Insider Trading February 2, 2026

Axsome CEO Executes Option Exercise and Sells $6.0M in Stock as Company Nears 52-Week High

Insider sale coincides with strong revenue guidance, analyst price-target increases and Phase 3 dosing for AXS-14

By Ajmal Hussain AXSM
Axsome CEO Executes Option Exercise and Sells $6.0M in Stock as Company Nears 52-Week High
AXSM

Axsome Therapeutics CEO Herriot Tabuteau sold 32,410 shares on February 2, 2026, for roughly $6.0 million after exercising options to buy the same number of shares at $8.02 each. The transactions occurred while AXSM traded close to its 52-week high and follow strong revenue momentum and multiple analyst target increases amid pipeline progress.

Key Points

  • CEO Herriot Tabuteau exercised 32,410 options at $8.02 per share and sold 32,410 shares on Feb 2, 2026, for roughly $6.0 million at a weighted average price of $185.60.
  • Axsome shares traded near a 52-week high of $191.50 after a 74.6% one-year gain, while InvestingPro assesses the stock as fairly valued on a Fair Value basis.
  • Company expects approximately $196 million in Q4 2025 product revenue, a 65% year-over-year increase; multiple analysts have raised price targets and maintained favorable ratings amid pipeline progress.

Summary of transactions

On February 2, 2026, Axsome Therapeutics Chief Executive Officer Herriot Tabuteau completed two linked equity moves: he exercised stock options to acquire 32,410 shares at an exercise price of $8.02 each, and he sold those 32,410 shares of Axsome common stock for approximately $6.0 million. The exercised options cost Tabuteau $259,928 in aggregate, while the sales were executed at a weighted average price of $185.60 per share, with individual trade prices ranging from $183.85 to $186.89.

Context around the trades

The sales took place with Axsome shares trading near a 52-week high of $191.50 and after the stock posted a 74.6% return over the past year. InvestingPro data cited in the company profile describes the stock as currently fairly valued under its Fair Value assessment. The market price referenced alongside the option exercise was $185.88, highlighting the material discount at which the options were exercised relative to that trading level.

Post-transaction ownership

Following the option exercise and subsequent sale, Tabuteau directly holds 7,229 shares of Axsome Therapeutics common stock. He also retains indirect ownership of 7,344,500 shares through an entity where he has voting and dispositive power. The filings show these numbers as the post-transaction ownership position disclosed by the company.

Financial snapshot and profitability

Axsome is not profitable on a trailing twelve-month basis, according to the same data cited. However, the company reports strong gross margins of 91.86% and operates with a moderate level of debt. InvestingPro highlights 12 additional investment insights for the firm, including analyst forecasts that market participants will be watching ahead of Axsome’s scheduled earnings release on February 23, 2026.

Revenue guidance and analyst responses

Axsome disclosed preliminary unaudited results anticipating total product revenue of approximately $196 million for the fourth quarter of 2025, which would represent a 65% year-over-year increase versus Q4 2024. That reported revenue growth has prompted several analysts to raise their outlooks and price targets. H.C. Wainwright increased its price target to $260 while maintaining a Buy rating. Piper Sandler lifted its target to $223 following meetings with Axsome senior management. RBC Capital reiterated an Outperform rating and emphasized the potential of Axsome’s AXS-05 candidate for Agitation in Alzheimer’s Disease.

Pipeline progress and strategic commentary

On the clinical front, Axsome has initiated a Phase 3 trial of AXS-14 for fibromyalgia and has dosed the first patient in the FORWARD trial. Cantor Fitzgerald continued to view the company favorably from a strategic perspective, retaining an Overweight rating and a $153 price target while citing the company’s financial position and plans for commercial and pipeline execution.

What this means for market watchers

The combined option exercise and immediate sale by the CEO reflects a routine liquidity event following a sizable built-in discount between the exercise price and prevailing market prices. Market participants will likely monitor upcoming earnings and the clinical readouts tied to the pipeline as near-term catalysts. InvestingPro and analysts’ updated notes supply additional forecast detail that investors can consult ahead of Axsome’s next scheduled report.


Note: All figures and descriptions above are taken from company filings and analyst notes provided in the data cited; no additional facts have been introduced.

Risks

  • Company is not profitable over the last twelve months, posing ongoing earnings risk for equity investors - impacts equity markets and healthcare/biotech sector valuations.
  • Clinical development outcomes remain uncertain; Phase 3 dosing for AXS-14 and the potential of AXS-05 for Agitation in Alzheimer’s Disease represent execution risks that affect biotech investor sentiment and pipeline valuation.
  • Insider sales, even when linked to option exercises, can be interpreted variably by investors and may influence near-term stock volatility - relevant to equity traders and institutional holders.

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