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Syndax Pharmaceuticals Inc (SNDX)
NASDAQ:SNDX

Syndax Pharmaceuticals (SNDX) AI Stock Analysis

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SNDX

Syndax Pharmaceuticals

(NASDAQ:SNDX)

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Neutral 51 (OpenAI - 5.2)
Rating:51Neutral
Price Target:
$24.50
▲(3.07% Upside)
Action:ReiteratedDate:02/27/26
The score is held back primarily by weak financial performance (large net losses and high, rising cash burn despite strong revenue growth and high gross margins). Technicals are neutral-to-slightly constructive based on longer-term moving averages but show limited near-term momentum. Earnings call commentary is a positive offset due to accelerating launches, strong cash balance, and guidance implying a path to profitability, while valuation remains constrained by negative earnings.
Positive Factors
High revenue growth & gross margins
Syndax's rapid revenue ramp to $172M in 2025 with ~96% gross margins indicates durable product pricing power and favorable unit economics typical of specialty oncology. High gross margins support long-term cash conversion as volume scales, improving operating leverage once fixed costs are absorbed.
Successful commercial launches & approvals
Delivering two successful launches and multiple approvals demonstrates repeatable R&D and commercial execution, establishing distribution, payer access and physician adoption. This builds structural advantages in sales infrastructure and formulary coverage that should sustain market penetration over multiple years.
Debt eliminated, lower financial risk
Eliminating debt reduces interest obligations and refinancing risk, improving financial flexibility to fund commercialization and trials from cash and revenue. A debt-free capital structure enhances resilience to setbacks and gives management more runway to execute strategy without near-term mandatory debt repayments.
Negative Factors
High and rising cash burn
OCF of -$323M signals substantial negative cash generation that has materially drawn down equity and liquidity. Persistent, rising cash burn forces reliance on existing cash or external funding and creates structural runway risk if revenue growth or margin expansion stalls over the next several quarters.
Expense run-rate well above current revenue
A ~$400M operating expense run-rate compared with $172M in revenue requires sustained, material revenue growth to achieve profitability. This structural spending/revenue gap increases dilution or liquidity risk if commercial scale or clinical timelines slip versus management assumptions.
Dependence on clinical readouts and duration gains
Long-term revenue hinges on extending Revuforj treatment duration and higher post‑transplant maintenance uptake, plus positive pivotal trial outcomes. This creates binary clinical and adoption risk: unfavorable readouts or slower duration gains would materially reduce projected lifetime revenue per patient and growth sustainability.

Syndax Pharmaceuticals (SNDX) vs. SPDR S&P 500 ETF (SPY)

Syndax Pharmaceuticals Business Overview & Revenue Model

Company DescriptionSyndax Pharmaceuticals, Inc., a clinical-stage biopharmaceutical company, develops therapies for the treatment of cancer. Its lead product candidates are SNDX-5613, which is in phase 1/2 clinical trial targeting the binding interaction of Menin with the mixed lineage leukemia 1 protein for the treatment of MLL-rearranged (MLLr) and nucleophosmin 1 mutant acute myeloid leukemia (NPM1c AML); and SNDX-6352 or axatilimab, a monoclonal antibody that blocks the colony stimulating factor 1, or CSF-1 receptor for the treatment of patients with chronic graft versus host disease (cGVHD). The company is also developing Entinostat. It also has collaborative research and development agreement with National Cancer Institute; a clinical trial agreement with Eastern Cooperative Oncology Group; and a license agreement with Kyowa Hakko Kirin Co., Ltd. Syndax Pharmaceuticals, Inc. was incorporated in 2005 and is headquartered in Waltham, Massachusetts.Massachusetts.
How the Company Makes MoneySyndax makes money primarily through product revenue from the sale of its FDA-approved therapies. Key revenue streams include (1) net product sales of REVUFORJ (revumenib) in markets where it is commercially launched, generated through sales to specialty distributors and other customers with revenue recognized net of expected rebates, discounts, chargebacks, returns, and other allowances typical for U.S. pharmaceuticals; and (2) net product sales of INREBIC (fedratinib) for myelofibrosis, similarly derived from commercial distribution channels and subject to standard gross-to-net adjustments. In addition to product sales, the company may generate revenue from collaboration and/or licensing arrangements such as upfront payments, milestones, and cost reimbursements or profit-sharing, when applicable; null for specific current partnership terms and amounts because they are not provided here. Earnings are influenced by factors common to commercial biopharma, including launch uptake, reimbursement coverage and payer mix (e.g., commercial vs. government), patient access programs, competition in hematology/oncology markets, and the company’s ability to expand labels or geographies and advance its pipeline into additional indications.

