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Bioxcel Therapeutics Inc (BTAI)
NASDAQ:BTAI
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Bioxcel Therapeutics (BTAI) AI Stock Analysis

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BTAI

Bioxcel Therapeutics

(NASDAQ:BTAI)

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Neutral 44 (OpenAI - 5.2)
Rating:44Neutral
Price Target:
$1.00
▼(-5.66% Downside)
Action:ReiteratedDate:04/02/26
Overall score is held down primarily by very weak financial performance (ongoing losses, cash burn, and negative equity with rising debt) and a bearish technical setup (price below key moving averages with negative MACD). Positive corporate events around IGALMI’s at-home label expansion provide meaningful upside optionality but are not enough to offset the current financial and trend risks.
Positive Factors
FDA sNDA acceptance for at-home IGALMI use
FDA acceptance and a defined PDUFA date materially increase the probability of a structural label expansion from supervised settings to at‑home use. If approved, this creates a durable uplift to addressable market, prescribing settings, and distribution channels versus current clinic-only sales.
Negative Factors
Negative equity and rising leverage
Negative equity combined with a materially larger debt load reduces financial flexibility and raises refinancing and covenant risks. With assets (~$44.9M) materially below debt, the balance sheet constrains investment, elevates dilution probability, and limits resilience to execution setbacks.
Read all positive and negative factors
Positive Factors
Negative Factors
FDA sNDA acceptance for at-home IGALMI use
FDA acceptance and a defined PDUFA date materially increase the probability of a structural label expansion from supervised settings to at‑home use. If approved, this creates a durable uplift to addressable market, prescribing settings, and distribution channels versus current clinic-only sales.
Read all positive factors

Bioxcel Therapeutics (BTAI) vs. SPDR S&P 500 ETF (SPY)

Bioxcel Therapeutics Business Overview & Revenue Model

Company Description
BioXcel Therapeutics, Inc. is a commercial-stage biopharmaceutical company utilizing artificial intelligence approaches to develop transformative medicines in neuroscience and immuno-oncology. The company's drug re-innovation approach leverages ex...
How the Company Makes Money
BioXcel Therapeutics generates revenue primarily from net product sales of IGALMI in the United States, selling the product into the pharmaceutical distribution channel (e.g., wholesalers) and recognizing revenue based on amounts expected to be re...

Bioxcel Therapeutics Earnings Call Summary

Earnings Call Date:Nov 14, 2024
(Q3-2024)
|
% Change Since: |
Next Earnings Date:May 11, 2026
Earnings Call Sentiment Neutral
The earnings call highlighted progress in clinical trials and significant financial improvements, such as reduced net loss and increased revenue over the nine-month period. However, challenges remain with decreased quarterly revenue, increased costs, and uncertainties regarding cash runway and financing.
Positive Updates
Phase III Trials Progress
BioXcel announced milestones with two pivotal Phase III trials for BXCL501, targeting agitation in bipolar disorder, schizophrenia, and Alzheimer's dementia.
Negative Updates
Decrease in Quarterly Revenue
Net revenue from IGALMI decreased to $214,000 in Q3 2024 from $341,000 in Q3 2023, primarily due to the timing of reorders.
Read all updates
Q3-2024 Updates
Negative
Phase III Trials Progress
BioXcel announced milestones with two pivotal Phase III trials for BXCL501, targeting agitation in bipolar disorder, schizophrenia, and Alzheimer's dementia.
Read all positive updates
Company Guidance
During the recent BioXcel Therapeutics Q3 2024 earnings call, the company provided guidance on its ongoing clinical trials and financial performance. Vimal Mehta, CEO, highlighted the advancement of two pivotal Phase III trials for BXCL501, targeting agitation associated with bipolar disorder, schizophrenia in the home setting, and Alzheimer's dementia. The SERENITY At-Home trial aims for a 9 to 12-month duration with 26 active sites enrolling 200 patients. Financially, the company reported $214,000 in net revenue from IGALMI, marking a decline from $341,000 in Q3 2023, but a 89% year-over-year increase in net revenue for the nine months ended September 30, 2024. Operating expenses saw a reduction, with research and development expenses at $5.1 million, down from $19.6 million the previous year, and selling, general, and administrative expenses reduced to $7.7 million from $24.3 million. The company recorded a net loss of $13.7 million, significantly improved from $50.5 million in Q3 2023, and ended the quarter with $40.4 million in cash and cash equivalents. BioXcel is focused on strengthening its balance sheet and exploring strategic financing alternatives to support its trials through to data readout.

