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Akebia Therapeutics (AKBA) earnings and revenue breakdown

Latest: Q3 2026 · 10-Q filed Nov 5, 2026 · Akebia Therapeutics (AKBA) Q3 2026 earnings results →

Q3 2026 Revenue down 37% year over year to $36.9M · 39¢ of every $1 of revenue lost · operating margin -31.1%

Akebia Therapeutics made $36.9M in Q3 2026 (-37% Y/Y): Product revenue, net $34.8M, License, collaboration and other revenue $2.1M. Operating margin -31.1%, net loss $14.4M. See where every dollar goes — costs, profit and cash — as a Sankey from the 10-Q filed Nov 5, 2026.

Revenue$36.9M
Year over year-37%
Operating margin-31.1%
Net earnings−$14.4M
Operating cash flow$2.3M

Drawing the Sankey…

Open the interactive Sankey → click any line for what the company wrote about it, compare Y/Y and Q/Q, export as PNG or PDF

What changed this quarter

Revenue was $36.9M in Q3 2026, down 37% year over year and down 25% from the previous quarter. Auryxia was the largest line at 54% of revenue. Auryxia lost $22.4M year over year (down 53%), 103% of the total change.

Operating costs exceeded revenue by $11.5M, an operating margin of -31.1%. Total costs fell 11% while revenue fell 37%. The fastest-growing cost line was Other operating costs (+155%). The quarter ended with a net loss of $14.4M, wider than the previous quarter's $8.9M loss.

Operating cash flow was $2.3M (down 92% year over year). Non-cash charges added back $101K of depreciation and $2.8M of share-based compensation. Working capital and other items added $13.8M. Capital expenditures of $706K left free cash flow of $1.6M.

Quarterly history

Akebia Therapeutics revenue by quarterAkebia Therapeutics revenue by quarter$57.3MQ1 2025$62.5MQ2 2025$58.8MQ3 2025$57.6MQ4 2025$53.5MQ1 2026$49.1MQ2 2026$36.9MQ3 2026
Akebia Therapeutics net earnings by quarterAkebia Therapeutics net earnings by quarter$6.1MQ1 2025$247KQ2 2025$540KQ3 2025−$12.2MQ4 2025−$9.1MQ1 2026−$8.9MQ2 2026−$14.4MQ3 2026
QuarterFormFiledRevenueY/YOp. marginNet earningsOp. cash flow
Q3 202610-QNov 5, 2026$36.9M-37%-31.1%−$14.4M$2.3M
Q2 202610-QAug 5, 2026$49.1M-21%-12.9%−$8.9M$3.5M
Q1 202610-QMay 7, 2026$53.5M-7%-8.8%−$9.1M−$21.2M
Q4 202510-KFeb 26, 2026$57.6M+24%-14.8%−$12.2M$31.1M
Q3 202510-QNov 10, 2025$58.8M+57%7.6%$540K$28.1M
Q2 202510-QAug 7, 2025$62.5M+43%22.6%$247K$22.3M
Q1 202510-QMay 8, 2025$57.3M+76%23.6%$6.1M−$13.6M

Charts

Akebia Therapeutics: revenue growth, year over year and quarter over quarterAkebia Therapeutics: revenue growth, year over year and quarter over quarterY/YQ/Q+76%Q1 2025+43%+9%Q2 2025+57%-6%Q3 2025+24%-2%Q4 2025-7%-7%Q1 2026-21%-8%Q2 2026-37%-25%Q3 2026
Latest (Q3 2026): Y/Y -37%, Q/Q -25%.
Akebia Therapeutics: where the cash came from (+) and went (−), TTM to Q3 2026Akebia Therapeutics: where the cash came from (+) and went (−), TTM to Q3 2026Operating cash flow$15.8MOther investing−$12.7MOther financing−$9.6MCash drawn (+) / kept (−)$8.0MCapital spending−$1.9MShares issued$419K
From the cash-flow statement as filed (SEC XBRL). Cash is fungible: the bars do not say which dollar paid for what.
Akebia Therapeutics: profit against cash, quarter by quarterAkebia Therapeutics: profit against cash, quarter by quarterNet incomeOperating cash flow−$22.8M−$4.5MQ4 2024$6.1M−$13.6MQ1 2025$247K$22.3MQ2 2025$540K$28.1MQ3 2025−$12.2M$31.1MQ4 2025−$9.1M−$21.2MQ1 2026−$8.9M$3.5MQ2 2026−$14.4M$2.3MQ3 2026
Latest (Q3 2026): Net income −$14.4M, Operating cash flow $2.3M.
Akebia Therapeutics: diluted shares by fiscal yearAkebia Therapeutics: diluted shares by fiscal year138MFY2020166MFY2021183MFY2022187MFY2023211MFY2024257MFY2025
+85.7% since FY2020: more shares outstanding (issuance, stock pay).
Akebia Therapeutics: long-term debt falling due (FY2025)Akebia Therapeutics: long-term debt falling due (FY2025)$50.6M2027$1.9M2028
Cash $185M, short-term investments —, long-term debt $48.2M at 2025-12-31.
Akebia Therapeutics in its industry: growth against margin (225 companies, SIC 2834)Akebia Therapeutics in its industry: growth against margin (225 companies, SIC 2834)revenue growth, year over year →↑ operating marginmedian +11%median -50%JNJLLYMRKABBVPFEBMYABTREGNTEVAVTRSVRTXBHCZTSONCOGNALNYELANJAZZBMRNPRGOAMRXUTHRRPRXNRIXINSMKeenova Therapeutics plcALKSMDGLPAHCSRPTPTCTINDVBBIOACADCORTPBHANIPKNSAPTGXHRMYIONSAXSMTGTXSUPNTVTXCOLLVREOFAMPHMIRMPCRXRARELQDAARQTIRWDARDXNATRXNCREBSZLABXERSINVACRMDMNKDRYTMURGNPHATAUPHSNDXRIGLLGNDEOLSARWRPGENHROWVNDAOPKSDGRGERNETONAGIOPBYITNGXCYRXCYTKMRVIORGONUVBLFVNSIGAKROSAMRNZVRASPRYHRTXBCYCKPTIGYREMGNXELTPSEPNVRDNLFCRCrinetics Pharmaceuticals, Inc.VSTMKURATBPHLABADCTNAMSFBIOXLODERMARCTRMTIAYTUFHTXENTATNXPOCULASMBWVEAPMDBFRIABEOSTOKLXRXCAPRIDYANKTRZOMDFINBPJANXSBFMGOSSETSTRCUSCPIXLIFDCUEAQSTPRAXWHWKVERUEMMAGENBVRCACELUQUREZYMEEQABCLIMNMKYNBAKTSRNACVSICNTBTRAWISCOEVFMTVRDLPCNCAMPAtaiBeckley Inc.CTMXALMSPMHSACRSVTGNROIVKRROJAGXENSCKRSAABUSPRPHSTTKCPHITRDATXMDGOVXNWBOBIOEUPBIRDOVIDSPRBXBIOPRTAMCRBARVNMNOVSLNIGCBIOALGVNDNTHCPMDSPRORFLCOYASCYXBFRGSXTPBTAIQHCWBSERYARWRNACRGBPAVTXCLNNNTHIHINDAAGHALTONCOCRVOSKVIBOLTBDPTLYELIBOPULMAKBA (-37%, -31%)
Pharmaceutical Preparations; dot size is quarterly revenue; dashed lines are the industry's medians.

