volatile beta play rather than a compounder, but the upcoming catalyst offers the only realistic path to the current upside targets.

Model Selection — Backtest MAE (log-scale, lower is better)
ModelMAE
AutoTheta ✓0.170248
AutoETS0.261619
AutoARIMA0.262763
MSTL0.269357

Forecast horizon: 45 days | Selected: AutoTheta

Forecast Reliability
Score 43%
H-stat 12.77
Ljung-Box p 0.000
Jarque-Bera p 0.085
Excess Kurtosis -1.20
Attribute Value
Sector Healthcare
Debt to Equity Ratio 247.028
Revenue per Share 12.835
Market Cap 9,667,460,096
Forward P/E 30.87
Beta 0.47
Profit Margins -28.69%
Website https://www.axsome.com

As of April 19, 2026, 12:58 a.m. EDT: Options data reveals a complex sentiment split. While short-term (May/June 2026) out-of-the-money (OTM) calls at resistance levels (200 strike for short-dated, 210+ for mid-term) show significant OI walls indicating bullish resistance bidding, the volume is heavily skewed toward puts on the backside (125-160 strikes). Specifically, 125-strike puts have massive OI (3.8k) and high IV (0.94), suggesting deep speculation on a potential drop to prior lows. This 'straddle' dynamic—a mix of upside momentum bets at 200+ and heavy downside insurance at 125-160—indicates speculators are positioning for high volatility around the $190-200 range, likely anticipating a binary event outcome. Implied Volatility (IV) has normalized around ATM (0.6-0.8), though deep OTM strikes show inflated IVs (1.25+) which may signal event risk.