Syndax Pharmaceuticals Key Performance Indicators (KPIs)

Any
Any
Revenue by Type
Revenue by Type
Reveals how different revenue streams contribute to the overall income, highlighting the company’s diversification and potential reliance on specific products or services.
Chart InsightsSyndax Pharmaceuticals is experiencing robust growth in its Product revenue, driven by the successful launch and FDA approval of Revuforj, which significantly expanded its market. The recent earnings call highlighted a 21% revenue increase, with Revuforj and Niktimvo contributing significantly despite challenges like treatment pauses and higher gross to net adjustments. Collaboration revenue is also rising, reflecting strategic partnerships. The company's focus on expanding into new markets and maintaining a strong cash position suggests a positive trajectory towards profitability.
Data provided by:The Fly

Syndax Pharmaceuticals Earnings Call Summary

Earnings Call Date:Feb 26, 2026
(Q4-2025)
|
% Change Since: |
Next Earnings Date:May 11, 2026
Earnings Call Sentiment Positive
The call conveyed strong commercial momentum and meaningful scientific progress: two successful launches, accelerating quarter-over-quarter revenue growth (Revuforj +38% QoQ; Niktimvo +22% QoQ), solid real-world evidence, a healthy year-end cash balance ($394M) and multiple near- and mid-term clinical catalysts (frontline pivotal trials and an IPF readout). Offsetting factors include a high 2026 expense run-rate (~$400M), still-short average treatment duration in year one for Revuforj (4–6 months), incomplete post-transplant maintenance uptake (~40%–45%) and the risk that pending clinical readouts or competitive dynamics could temper expectations. On balance, highlights and growth drivers substantially outweigh near-term risks, but upcoming readouts and execution on duration/maintenance adoption and expense control are critical.
Q4-2025 Updates
Positive Updates
Multiple Approvals and Successful Launches
Syndax launched 2 first- and best-in-class medicines in 2025 and achieved its third FDA approval within ~1 year, demonstrating strong commercial and R&D execution.
Revuforj: Robust Revenue and Quarterly Acceleration
Revuforj generated $124.8M in net revenue in 2025; Q4 Revuforj net revenue was $44.2M, up 38% quarter-over-quarter, with total prescriptions up ~35% QoQ and new patient starts up ~20% in Q4.
Revuforj Market Penetration and Label Expansion (NPM1)
Approximately 1,050 patients treated commercially since launch; approaching ~50% penetration of the KMT2A incident population in year one. NPM1 label expansion triples the annual addressable population to ~6,500 patients and formulary coverage in NPM1 reached ~97% of lives within 4 months of approval; NPM1 represented roughly 30% of new starts in Q4 and management expects this to grow materially.
Niktimvo: Strong Launch Performance and Contribution
Niktimvo reported $56M in Q4 net revenue (+22% QoQ) and ~$151.6M in 2025 net revenue (first 11 months). Syndax recorded $42.4M in collaboration revenue from Niktimvo in 2025. To date ~13,500 infusions have been administered to >1,400 patients, with persistency ~60%–70% at month 10 and ~90% of U.S. bone marrow transplant centers having prescribed the drug.
Company-Level Financials and Cash Position
Total Syndax revenue in 2025 was $172.4M. Cash, cash equivalents and marketable securities were $394M at year-end 2025. Management expects to reach profitability without additional capital.
Pipeline Advancement and Clear Clinical Catalysts
