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AKBA Akebia Therapeutics, Inc. - Fundamental Analysis

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AKBA Stock | Fundamental Analysis & Investment Insights
NASDAQ Healthcare Drug Manufacturers - Specialty & Generic
Current Price Live
$1.36
Analyst Target
$5.4
+297.1% Upside
52W High
$4.08
52W Low
$1.3

At a glance

Key valuation, profitability, growth, and risk metrics.

Updated Jan 24, 2026
Market cap
$360.9M
P/E
N/A
ROE
N/A
Profit margin
-7.1%
Debt/Equity
4.78
Dividend yield
N/A

AI Analysis

Powered by advanced machine learning algorithms

Confidence Score
65%
Analysis Accuracy
The Advanced Deterministic Scorecard shows a Piotroski F-Score of 4/9, indicating stable but not strong financial health, while the Altman Z-Score is unavailable, limiting bankruptcy risk assessment. Despite a high revenue growth rate of 57% YoY and strong analyst recommendation of 'strong_buy', the company remains unprofitable with a negative profit margin of -7.07% and elevated Debt/Equity of 4.78, raising sustainability concerns. Valuation metrics such as a Price/Book of 8.66 and Forward P/E of 8.00 suggest pricing ahead of fundamentals, while insider sentiment is weak at 40/100. The stock trades significantly below the $5.40 analyst target, implying upside potential if execution improves.

Key Strengths

Exceptional year-over-year revenue growth of 57.00%, outpacing sector average of 62.37% and signaling strong commercial traction
High gross margin of 83.32%, reflecting pricing power and low cost of goods, typical of specialty pharma business models
Recent earnings surprises are strongly positive, with 3 out of last 4 quarters beating estimates and an average surprise of 120.58%
Current Ratio of 1.94 and Quick Ratio of 1.74 indicate sufficient short-term liquidity to meet obligations
Analyst consensus is 'strong_buy' with a $5.40 target price, implying ~297% upside from current levels

Key Risks

Piotroski F-Score of 4/9 indicates borderline financial health, with risk of deterioration if profitability or leverage worsens
Debt/Equity ratio of 4.78 is significantly above sector average of 2.70, increasing financial risk and refinancing pressure
Profit margin is negative at -7.07%, and ROE is unavailable, suggesting ongoing unprofitability and weak return generation
Insider sentiment is weak at 40/100, indicating lack of confidence from company insiders despite bullish analyst views
Technical trend score of 0/100 signals strong bearish momentum, with 1-year return of -43.1% and 6-month return of -61.8%
AI Fair Value Estimate
Based on comprehensive analysis
$5.4
+297.1% above current price

Performance Snowflake

Multi-dimensional analysis across 5 key categories

Overall
42
Moderate
Value
45
Future
75
Past
50
Health
40
Dividend
0
AI Verdict
Cautiously optimistic with significant execution and financial risk
Key drivers: High revenue growth and analyst optimism, Improving earnings trends and strong gross margins, Elevated leverage and weak profitability, Bearish technicals and weak insider sentiment
Confidence
70%
Value
45/100

Ref P/E, PEG, Graham Number

Positives
  • Forward P/E of 8.00 is low relative to sector average P/E of 203.10
Watchpoints
  • Price/Book of 8.66 is high for a company with negative earnings and weak ROE
  • No Graham Number available, indicating lack of defensive value support
Future
75/100

Ref Growth rates

Positives
  • Revenue Growth (YoY) of 57.00% is robust
  • Most Recent Q/Q EPS Growth of +120.0% and YoY EPS Growth of +125.0% signal accelerating profitability
Watchpoints
  • Earnings Growth (YoY) is listed as N/A, indicating inconsistency or non-GAAP reporting
Past
50/100

Ref Historical trends

Positives
  • Recent quarters show improved earnings performance with multiple large positive surprises
Watchpoints
  • Historical EPS surprises are volatile, with several large negative misses prior to 2023
  • Long-term price performance is weak: 5Y change of -63.3%
Health
40/100

Ref Altman Z-Score, Piotroski F-Score

Positives
  • Current and Quick Ratios above 1.7 indicate short-term liquidity adequacy
Watchpoints
  • Piotroski F-Score of 4/9 indicates only moderate financial stability
  • Debt/Equity of 4.78 is dangerously high, increasing risk of distress
  • Altman Z-Score is unavailable, limiting distress risk assessment
Dividend
0/100

Ref Yield, Payout

Positives
No standout positives identified.
Watchpoints
  • Dividend Strength is 0/100
  • No dividend yield or payout history, typical for unprofitable biotech firms

Stock Price & Analyst Targets

Real-time price movements and analyst price targets

Current Price
$1.36
Analyst Target
$5.4
Upside/Downside
+297.1%

Multi-Horizon Performance vs Peers

Price momentum across 5Y → 1W horizons for AKBA and closest competitors.

