Strong Top-Line Revenue Growth
Total revenue for Q1 2026 was $191.2M, up 57% year-over-year, driven by growth in AUVELITY and SUNOSI and contributions from SYMBRAVO.
AUVELITY Commercial Performance
AUVELITY net product revenue of $153.2M in Q1 2026, up 59% YoY; more than 223,000 prescriptions in the quarter (+35% YoY); first-line/first-switch prescriptions increased to 56% of demand; ~60,000 unique prescribers since launch; commercial coverage 78% and total coverage 86% of lives.
Regulatory Milestone — New Indication for AUVELITY
FDA approval for AUVELITY for agitation associated with Alzheimer's disease (breakthrough therapy and priority review), making it a first-in-class option for a high-unmet-need population.
Updated AUVELITY Peak Sales Outlook
Company updated AUVELITY peak sales potential to at least $8 billion annual revenue at peak, with approximately equal contribution (~$4B) from MDD and Alzheimer's disease agitation.
SUNOSI and SYMBRAVO Momentum
SUNOSI net product revenue $33.9M in Q1 2026 (+34% YoY) with ~54,000 prescriptions (+16% YoY). SYMBRAVO showed launch momentum with ~17,000 prescriptions in the quarter and 36% growth vs Q4 2025.
Commercial Infrastructure Expansion
Expanded AUVELITY sales force to ~630 reps targeting ~68,000 HCPs; SYMBRAVO sales force expanded to ~150 reps; 5,500 new AUVELITY prescribers added in the quarter helping launch readiness for ADA indication.
Market Access Wins
SYMBRAVO secured a major commercial payer contract covering ~17 million lives; SUNOSI coverage steady at ~83% of lives; AUVELITY Medicare and Medicaid coverage at 100% in those channels.
Pipeline Progress and Business Development
NDA submitted for AXS-12 (cataplexy/narcolepsy); multiple Phase III trials starting in coming months (including solriamfetol programs, AXS-05 smoking cessation pivotal Phase II/III start); acquisition of AXS-20 (balipodect) added a PDE10A inhibitor with Phase III-enabling activities planned this year.
Balance Sheet and Cash Runway
Cash and cash equivalents $305M at quarter end (vs $323M year-end); company states cash sufficient to fund operations into cash flow positivity under current plan.