Bioxcel Therapeutics Financial Statement Overview

Summary
Very weak fundamentals: minimal/volatile revenue, persistently large losses, and ongoing negative operating/free cash flow. Balance sheet risk is elevated with negative equity (2023–2025) alongside a growing debt load, implying continued financing/refinancing and potential dilution risk despite some improvement in burn versus 2023.
Income Statement
18
Very Negative
Balance Sheet
22
Negative
Cash Flow
15
Very Negative
BreakdownDec 2025Dec 2024Dec 2023Dec 2022Dec 2021
Income Statement
Total Revenue642.00K2.27M1.38M375.00K0.00
Gross Profit178.00K123.00K120.00K355.00K-297.00K
EBITDA-49.41M-44.16M-165.42M-157.22M-107.00M
Net Income-69.90M-59.60M-179.05M-165.76M-106.93M
Balance Sheet
Total Assets44.92M38.34M73.70M205.85M239.44M
Cash, Cash Equivalents and Short-Term Investments28.41M29.85M65.22M193.72M232.97M
Total Debt109.59M102.95M101.38M94.16M1.40M
Total Liabilities140.38M131.44M130.21M129.08M17.77M
Stockholders Equity-95.46M-93.10M-56.51M76.78M221.67M
Cash Flow
Free Cash Flow-57.62M-72.03M-155.03M-135.48M-82.60M
Operating Cash Flow-57.62M-72.03M-155.01M-135.34M-82.15M
Investing Cash Flow0.000.00-20.00K-139.00K-445.00K
Financing Cash Flow56.52M36.66M26.52M96.24M102.45M

Bioxcel Therapeutics Technical Analysis

Technical Analysis Sentiment
Negative
Last Price1.06
Price Trends
50DMA
1.46
Negative
100DMA
1.66
Negative
200DMA
2.24
Negative
Market Momentum
MACD
-0.14
Positive
RSI
32.67
Neutral
STOCH
11.23
Positive
Evaluating momentum and price trends is crucial in stock analysis to make informed investment decisions. For BTAI, the sentiment is Negative. The current price of 1.06 is below the 20-day moving average (MA) of 1.26, below the 50-day MA of 1.46, and below the 200-day MA of 2.24, indicating a bearish trend. The MACD of -0.14 indicates Positive momentum. The RSI at 32.67 is Neutral, neither overbought nor oversold. The STOCH value of 11.23 is Positive, not indicating any strong overbought or oversold conditions. Overall, these indicators collectively point to a Negative sentiment for BTAI.

Bioxcel Therapeutics Risk Analysis

Bioxcel Therapeutics disclosed 85 risk factors in its most recent earnings report. Bioxcel Therapeutics reported the most risks in the "Tech & Innovation" category.
Finance & Corporate - Financial and accounting risks. Risks related to the execution of corporate activity and strategy
Latest Risks Added 0 New Risks

Bioxcel Therapeutics Peers Comparison

Overall Rating
UnderperformOutperform
Sector (51)
Financial Indicators
Name
Overall Rating
Market Cap
P/E Ratio
ROE
Dividend Yield
Revenue Growth
EPS Growth
56
Neutral
$54.40M-0.79-62.53%35.80%
51
Neutral
$7.86B-0.30-43.30%2.27%22.53%-2.21%
48
Neutral
$39.53M-1.25-204.37%11.11%20.65%
46
Neutral
$465.48M-1.12-4.88%4121.12%83.30%
44
Neutral
$28.43M-0.3971.83%-66.96%71.83%
44
Neutral
$60.78M-2.46-159.43%62.84%
44
Neutral
$7.46M-0.56285.12%-100.00%32.37%
* Healthcare Sector Average
Performance Comparison
Ticker
Company Name
Price
Change
% Change
BTAI
Bioxcel Therapeutics
1.05
-0.77
-42.31%
ATNM
Actinium Pharmaceuticals
1.26
0.01
0.80%
KZR
Kezar Life Sciences
7.38
3.32
81.77%
ANVS
Annovis Bio
1.76
0.50
39.68%
BCAB
BioAtla
4.51
-11.25
-71.41%
IPSC
Century Therapeutics
2.59
2.09
418.00%