Enrollment underway in pivotal frontline trials for revumenib (EVOLVE-2, REVEAL, RAVEN); MAXPIRe (axatilimab in IPF) completed enrollment (~135 patients) with topline data expected Q4 2026; Phase III axatilimab chronic GVHD trial (steroids combo) topline expected early 2028 and a Phase II (ruxolitinib combo) early 2027.
Real-World Evidence and Investigator Data Supporting Efficacy
Real-world evidence: Moffitt reported ORR ~77% and MRD negativity ~75% in relapsed/refractory patients treated primarily with revumenib combination regimens; investigator-maintenance and post-transplant data (MD Anderson, City of Hope) reported favorable tolerability and encouraging outcomes.
Expense Guidance and Stability
Management guided 2026 R&D + SG&A of approximately $400M (excluding ~$50M estimated noncash stock compensation) and expects expenses to be relatively flat quarter-to-quarter, indicating predictable investment levels into commercialization and development.
Negative Updates
High Operating Expense Run-Rate Versus Current Revenue
2026 guidance for R&D + SG&A of ~ $400M (excl. ~$50M noncash comp) contrasts with 2025 total revenue of $172.4M, implying a high near-term cash burn and substantial investment before (or while) profitability is achieved.
Profitability and Cash Runway Sensitivity
Although management expects to reach profitability without additional capital, the combination of a ~$400M expense run-rate and $394M of year-end cash suggests limited margin for unexpected setbacks or longer-than-expected ramp times for revenues.
Short Average Treatment Duration in Year One for Revuforj
Average treatment duration for Revuforj in 2025 was 4–6 months; management expects 6–12 months in year two, but the initial shorter duration limits 2025 revenue per patient and creates sensitivity to achieving the projected extension in duration.
Partial Post-Transplant Maintenance Uptake
Post-transplant maintenance resumption in KMT2A patients was ~40%–45% as of Q4 (up from ~35%–40% prior quarter); management targets materially higher steady-state uptake (management referenced potential 70%–80%), but realization of that outcome is uncertain.
Key Clinical and Regulatory Readouts Pending
Major value-driving catalysts (frontline pivotal trial outcomes for revumenib and the IPF Phase II topline in Q4 2026) remain pending; negative or inconclusive results would materially affect growth expectations and valuations.
Competitive and Market Share Uncertainty
A competing menin inhibitor is in the market; management reported minimal current impact but acknowledged that share in NPM1 and long-term competitive dynamics remain uncertain and will depend on ongoing clinical differentiation and execution.
Company Guidance
Syndax guided to continued top-line momentum and stable spending in 2026, citing key metrics: 2025 revenue was $172.4M (Revuforj $124.8M, partner‑reported Niktimvo $151.6M with $42.4M recorded by Syndax), Q4 Revuforj $44.2M (+38% QoQ) with prescriptions up ~35% and new patient starts up ~20% (≈1,050 patients treated since launch; ~50% penetration of KMT2A incident cases), Q4 Niktimvo $56M (+22% QoQ; ~13,500 infusions to >1,400 patients), Revuforj average treatment duration 4–6 months in 2025 (expected to extend to 6–12 months in year two), KMT2A transplant rate ~1/3 with 40–45% restarting therapy post‑transplant, NPM1 now expands annual addressable population to ~6,500 and has 97% formulary coverage, Niktimvo persistency ~60–70% at month 10 and ~20% share of 3L+ cGVHD so far; financial guidance includes R&D+SG&A of ~ $400M in 2026 (excl. ~$50M non‑cash stock comp), inventory at 2–3 weeks, a near‑term Niktimvo collaboration margin of ~25–30% of net sales that should improve as sales scale, $394M cash at 12/31/25, and an expectation to reach profitability without raising additional capital.

