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AKBA · 10-Q filed May 7, 2026

AKBA earnings analysis

What we found in AKBA's 10-Q: the parts that mattered, the offsets in the same document, and what the company said about what comes next.

Our reading of the filing · Free to read, no account needed

Akebia Therapeutics reported Q1 2026 revenues of $53.5 million, a 7% decrease from the prior year, with a diluted EPS of -$0.03, underperforming against expectations of -$0.01. Although revenues from Auryxia declined due to generic competition, Vafseo experienced significant growth. Cash position remains strong at $164.3 million, despite a net loss of $9.1 million, as management signals cautious optimism regarding ongoing commercialization amidst regulatory pressures.

What stood out

The parts that mattered.

Pulled out of the filing itself, with the figures the company reported.

Revenue Decline
Total revenue fell to $53.5 million, down 7% from $57.3 million a year ago.
Increased Vafseo Revenue
Vafseo revenue increased to $15.8 million from $12.0 million year-over-year.
Strong Cash Position
Cash and cash equivalents at the end of the quarter stood at $164.3 million.
Net Loss Nearly Doubled
Net loss of $9.1 million marks a significant increase from prior year's income of $6.1 million.
R&D and SG&A Surge
R&D expenses were up 52% to $14.8 million while SG&A rose 18% to $30.4 million.
Compliance Focus
Management indicates ongoing efforts to enhance compliance with evolving regulations.
What to watch

And the other side of it.

The offsets in the same document — the things a summary that only listed the good news would have left out.

Decline in Auryxia Sales
Auryxia sales dropped to $36.2 million from $43.8 million last year due to increased generic competition.
Regulatory Scrutiny
FDA's increased oversight on promotional advertising could hinder marketing.
Dependence on Third-Party Manufacturers
Potential supply issues from reliance on third-party CDMOs raise concerns about meeting demand.
The numbers

What they reported.

What the company itself reported, taken out of the document.

Earnings per share
$-0.03
Segment
Auryxia
Segment
Vafseo
Guidance

What they said about what is next.

Management anticipates continued challenges from market competition and regulatory environment.

How we read the filing overall

The filing reads worse than the one before it.

One reading of one document. It is not advice, and it is not a forecast.
Earlier filings

What came before.

10-K · February 26, 2026
Akebia reported strong commercial traction in 2025 driven by the U.S. launch of Vafseo and continued Auryxia sales, with the company reporting full-year net product revenues of $227.3 million (a 49% increase over 2024)…
10-Q · November 10, 2025
Akebia reported strong Q3 results driven by the commercial launch of Vafseo and higher Auryxia volumes: revenue rose to $58.766M (+57% YoY) and the company produced GAAP net income of $0.54M (basic EPS $0.00). Gross…
10-Q · May 8, 2025
Akebia reported Q1 revenue of $57.3M, up 76% year-over-year and producing product revenue of $55.8M driven by Vafseo launch and higher Auryxia sales. Gross margin expanded to 86.7% and operating income was $13.5M…
10-Q · November 7, 2024
Akebia reported total revenue of $37.4M in Q3 2024, down 11% year-over-year, driven by Auryxia product sales of $35.6M. Gross margin remained healthy at ~62.2% but the company recorded a GAAP net loss of $20.0M (EPS…

This is our reading of a public filing, not the filing. Read the original on SEC.gov · Educational only. Nothing here is investment advice.

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