Interactive views

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💵Where each $1 goesinteractive

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🌏Named in Asian annual reportsinteractive

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🔄Rotation against the market and its industry (RRG)interactive

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🔍Earnings qualityinteractive

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⚖️Fair value by methodinteractive

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🔭Outlook & guidanceinteractive

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📈Investments: gains and what it boughtinteractive

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🏭Its industry’s money flow (input-output)interactive

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Customers and suppliers named in filings

Sells to

About Akebia Therapeutics

We are a fully integrated biopharmaceutical company with two commercial products for patients impacted by kidney disease. We have built a business focused on developing and commercializing innovative therapeutics that we believe serve as a foundation for future growth, including by contributing net product revenue to support the development and advancement of our robust pipeline of mid-stage programs targeting rare kidney diseases and early-stage programs targeting kidney disease and non-kidney focused indications. We have established the Company as a leader in the kidney community and believe our cross-organizational expertise in kidney disease positions us for success. Chronic kidney disease, or CKD , is a condition in which the kidneys are progressively damaged to the point that they cannot properly filter the blood circulating in the body.

In its own words, from its 10-K, filed Feb 26, 2026.

Akebia Therapeutics against its Pharmaceutical Preparations peers

The largest companies of the same SEC industry, each at its latest quarter. Revenue growth: -37% against the peers' median +7%. Operating margin: -31.1% against the peers' median 20.4%.

CompanyQuarterRevenueY/YOp. margin
AKBA Akebia TherapeuticsQ3 2026$36.9M-37%-31.1%
JNJ Johnson & JohnsonQ3 2026$25.4B+6%0.1%
LLY ELI LillyQ3 2026$24.4B+39%34.5%
MRK MerckQ3 2026$18.1B+5%30.7%
ABBV AbbVieQ3 2026$17.4B+10%36.0%
PFE PfizerQ3 2026$16.6B-0.4%20.4%
BMY Bristol Myers SquibbQ3 2026$13.1B+7%19.4%
ABT Abbott LaboratoriesQ3 2026$13.0B+14%10.4%
REGN Regeneron PharmaceuticalsQ3 2026$5.1B+36%40.0%

Source: Akebia Therapeutics 10-Q on SEC EDGAR · CIK 1517022 · Pharmaceutical Preparations

Guidance and outlook

Akebia Therapeutics: what its forward-looking statements are about (10-Q filed 2026-11-05)Akebia Therapeutics: what its forward-looking statements are about (10-Q filed 2026-11-05)Other11Demand5Costs4Legal & regulation4Supply chain1Financing1
26 statements; tone -0.08 (−1 all cautious, +1 all confident); 10 hedged.
Akebia Therapeutics: outlook statements against the filing beforeAkebia Therapeutics: outlook statements against the filing beforeConfident2Cautious4

13F: who owns AKBA and who is buying

Largest holders of AKBA (13F)Largest holders of AKBA (13F)Vanguard Group$25.8MBlackRock$22.8MVanguard Capital Management LLC$12.9MAlerce Investment Management, L.P.$10.9MAQR Capital Management LLC$10.4MGeode Capital Management, LLC$7.7MState Street$6.1MJacobs Levy Equity Management$4.9MNantahala Capital Management, LLC$4.6MAcadian Asset Management LLC$4.6M
Funds' net buying of AKBA by quarter (13F)Funds' net buying of AKBA by quarter (13F)$643K2024-09$2.3M2024-12$61.6M2025-03$43.3M2025-06$42.3M2025-09−$10.2M2025-12−$21.4M2026-03$10.4M2026-06
Value of shares 13F filers added minus the value they sold, each quarter (quarters with most filings in).

More on AKBA

History

Every quarter: Q3 2026 results · Q2 2026 results · Q1 2026 results · Q4 2025 results · Q3 2025 results · Q2 2025 results · Q1 2025 results

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