Akebia Therapeutics
Markets kidney-disease medicines while advancing rare-renal and HIF programs.
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Profile
Sells Vafseo for dialysis-related anemia and Auryxia for phosphorus control and iron-deficiency anemia, with partner economics outside the United States and a consolidated reportable structure. The business is concentrated in kidney disease, shaped by dialysis-organization protocols, Auryxia generic pressure, and clinical progress in rare kidney programs.
Markets FDA-approved kidney-disease medicines: Vafseo, an oral HIF-PH inhibitor for anemia due to chronic kidney disease in adults on dialysis, and Auryxia, ferric citrate for dialysis-related phosphorus control and iron-deficiency anemia in non-dialysis CKD.
Operates from Cambridge with a focused commercial organization. Vafseo depends on dialysis-organization contracts and prescribing protocols, while Auryxia remains revenue-relevant but faces generic pressure after loss of exclusivity.
Funds development through product sales, partner economics, and licensing relationships covering Vafseo and ferric citrate outside the U.S. The pipeline includes praliciguat, AKB-097, and earlier HIF programs for rare kidney and related renal conditions.
Company facts
Key statistics
Year to date −43.2% · Average volume (30d) 5.8M
Analysts
Ratings
Target range
Latest analyst notes
| Date | Firm | Action | Prior rating | Rating | Target |
|---|---|---|---|---|---|
| Aug 7, 2026 | Leerink Partners | Downgrade | Outperform | Market Perform | $1 |
| Feb 6, 2026 | Piper Sandler | Reiterate | Overweight | $4 |
Earnings
EPS
Revenue
History
| Report date | EPS est | EPS | Surprise | Revenue est | Revenue | Surprise | Next session |
|---|---|---|---|---|---|---|---|
| Aug 5, 2026Q2 FY26 | −$0.04 | −$0.02 | +52.4% | $48.9M | $49.1M | +0.6% | −26.02% |
| May 7, 2026Q1 FY26 | −$0.01 | −$0.03 | −200.0% | $51.7M | $53.5M | +3.6% | −1.69% |
| Feb 26, 2026Q4 FY25 | −$0.03 | −$0.05 | −66.7% | $46.1M | $57.6M | +25.0% | −0.76% |
| Nov 10, 2025Q3 FY25 | −$0.06 | $0.00 | +103.3% | $48.4M | $58.8M | +21.5% | +8.38% |
Financial highlights
| 12 quarters | Q1 FY25 | Q2 FY25 | Q3 FY25 | Q4 FY25 | Q1 FY26 | Q2 FY26 | |
|---|---|---|---|---|---|---|---|
| Revenue | $57.3M | $62.5M | $58.8M | $57.6M | $53.5M | $49.1M | |
| Gross profit | $49.7M | $52.6M | $49.1M | $45.4M | $40.9M | $38.7M | |
| Operating income | $13.5M | $14.1M | $4.4M | −$8.6M | −$4.7M | −$6.3M | |
| Net income | $6.1M | $247.0K | $540.0K | −$12.2M | −$9.1M | −$8.9M | |
| Diluted EPS | $0.03 | $0.00 | $0.00 | −$0.05 | −$0.03 | −$0.03 | |
| Gross margin | 86.7% | 84.1% | 83.5% | 78.8% | 76.4% | 78.8% | |
| Operating margin | 23.6% | 22.6% | 7.6% | -14.8% | -8.8% | -12.9% |
Fiscal years (4-quarter sums)FY21 $211.7M · FY22 $292.0M · FY23 $194.6M · FY24 $160.2M · FY25 $236.2M
Revenue by product · Q2 FY26
Balance sheet, Jun 30, 2026Cash & short-term investments $155.5M · Total debt $54.0M · Total assets $349.7M · Shareholders' equity $25.0M
Dividends
No dividends on record.
Ownership
Shares outstanding 268.26M · Float 262.01M · 97.7% free float
Top shareholders13F · 13D/G · Form 4
| Holder | Shares | % outstanding | Form | Filed |
|---|---|---|---|---|
| BlackRock, Inc. | 18.69M | 6.97% | 13F | May 13, 2026 |
| State Street Corp | 11.61M | 4.33% | 13F | May 15, 2026 |
| Vanguard Capital Management LLC | 11.17M | 4.16% | 13F | May 15, 2026 |
| Geode Capital Management, LLC | 6.45M | 2.41% | 13F | May 15, 2026 |
| John P. Butler · director, officer: CEO and President | 3.78M | 1.41% | Form 4 | Aug 10, 2026 |
Insider tradesForm 4
| Date | Insider | Role | Shares | Avg price |
|---|---|---|---|---|
| Jun 29, 2026 | Erik Ostrowski | officer: SVP, CFO, CBO & Treasurer | −56,019 | $1.11 |
| Mar 4, 2026 | John P. Butler | director, officer: CEO and President | +69,270 | $1.25 |
| Feb 2, 2026 | John P. Butler | director, officer: CEO and President | −341,305 | $1.39 |
| Feb 2, 2026 | Erik Ostrowski | officer: SVP, CFO, CBO & Treasurer | −34,951 | $1.39 |
| Feb 2, 2026 | Carolyn M. Rucci | officer: SVP, Chief Legal Officer | −69,772 | $1.39 |
Peers
- Amgen
Incumbent ESAs for dialysis and CKD anemia management
- Teva (ADR)
Generic ferric citrate pressure on Auryxia
- Ardelyx
Non-binder phosphorus control alternative to Auryxia
- Fresenius Medical Care (ADR)
Dialysis-channel phosphate products around Velphoro
- Sanofi (ADR)
Sevelamer phosphate binders against Auryxia
- Johnson & Johnson
Epoetin alfa ESA alternative in CKD anemia
CompareAfter-hours close
| Company | Price | Change | |||||
|---|---|---|---|---|---|---|---|
| Akebia Therapeutics | $0.8897 | +1.13% | $235.7M | — | — | 1.1 | −21.4% |
| Amgen | $430.27 | −0.49% | $233.38B | 26.9 | 18.4 | 6.1 | +9.7% |
| Teva (ADR) | $36.30 | −0.36% | $42.44B | 60.7 | 12.9 | 2.5 | −0.8% |
| Ardelyx | $3.84 | +0.75% | $941.2M | — | — | 2.1 | +23.8% |
| Fresenius Medical Care (ADR) | $23.10 | +0.13% | $12.41B | 11.9 | 16.7 | 0.5 | −0.7% |
| Sanofi (ADR) | $44.83 | +0.02% | $107.62B | 78.9 | — | 1.9 | +11.2% |
| Johnson & Johnson | $268.40 | +0.13% | $645.95B | 31.1 | 22.4 | 6.6 | +6.6% |
| Median | 31.1 | 17.6 | 2.3 | +8.1% |