Bioxcel Therapeutics Corporate Events

Business Operations and StrategyProduct-Related AnnouncementsRegulatory Filings and Compliance
FDA Accepts BioXcel sNDA for At-Home IGALMI Use
Positive
Apr 1, 2026
On April 1, 2026, BioXcel Therapeutics, Inc. reported that the U.S. Food and Drug Administration accepted its supplemental New Drug Application for IGALMI, targeting the acute treatment of agitation linked to bipolar disorders or schizophrenia in ...
Business Operations and StrategyPrivate Placements and Financing
BioXcel Therapeutics Announces Registered Direct Equity Financing
Neutral
Mar 12, 2026
On March 10, 2026, BioXcel Therapeutics, Inc. entered into a securities purchase agreement for a registered direct offering of 2,480,294 shares of common stock with accompanying warrants, as well as pre-funded warrants for up to 2,020,491 addition...
Business Operations and StrategyProduct-Related AnnouncementsRegulatory Filings and Compliance
BioXcel Highlights IGALMI At-Home Acute Agitation Opportunity
Positive
Feb 12, 2026
On February 12, 2026, BioXcel Therapeutics reported completing an updated market opportunity assessment for IGALMI for at-home treatment of acute agitation in patients with bipolar disorders or schizophrenia, informed by its SERENITY At-Home clini...
Business Operations and StrategyExecutive/Board ChangesRegulatory Filings and Compliance
BioXcel sets milestone bonuses amid pivotal IGALMI review
Positive
Feb 6, 2026
On February 4, 2026, BioXcel Therapeutics entered into milestone and retention bonus agreements with key employees, including senior management, tied to its recent supplemental New Drug Application to the U.S. FDA for IGALMI for at-home treatment ...
Business Operations and StrategyProduct-Related AnnouncementsRegulatory Filings and Compliance
BioXcel seeks FDA approval for at-home IGALMI use
Positive
Jan 20, 2026
On January 20, 2026, BioXcel Therapeutics announced that it had submitted a supplemental New Drug Application on January 14, 2026 to the U.S. Food and Drug Administration seeking approval for IGALMI’s use in the at-home setting for the acute...
Glossary
BuyA stock rated as a "Buy" is expected to perform better than the overall market or a specific benchmark over the near-to-medium term. This rating suggests the stock is likely to deliver higher returns compared to other stocks in the same sector or market index. Note: This is not investment advice; please consult a financial advisor before making investment decisions.
HoldA stock rated as a "Hold" is expected to perform in line with the overall market or a specific benchmark. This rating indicates that the stock is neither particularly compelling nor unfavorable for investment. Note: This is not investment advice; please consult a financial advisor before making investment decisions.
SellA stock rated as a "Sell" is expected to perform worse than the overall market or a specific benchmark over the near-to-medium term. This rating suggests the stock may deliver lower returns compared to other stocks in the same sector or market index. Note: This is not investment advice; please consult a financial advisor before making investment decisions.

Disclaimer

This AI Analyst Stock Report is automatically generated by our AI systems using advanced algorithms and publicly available financial, technical, and market data. While the information provided aims to be accurate and insightful, it is intended for informational purposes only and should not be considered financial advice. Any content created by an AI (Artificial Intelligence) system may contain inaccuracies and/or contain errors. Investing in stocks carries inherent risks, and past performance is not indicative of future results. This report does not account for your personal financial circumstances, objectives, or risk tolerance. Always conduct your own research or consult with a qualified financial advisor before making investment decisions. The analysis and recommendations provided are based on historical and current data and may not fully reflect future market conditions or unexpected developments. Neither the creators of this report nor its affiliated entities guarantee the accuracy, completeness, or reliability of the information presented. Use this report at your own discretion and risk.Date of analysis: Apr 02, 2026