Info Dump

Attribute Value
52 Week Change 0.83485436
Address1 One World Trade Center
Address2 29th Floor
All Time High 191.5
All Time Low 1.94
Ask 238.77
Ask Size 2
Audit Risk 7
Average Analyst Rating 1.2 - Strong Buy
Average Daily Volume10 Day 589,830
Average Daily Volume3 Month 609,482
Average Volume 609,482
Average Volume10Days 589,830
Beta 0.474
Bid 135.87
Bid Size 2
Board Risk 8
Book Value 1.735
City New York
Compensation As Of Epoch Date 1,735,603,200
Compensation Risk 8
Country United States
Crypto Tradeable 0
Currency USD
Current Price 188.99
Current Ratio 1.555
Custom Price Alert Confidence HIGH
Date Short Interest 1,774,915,200
Day High 190.23
Day Low 185.77
Debt To Equity 247.028
Display Name Axsome Therapeutics
Earnings Call Timestamp End 1,777,896,000
Earnings Call Timestamp Start 1,777,896,000
Earnings Timestamp 1,777,897,800
Earnings Timestamp End 1,777,897,800
Earnings Timestamp Start 1,777,897,800
Ebitda -160,171,008
Ebitda Margins -0.25086
Enterprise To Ebitda -59.703
Enterprise To Revenue 14.977
Enterprise Value 9,562,640,384
Eps Current Year -1.00662
Eps Forward 6.12162
Eps Trailing Twelve Months -3.69
Esg Populated 0
Exchange NGM
Exchange Data Delayed By 0
Exchange Timezone Name America/New_York
Exchange Timezone Short Name EDT
Fax 212 320 0245
Fifty Day Average 170.4691
Fifty Day Average Change 18.520905
Fifty Day Average Change Percent 0.1086467
Fifty Two Week Change Percent 83.485435
Fifty Two Week High 191.5
Fifty Two Week High Change -2.5099945
Fifty Two Week High Change Percent -0.013107021
Fifty Two Week Low 96.09
Fifty Two Week Low Change 92.90001
Fifty Two Week Low Change Percent 0.96680206
Fifty Two Week Range 96.09 - 191.5
Financial Currency USD
First Trade Date Milliseconds 1,447,943,400,000
Float Shares 43,239,364
Forward Eps 6.12162
Forward P E 30.872547
Free Cashflow -29,420,876
Full Exchange Name NasdaqGM
Full Time Employees 925
Gmt Off Set Milliseconds -14,400,000
Governance Epoch Date 1,775,001,600
Gross Margins 0.92564005
Gross Profits 591,017,984
Has Pre Post Market Data 1
Held Percent Insiders 0.1547
Held Percent Institutions 0.7579
Implied Shares Outstanding 51,153,289
Industry Biotechnology
Industry Disp Biotechnology
Industry Key biotechnology
Is Earnings Date Estimate 0
Language en-US
Last Fiscal Year End 1,767,139,200
Long Business Summary Axsome Therapeutics, Inc., a biopharmaceutical company, develops and delivers novel therapies for the management of central nervous system (CNS) disorders in the United States. The company's commercial product portfolio includes Auvelity (dextromethorphan-bupropion), a N-methyl-D-aspartate receptor antagonist, sigma-1 receptor agonist, aminoketone, and CYP2D6 inhibitor indicated for the treatment of major depressive disorder in adults; Sunosi (solriamfetol), a dopamine and norepinephrine reuptake inhibitor, trace amine-associated receptor 1 agonist, and 5-HT1A agonist indicated for the treatment of excessive daytime sleepiness in patients with narcolepsy or obstructive sleep apnea; and Symbravo (MoSEIC meloxicam rizatriptan), or AXS-07, a rapidly absorbed, multi-mechanistic, selective COX-2 inhibitor, and 5-HT1B/1D agonist indicated for the acute treatment of migraine with or without aura. It also develops AXS-05 (dextromethorphan-bupropion), an investigational N-methyl-D-aspartate receptor antagonist, which has completed Phase III clinical trial to treat Alzheimer's disease agitation, as well as that has completed phase II clinical trial for the treatment of smoking cessation; AXS-12 (reboxetine), a highly selective and potent norepinephrine reuptake inhibitor and cortical dopamine modulator, which has completed Phase II trial to treat narcolepsy; AXS-14 (esreboxetine), a selective and potent norepinephrine reuptake inhibitor that has completed Phase III trial for the treatment of fibromyalgia and other conditions; and Solriamfetol, a dopamine and norepinephrine reuptake inhibitor, which is in Phase III trial for treating attention deficit hyperactivity, major depressive, binge eating, and excessive sleepiness associated with shift work disorder. It has a research collaboration agreement with Duke University for evaluating AXS-05 in a Phase 2 clinical trial in smoking cessation treatment. The company was incorporated in 2012 and is based in New York, New York.
Long Name Axsome Therapeutics, Inc.
Market us_market
Market Cap 9,667,460,096
Market State CLOSED
Max Age 86,400
Message Board Id finmb_241907563
Most Recent Quarter 1,767,139,200
Net Income To Common -183,174,000
Next Fiscal Year End 1,798,675,200
Non Diluted Market Cap 9,667,460,088
Number Of Analyst Opinions 21
Open 186.91
Operating Cashflow -93,405,000
Operating Margins -0.1838
Overall Risk 8
Payout Ratio 0.0
Phone 212 332 3241
Post Market Change 2.1749878
Post Market Change Percent 1.150848
Post Market Price 191.165
Post Market Time 1,776,468,892
Previous Close 184.19
Price Eps Current Year -187.74712
Price Hint 2
Price To Book 108.927956
Price To Sales Trailing12 Months 15.140987
Profit Margins -0.28688
Quick Ratio 1.445
Quote Source Name Nasdaq Real Time Price
Quote Type EQUITY
Recommendation Key strong_buy
Recommendation Mean 1.2381
Region US
Regular Market Change 4.8
Regular Market Change Percent 2.60601
Regular Market Day High 190.23
Regular Market Day Low 185.77
Regular Market Day Range 185.77 - 190.23
Regular Market Open 186.91
Regular Market Previous Close 184.19
Regular Market Price 188.99
Regular Market Time 1,776,456,001
Regular Market Volume 767,238
Return On Assets -0.16812
Return On Equity -2.52115
Revenue Growth 0.65
Revenue Per Share 12.835
Sand P52 Week Change 0.38150132
Sector Healthcare
Sector Disp Healthcare
Sector Key healthcare
Share Holder Rights Risk 8
Shares Outstanding 51,153,289
Shares Percent Shares Out 0.0553
Shares Short 2,829,669
Shares Short Previous Month Date 1,772,150,400
Shares Short Prior Month 2,594,445
Short Name Axsome Therapeutics, Inc.
Short Percent Of Float 0.0656
Short Ratio 4.92
Source Interval 15
State NY
Symbol AXSM
Target High Price 260.0
Target Low Price 198.82
Target Mean Price 223.99142
Target Median Price 221.0
Total Cash 322,932,992
Total Cash Per Share 6.313
Total Debt 218,112,992
Total Revenue 638,496,000
Tradeable 0
Trailing Annual Dividend Rate 0.0
Trailing Annual Dividend Yield 0.0
Trailing Eps -3.69
Trailing Peg Ratio None
Triggerable 1
Two Hundred Day Average 143.5323
Two Hundred Day Average Change 45.457703
Two Hundred Day Average Change Percent 0.31670713
Type Disp Equity
Volume 767,238
Website https://www.axsome.com
Zip 10,007