Syndax Pharmaceuticals Financial Statement Overview

Summary
Revenue is scaling rapidly in 2025 ($172.4M, +54.5% YoY) with exceptionally high gross margin (~96%) and debt reduced to $0, but the business remains heavily loss-making (2025 net income -$285.4M) with rising operating/free cash flow burn (OCF and FCF about -$323M). The sharp decline in equity ($64.6M) also indicates balance sheet capacity is being consumed by ongoing losses.
Income Statement
34
Negative
Revenue accelerated sharply in 2025 ($172.4M, +54.5% YoY) after ramping from a low base in 2024 ($23.7M) and zero revenue in 2022–2023, and gross margins are exceptionally high (~96%), consistent with a high-value biotech product mix. However, profitability is deeply negative: 2025 net income was -$285.4M with a net margin of about -166%, reflecting a cost structure that is still far ahead of current scale. Losses remain large and persistent post-2021, highlighting execution risk and a continued need for operating leverage to emerge.
Balance Sheet
41
Neutral
Leverage improved materially in 2025 with total debt at $0 versus $345.7M in 2024, which reduces financial risk. The trade-off is a much thinner equity base: stockholders’ equity fell to $64.6M in 2025 (from $288.1M in 2024 and $554.2M in 2023), and return on equity is sharply negative due to ongoing losses. Overall assets also declined to $529.7M in 2025 from $724.8M in 2024, suggesting balance sheet capacity is being consumed by operating burn.
Cash Flow
26
Negative
Cash generation remains the key weakness: operating cash flow was -$323.0M in 2025 (worse than -$274.9M in 2024), and free cash flow was similarly negative at -$323.2M. While free cash flow tracked net income closely (free cash flow to net income ~1.0), indicating limited earnings-quality distortion, the absolute magnitude of cash burn is high and rising, implying continued reliance on external funding or balance sheet liquidity.
BreakdownDec 2025Dec 2024Dec 2023Dec 2022Dec 2021
Income Statement
Total Revenue172.35M23.68M0.000.00139.71M
Gross Profit165.38M22.85M0.000.00139.71M
EBITDA-251.64M-313.82M-209.14M-146.17M26.87M
Net Income-285.42M-318.76M-209.36M-149.34M24.93M
Balance Sheet
Total Assets529.71M724.82M612.88M497.24M449.66M
Cash, Cash Equivalents and Short-Term Investments394.07M582.91M577.58M484.40M446.83M
Total Debt346.48M345.74M1.64M1.16M20.97M
Total Liabilities465.08M436.69M58.68M29.79M41.29M
Stockholders Equity64.63M288.12M554.20M467.45M408.37M
Cash Flow
Free Cash Flow-323.17M-274.90M-160.60M-133.90M29.00M
Operating Cash Flow-322.98M-274.90M-160.60M-133.68M29.13M
Investing Cash Flow290.04M-219.78M117.61M-186.19M-40.87M
Financing Cash Flow13.68M353.37M264.13M172.25M118.46M

Syndax Pharmaceuticals Technical Analysis

Technical Analysis Sentiment
Positive
Last Price23.77
Price Trends
50DMA
21.32
Positive
100DMA
19.70
Positive
200DMA
16.28
Positive
Market Momentum
MACD
0.87
Negative
RSI
62.52
Neutral
STOCH
66.59
Neutral
Evaluating momentum and price trends is crucial in stock analysis to make informed investment decisions. For SNDX, the sentiment is Positive. The current price of 23.77 is above the 20-day moving average (MA) of 22.04, above the 50-day MA of 21.32, and above the 200-day MA of 16.28, indicating a bullish trend. The MACD of 0.87 indicates Negative momentum. The RSI at 62.52 is Neutral, neither overbought nor oversold. The STOCH value of 66.59 is Neutral, not indicating any strong overbought or oversold conditions. Overall, these indicators collectively point to a Positive sentiment for SNDX.

