Strong Top-Line Revenue Growth
Total product revenue of $196,000,000 in Q4 2025, up 65% year-over-year; full year 2025 revenue of $638.5 million, up 66% year-over-year.
Auvelity Rapid Commercial Success
Auvelity net product sales of $155.1 million in Q4 2025 (up 68% YoY) and $507.1 million for the full year (up 74% YoY), surpassing $500 million in its third full year from launch; >225,000 prescriptions in the quarter (+42% YoY, +8% sequential) and ~52,000 unique prescribers since launch.
Sunosi Continued Growth
Sunosi net product revenue of $36.7 million in Q4 2025, up 40% YoY, and $124.8 million for the full year (up 32% YoY); >54,000 prescriptions in the quarter (+11% YoY, +3% sequential) and ~15,100 cumulative prescribers.
Cymbravo Early Launch Momentum
Cymbravo generated $4.1 million in Q4 net sales and $6.6 million for the full year following its second full quarter of launch; >13,000 total prescriptions with ~5,300 new patients started in the quarter and contracting with a third large commercial GPO to enable negotiations with major payers.
Pipeline Advancement and Regulatory Milestone
sNDA for Auvelity in Alzheimer's disease agitation accepted with Priority Review and PDUFA action date of April 30, 2026; launch readiness underway. Multiple pipeline moves: imminent NDA submission for AXS-12 (narcolepsy), Phase III initiation plans for AXS-05 (smoking cessation) in Q2, Phase III starts/updates for solriamfetol across ADHD, binge eating disorder (ENGAGE topline expected H2 2026), MDD with EDS (startup this quarter), and AXS-14 Phase III FORWARD initiated in fibromyalgia.
Strategic Acquisition and New Program
In-licensed AZD7325 (now AXS-17) with favorable safety in >700 patients to date; planning Phase II-enabling activities targeting epilepsy based on compelling preclinical seizure-model data.
Improved Profitability Trends and Cash Position
Q4 2025 net loss narrowed to $28.6 million ($0.56/sh) vs. $74.9 million in Q4 2024; full year net loss improved to $183.2 million ($3.68/sh) from $287.2 million in 2024. Cash and equivalents of $323.0 million at year-end (vs. $315.0 million prior year) and management expects cash sufficient to fund operations into cash-flow positivity under the current plan.
Commercial Infrastructure Scaling
Sales force expansion underway to ~600 representatives (from ~300) to support MDD growth and potential Alzheimer's agitation launch; DTC campaign produced new patient starts inflection with optimization planned for 2026.