Financial Performance - Total revenues for the quarter ended March 31, 2023, were 94.576million,withproductsalesof28.569 million and license revenue of 65.735million[14].−Operatingexpensesforthesameperiodwere100.950 million, significantly higher than 38.289millioninthepreviousyear,drivenbyincreasedresearchanddevelopmentcosts[14].−Thenetlossforthequarterwas11.218 million, a reduction from a net loss of 39.632millioninthesamequarterofthepreviousyear[14].−Cashattheendoftheperiodwas246.515 million, up from 200.842millionatthebeginningoftheperiod[20].−Thecompanyreportedaweightedaverageof43,523,631commonsharesoutstandingforthequarter,comparedto38,323,167sharesinthesamequarterlastyear[14].−Interestexpenseforthequarterwas2.264 million, up from 1.343millioninthepreviousyear[14].−Thecompanyincurrednetlossesof11.2 million for the three months ended March 31, 2023, compared to 39.6millionforthesameperiodin2022,withanaccumulateddeficitof607.6 million as of March 31, 2023[182]. Research and Development - The company incurred research and development expenses of 17.793millionforthequarter,comparedto12.585 million in the same quarter last year, reflecting increased investment in product development[14]. - Research and development expenses for AXS-05 were 6.7millioninQ12023,anincreasefrom6.0 million in Q1 2022[199]. - The company aims to become a fully integrated biopharmaceutical company developing differentiated therapies for CNS disorders[25]. - Axsome Therapeutics is developing three not yet approved product candidates (AXS-07, AXS-12, and AXS-14) for CNS conditions, addressing significant market needs[24]. - The company is currently conducting a Phase 3 trial for AXS-12 in narcolepsy, referred to as the SYMPHONY study[180]. - The company achieved the primary endpoint in the Phase 2/3 ADVANCE-1 trial for AXS-05 in Alzheimer's disease agitation[177]. - AXS-07 achieved the co-primary endpoints in both the Phase 3 MOMENTUM and INTERCEPT trials for the acute treatment of migraine[177]. - The company has received a complete response letter from the FDA regarding AXS-07, primarily related to chemistry, manufacturing, and controls[177]. Commercialization and Licensing - In February 2023, the company announced a licensing agreement with Atnahs Pharma UK Limited to market Sunosi in Europe and certain countries in the Middle East/North Africa[24]. - The company entered into a license agreement with Pharmanovia in February 2023, receiving a non-refundable upfront payment of €62.0 million (65.7million)andiseligibleforsales−basedmilestonepaymentstotalingupto€94.5million[159].−ThecompanysellsSunosiandAuvelityintheU.S.throughwholesaledistributorsandinternationallythroughlocaldistributors[40].−ThecompanyexpectsexpensestoincreaseprimarilyduetothecommercializationofSunosiandAuvelitywhilefurtherdevelopingitspipelineassets[29].−ThecompanyexpectstoincursignificantcommercializationexpensesforSunosiandAuvelitytosupporttheirgrowth[182].−ForthethreemonthsendedMarch31,2023,netproductsaleswere12.9 million for Sunosi and 15.7millionforAuvelity[40].−Thecompanywillreceivearoyaltypercentageinthemid−twentiesonnetsalesofthelicensedproductsintheterritory[191].AssetsandLiabilities−AsofMarch31,2023,thecompanyhadanaccumulateddeficitof607.6 million[28]. - The company recorded goodwill and an intangible asset as a result of the Sunosi acquisition, with goodwill deemed to have an indefinite life and tested annually for impairment[58]. - The fair value of the contingent consideration related to the Sunosi acquisition is recorded as 35.1millionasofMarch31,2023,downfrom37 million at the end of 2022[105]. - The Company’s intangible asset net book value was 58.1millionasofMarch31,2023,withanestimatedfutureamortizationexpenseof6.4 million for 2023[102]. - The total inventory as of March 31, 2023, was 22.4million,comparedto18.0 million at December 31, 2022, reflecting an increase in raw materials and finished goods[111]. - The company reported net accounts receivable of 44.8millionasofMarch31,2023,anincreasefrom37.7 million at December 31, 2022[97]. - The company’s total outstanding debt increased to 150,000millionasofMarch31,2023,upfrom95,000 million as of December 31, 2022, reflecting a 57.9% increase[129]. Future Outlook - The company expects revenues from Sunosi and Auvelity to fluctuate based on demand quarter to quarter[189]. - The company may continue to incur substantial operating losses even as it begins to generate revenues from its product candidates[28]. - The company has not recorded any allowances for doubtful accounts receivable as of March 31, 2023, despite receivables from the three largest customers totaling 47%, 24%, and 24% of the accounts receivable net balance[66]. - The company expects to pay up to 165millionbasedonrevenuemilestonesand1 million based on development milestones related to the Sunosi acquisition[87]. - The company must maintain a minimum cash requirement of 30millionaspartoftheloanagreement[117].−Thecompanyisrequiredtoachieveatleast6029.3 million as of March 31, 2023, expected to be recognized over a weighted-average period of 3.1 years[150]. - The Company reported total stock-based compensation expense of 12.9millionforthethreemonthsendedMarch31,2023,comparedto7.6 million for the same period in 2022, indicating a year-over-year increase of approximately 69.7%[152]. - The weighted average grant date fair value of options granted in the first quarter of 2023 was 51.44peroption,withatotalunrecognizedcompensationcostrelatedtonon−vestedstockoptionsamountingto160.3 million, expected to be recognized over 3.1 years[148]. - The Company has 1,241,793 shares available for issuance under its 2015 Omnibus Incentive Compensation Plan as of March 31, 2023[146]. - The outstanding warrants increased to 69,520 as of March 31, 2023, from 50,796 at the end of 2022, with a weighted average exercise price of $48.97[154].