Akebia Therapeutics
Market cap $111M 277.7M shares (10-Q, Nov 2, 2026) × $0.401 close Nov 6, 2026
Most recent annual filing: 2026-02-15
- AKB-9090 Ph1 toplineearly 2027AKB-9090 Ph1 topline, early 2027, major
- AKB-097 readout2027AKB-097 readout, 2027, material
- Term loan financingJan 1, 2027Term loan financing, Jan 1, 2027, routine
Bar width shows how precise the guidance is — a pin is a stated date, a wide band a six-month window. Deeper blue means more of the thesis rides on the event; it is not a view on the stock.
Pipeline (10 active programs)
Auryxia
ferric citratepraliciguat
ebribafusp
AKB-097 · ADX-097AKB-9090
AKB-10108
Capital (as filed)
- Cash
- $159M cash and cash equivalents · Sep 30, 2026 (10-Q)
- Operating cash flow
- $2.3M quarter Jun 30, 2026 → Sep 30, 2026, year-to-date difference (10-Q)
- As stated in coverage
- $159M cash per the update of Nov 5, 2026 — the company's own words as read there, not the filed figure
Cash, investments and operating cash flow are the company's own XBRL facts as filed with the SEC, each shown with its period end and tag. As-stated figures come from the company's own words as read in Biotech Distilled coverage, dated, and routinely count securities and planned financing that a balance sheet does not. Offering rows are the SEC cover pages as filed. Not investment advice. Figures as of Nov 7, 2026.
Biotech Distilled coverage (7)
- 2026-10-27 UPDATE: Akebia Therapeutics (AKBA) - VOICE Gets Its Full Hearing 🔒 Paid
- 2026-10-15 UPDATE: Akebia Therapeutics (AKBA) - The Commercial Chief Walks Before the Cliff 🔒 Paid
- 2026-08-06 UPDATE: Akebia Therapeutics (AKBA) - The Auryxia Curve, and a Bigger Problem in the Footnotes 🔒 Paid
- 2026-08-04 UPDATE: Akebia Therapeutics (AKBA) - The Smart Bomb Gets a Name 🔒 Paid
- 2026-06-30 UPDATE: Akebia Therapeutics (AKBA) - VOICE Stops Early 🔒 Paid
- 2026-05-08 UPDATE: Akebia Therapeutics (AKBA) - The Receipts Arrive 🔒 Paid
- 2026-03-04 Akebia (AKBA): Scientific Deep Dive for Lead and Pipeline Products 🔒 Paid
Articles open on Substack. Some are subscriber-only; those marked ★ Distilled Pro are for Distilled Pro members.
Verdict history (7 calls)
Every verdict Biotech Distilled has published on Akebia Therapeutics, oldest first — the full history, never a selection. How calls are scored: the track record.
- 2026-03-04 Watch Akebia (AKBA): Scientific Deep Dive for Lead and Pipeline Products Akebia is a commercial execution story with a breaching patent moat on legacy revenue and an unproven Vafseo launch; wait for mid-year sales receipts before taking a position.
- 2026-05-08 Speculative buy speculative UPDATE: Akebia Therapeutics (AKBA) - The Receipts Arrive Vafseo's 60% QoQ patient growth and 86% refill adherence delivered the receipts demanded, creating asymmetric upside ahead of the Q4 2026 VOCAL readout despite real dilution risk from accelerating cash burn.
- 2026-06-30 Buy core UPDATE: Akebia Therapeutics (AKBA) - VOICE Stops Early VOICE stopping early with a clean win odds of 1.16 on mortality-plus-hospitalization against real ESAs substantially retires the biggest scientific risk on the Vafseo franchise and improves the dilution math.
- 2026-08-04 Buy core UPDATE: Akebia Therapeutics (AKBA) - The Smart Bomb Gets a Name Ebribafusp Phase 2 initiation on schedule with encouraging Phase 1 PK data adds a pipeline leg to the thesis while VOICE's outcomes win remains the load-bearing wall; near-term risk is the Q2 Auryxia print.
- 2026-08-06 Speculative buy speculative UPDATE: Akebia Therapeutics (AKBA) - The Auryxia Curve, and a Bigger Problem in the Footnotes The post-TDAPA price reset will cause significant 2027 revenue decline even as unit volume grows, the refinancing is now the load-bearing assumption for the two-year runway, and two headcount cuts confirm the trough is real — thesis narrowed but not broken.
- 2026-10-15 Watch UPDATE: Akebia Therapeutics (AKBA) - The Commercial Chief Walks Before the Cliff CCO resignation eight weeks before the TDAPA cliff, sub-$1 stock price bringing Nasdaq listing risk, and unresolved refinancing make the downside now include a dilutive raise or reverse split.
- 2026-10-27 Watch UPDATE: Akebia Therapeutics (AKBA) - VOICE Gets Its Full Hearing Full VOICE data strengthens the clinical story with fewer hemoglobin overshoots and serious adverse events, but none of the four conditions for re-entry have been met and the balance sheet risks are unchanged.
- Long call · opened May 8, 2026 at $1.16 · closed Oct 15, 2026 (downgraded to WATCH from long) at $0.696 · -40.0% vs XBI +11.2%
Every verdict Biotech Distilled has published on this company, in order, with the post it came from — the full history, never a selection. Position figures are the same ones shown on /track-record, computed by the same method. Editorial opinion, not investment advice.
Timing, in the company's words (1 quote from 1 filing)
Sentences quoted verbatim from the company's SEC filings, newest filing first. Each sits under the filing it appeared in; the "matched to" tag names the calendar row it was read for.