Updated 2026-01-23
Company 5Y 3Y 1Y 6M 1M 1W
AKBA
Akebia Therapeutics, Inc.
Primary
-63.3% +88.4% -43.1% -61.8% -20.0% 0.0%
ACRS
Aclaris Therapeutics, Inc.
Peer
-86.7% -75.9% +45.0% +70.6% +16.4% -10.6%
BNR
Burning Rock Biotech Limited
Peer
-89.9% +6.9% +414.2% +415.7% +65.3% +9.6%
ABSI
Absci Corporation
Peer
-88.2% -5.2% -49.0% -13.0% -23.9% -5.4%
AQST
Aquestive Therapeutics, Inc.
Peer
-42.6% +262.8% +3.5% -21.9% -45.7% -2.1%

Positive values indicate cumulative gains over the specified period. Comparables pulled from the same sector to highlight whether momentum is stock-specific or industry-wide.

Historical Performance Trends

Long-term financial metrics and growth patterns

Revenue & Net Income

Profit & Operating Margins

Return on Equity (ROE)

Quarterly Revenue Growth

Historical data shows last 12 quarters (3 years)

Valuation Metrics

Key valuation ratios and pricing indicators

P/E Ratio
N/A
Forward P/E
8.0
PEG Ratio
N/A
P/B Ratio
8.66
P/S Ratio
1.6
EV/Revenue
1.75
EV/EBITDA
12.2
Market Cap
$360.9M

Profitability

Profit margins and return metrics

Profit Margin -7.07%
Operating Margin 7.57%
Gross Margin 83.32%
ROE N/A
ROA 4.8%

Growth

Revenue and earnings growth rates

Revenue Growth +57.0%
Earnings Growth N/A
Q/Q Revenue Growth N/A
Q/Q Earnings Growth N/A

Financial Health

Balance sheet strength and liquidity metrics

Debt/Equity
4.78
High debt
Current Ratio
1.94
Good
Quick Ratio
1.74
Excellent
Cash/Share
$0.63

Quarterly Earnings History

EPS performance vs analyst estimates

2026-03-12
$N/A
2025-11-10
$N/A
+100.0% surprise
2025-08-07
$N/A
+100.0% surprise
2025-05-08
$0.02
+161.8% surprise

Healthcare Sector Comparison

Comparing AKBA against 146 companies in the Healthcare sector (10 bullish, 60 neutral, 76 bearish)
Profit Margin
-7.07%
This Stock
vs
-20.8%
Sector Avg
-66.0% (Weaker)
Debt to Equity
4.78
This Stock
vs
2.68
Sector Avg
+78.5% (Higher)
Revenue Growth
57.0%
This Stock
vs
61.93%
Sector Avg
-8.0% (Slower)
Current Ratio
1.94
This Stock
vs
3.47
Sector Avg
-44.1% (Weaker)

Similar Companies

Peer comparison within the same industry

Company AI Rating Market Cap P/E ROE Profit Margin Price
AKBA
Akebia Therapeutics, Inc.
NEUTRAL $360.9M - -% -7.1% $1.36
ACRS
Aclaris Therapeutics, Inc.
BEARISH $345.62M - -113.2% -% $3.19
BNR
Burning Rock Biotech Limited
BEARISH $377.58M - -20.2% -22.5% $35.07
ABSI
Absci Corporation
BEARISH $383.45M - -55.7% -% $2.55
AQST
Aquestive Therapeutics, Inc.
BEARISH $395.29M - -% -158.9% $3.24

Wall Street Analysts

Professional analyst ratings and price targets

Consensus
STRONG_BUY
5 analysts
BTIG
2025-12-02
reit
Buy Buy
HC Wainwright & Co.
2025-12-02
reit
Buy Buy
HC Wainwright & Co.
2025-10-30
Maintains
Buy Buy
BTIG
2025-10-29
Maintains
Buy Buy

Past News Coverage

Recent headlines mentioning AKBA from our newsroom.

Newest → oldest
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