Syndax Pharmaceuticals Risk Analysis

Syndax Pharmaceuticals disclosed 55 risk factors in its most recent earnings report. Syndax Pharmaceuticals 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

Syndax Pharmaceuticals Peers Comparison

Overall Rating
UnderperformOutperform
Sector (51)
Financial Indicators
Name
Overall Rating
Market Cap
P/E Ratio
ROE
Dividend Yield
Revenue Growth
EPS Growth
57
Neutral
$1.04B-10.26-34.23%522.13%62.68%
57
Neutral
$837.05M-3.32-282.01%-13.14%
57
Neutral
$1.93B-101.811813.84%196.42%53.92%
51
Neutral
$7.86B-0.30-43.30%2.27%22.53%-2.21%
51
Neutral
$2.10B-6.38-206.62%597.19%0.45%
50
Neutral
$1.53B-14.96-57.48%1137.19%70.51%
45
Neutral
$962.25M-6.92-174.03%-44.90%11.49%
* Healthcare Sector Average
Performance Comparison
Ticker
Company Name
Price
Change
% Change
SNDX
Syndax Pharmaceuticals
23.77
10.65
81.17%
GERN
Geron
1.62
-0.08
-4.71%
QURE
uniQure
15.62
1.58
11.25%
KALV
KalVista Pharmaceuticals
16.56
4.46
36.86%
ANAB
AnaptysBio
67.29
50.85
309.31%
NUVB
Nuvation Bio
4.40
2.42
122.22%

Syndax Pharmaceuticals Corporate Events

Business Operations and StrategyFinancial Disclosures
Syndax Highlights Strong 2025 Results and Path to Profitability
Positive
Jan 12, 2026

On January 12, 2026, Syndax Pharmaceuticals reported preliminary, unaudited financial results for the fourth quarter and full year 2025, highlighting strong commercial uptake of its two recently launched products and progress toward profitability. Revuforj generated approximately $44 million in net revenue in the fourth quarter and $125 million for 2025, with a 38% sequential quarterly revenue increase following its October 24, 2025 FDA approval in relapsed or refractory NPM1-mutant AML and a roughly 35% rise in prescriptions, while also earning the 2025 Scrip Awards “Best New Drug” accolade and advancing into multiple Phase 3 and access-expansion programs. Niktimvo delivered about $56 million in fourth-quarter and $152 million in full-year 2025 net revenue, from which Syndax expects to recognize 25–30% as its share of net revenue when full-year results are reported, underpinning a growing royalty and profit-share stream from its collaboration with Incyte. The company ended 2025 with roughly $394 million in cash, cash equivalents and marketable securities and guided to about $400 million in 2026 operating expenses (excluding non-cash stock compensation), stating that its current cash plus anticipated product revenue and interest income are expected to fund operations through the transition to profitability, while it prioritizes revenue growth from Revuforj and Niktimvo and executes on a broad set of 2026 clinical milestones, including Phase 2 and Phase 3 trials in idiopathic pulmonary fibrosis and frontline acute leukemia.

The most recent analyst rating on (SNDX) stock is a Buy with a $56.00 price target. To see the full list of analyst forecasts on Syndax Pharmaceuticals stock, see the SNDX Stock Forecast page.

Business Operations and StrategyRegulatory Filings and Compliance
Syndax Pharmaceuticals Modernizes Bylaws for Electronic Share Issuance
Neutral
Dec 19, 2025

On December 18, 2025, the Board of Directors of Syndax Pharmaceuticals approved amendments to the company’s Amended and Restated Bylaws that change how its capital stock is issued and documented. Effective that date, all newly issued shares will be in uncertificated form, while any shares already represented by physical certificates before December 18, 2025, will remain certificated until those certificates are surrendered to the company, signaling a shift toward a fully electronic share record-keeping system that may streamline corporate administration and modernize shareholder documentation practices.

The most recent analyst rating on (SNDX) stock is a Buy with a $35.00 price target. To see the full list of analyst forecasts on Syndax Pharmaceuticals stock, see the SNDX Stock Forecast page.

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: Feb 27, 2026