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“Furthermore, as a result of changes in the amount of reimbursement dialysis facilities will receive for use of Vafseo when Vafseo transitions from the Transitional Drug Add-on Payment Adjustment, or TDAPA , period to the post-TDAPA period beginning in January 2027, we expect to price Vafseo within the range of the price for erythropoiesis stimulating agents, or ESAs .”
matched to Vafseo · topline data · read as January 2027
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Timing sentences quoted from the company's own SEC filings, each under the filing it appeared in. The 'matched to' tag is the calendar row the sentence was read for; the filing is the source. Not investment advice.
Filings & releases (28)
SEC filings from EDGAR and press releases captured from the company's investor-relations site, newest first. Releases captured from May 7, 2026; filings from March 2026. Summaries come from the BD update that read the document; "BD extracted" counts point at the pipeline table above. All companies →
- Nov 5, 2026ReleaseAkebia Therapeutics Reports Third Quarter 2026 Financial Results and Business HighlightsSummary on the 8-K
- Nov 5, 2026ReleaseAkebia Therapeutics Reports Positive Topline Data from VOCAL Trial Showing Vadadustat Dosed TIW Met Primary Endpoint of Non-Inferiority to ESA in Maintaining HemoglobinSummary on the 8-K
- Nov 5, 20268-KCurrent report: results of operations · EX-99.1VOCAL hit its non-inferiority endpoint against ESA, completing the clinical evidence arc — but Vafseo's Q3 revenues collapsed to $14.8M on TDAPA inventory destocking even as patients grew to 11,500, exposing the full brutality of the post-TDAPA price reset that starts January 1.
- Nov 5, 202610-QQuarterly reportSummary on the 8-K
- Oct 29, 2026ReleaseAkebia Therapeutics to Report Third Quarter 2026 Financial Results and Discuss Recent Business Highlights
- Oct 26, 2026ReleaseU.S. Renal Care Presents Analysis of VOICE Trial Demonstrating Favorable Safety Outcomes for Patients Treated with Vadadustat Versus an ESA During a Late-Breaking Session at American Society of Nephro→ BD updateThe full VOICE dataset landed at ASN Kidney Week with new safety data — fewer serious adverse events and dramatically better hemoglobin control versus ESAs — giving Vafseo's sales force the peer-reviewed ammunition they need for post-TDAPA conversations, even as the structural risks I named in October remain unchanged.BD extracted 1 program update from this document → AKBA pipeline
- Oct 23, 20268-KCurrent report: listing notice
- Oct 14, 20268-KCurrent report: officer / director change→ BD updateAkebia's Chief Commercial Officer just resigned — effective November 6, 2026 — seven weeks before the TDAPA reimbursement cliff that management's own guidance says will cause Vafseo revenues to "decrease significantly" in 2027. The timing couldn't be worse, and the stock's 45.6% slide since the August update has already been pricing in bad news.
- Oct 7, 2026ReleaseAkebia Therapeutics to Conduct Investor Meetings at the Virtual U.S. Bancorp I BTIG Kidney Health Forum
- Oct 6, 2026ReleaseAkebia Therapeutics Announces Late-Breaking VOICE Trial Presentation and Posters on Akebia’s Rare Kidney Pipeline at ASN Kidney Week 2026
- Sep 14, 2026ReleaseAkebia Therapeutics Announces First Patient Dosed in Phase 2 Basket Trial of Ebribafusp in Rare Complement-Mediated Kidney DiseasesBD extracted 1 program update from this document → AKBA pipeline
- Sep 1, 2026ReleaseAkebia Therapeutics to Conduct Investor Meetings at the 2026 Wells Fargo Healthcare Conference in Boston
- Aug 5, 2026ReleaseAkebia Therapeutics Reports Second Quarter 2026 Financial Results and Business Highlights
- Aug 5, 20268-KCurrent report: results of operations · EX-99.1BD extracted 1 program update from this document → AKBA pipeline
- Aug 5, 202610-QQuarterly report
- Aug 3, 2026ReleaseAkebia Therapeutics Announces Initiation of a Phase 2 Basket Trial to Study Ebribafusp, a Next-Generation Complement Inhibitor in Rare Kidney Diseases
- Jul 29, 2026ReleaseAkebia Therapeutics to Report Second Quarter 2026 Financial Results and Discuss Recent Business Highlights
- Jun 30, 2026ReleaseU.S. Renal Care and Akebia Announce Interim Analysis of VOICE Trial Demonstrated Overwhelming Statistical Evidence of Improved Safety Outcomes for Patients Treated with Vafseo versus an ESA
- Jun 30, 20268-KCurrent report: Reg FD disclosure, other events · EX-99.1BD extracted 1 program update from this document → AKBA pipeline
- Jun 22, 20268-KCurrent report: shareholder vote
- Jun 10, 2026ReleaseAkebia Therapeutics Strengthens Vafseo® (vadadustat) Patent Portfolio
- May 28, 2026ReleaseAkebia Therapeutics to Present at the 2026 Jefferies Global Healthcare Conference
- May 7, 2026ReleaseAkebia Therapeutics Reports First Quarter 2026 Financial Results and Commercial and Pipeline Highlights
- May 7, 20268-KCurrent report: results of operations · EX-99.1
- May 7, 202610-QQuarterly report
- Apr 28, 2026DEFA14AProxy soliciting material
- Apr 28, 2026DEF 14AProxy statement
- Apr 1, 20268-KCurrent report: officer / director change · EX-99.1
5 more filings (13G holder notices, S-8, proxy material, SEC correspondence …)
- Aug 5, 2026S-8Employee plan registration
- May 12, 2026SCHEDULE 13GPassive >5% holder (13G)
- Apr 29, 2026ARSAnnual report to shareholders
- Apr 15, 2026PRE 14APRE 14A
- Mar 26, 2026SCHEDULE 13G/A13G amendment