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Akebia Therapeutics (AKBA) Q4 2025 earnings results (fourth quarter 2025)

10-K filed Feb 26, 2026

Akebia Therapeutics (AKBA) reported revenue of $57.6M for the fourth quarter 2025 (Q4 2025), +24% from a year earlier and -2% from the quarter before. Operating margin was -14.8%, net loss $12.2M (21.2% of revenue).

Revenue$57.6M
Year over year+24%
Quarter over quarter-2%
Operating margin-14.8%
Net earnings−$12.2M

Akebia Therapeutics, Q4 2025: revenue $57.6M (+24% year over year), operating margin -14.8%, net loss $12.2M, operating cash flow $31.1M. The chart follows the revenue to costs, profit and cash.

Q4 2025AmountQ/QY/Y
Revenue$57.6M-2%+24%
Operating profit−$8.6M-292%—
Net earnings−$12.2M-2367%—
Operating cash flow$31.1M+11%—
Free cash flow$31.1M+11%—

What changed

Revenue was $57.6M in Q4 2025, up 24% year over year and down 2% from the previous quarter. Auryxia was the largest line at 84% of revenue.

Operating costs exceeded revenue by $8.6M, an operating margin of -14.8%. Total costs grew 9% against revenue growth of 24%. The fastest-growing cost line was Research & development (+126%). The quarter ended with a net loss of $12.2M, after a profit of $540K the previous quarter.

Operating cash flow was $31.1M. Non-cash charges added back $321K of depreciation and amortization and $3.2M of share-based compensation. Working capital and other items added $39.9M. Capital expenditures of $70K left free cash flow of $31.1M.

Questions

What was Akebia Therapeutics' revenue in the fourth quarter 2025?

Akebia Therapeutics (AKBA) reported revenue of $57.6M for the fourth quarter 2025 (Q4 2025), +24% from a year earlier and -2% from the quarter before.

Was Akebia Therapeutics profitable in the fourth quarter 2025?

Operating loss was $8.6M (-14.8% of revenue) and net loss $12.2M.

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Source: Akebia Therapeutics 10-K on SEC EDGAR.