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Akebia Therapeutics Inc

akebia.com

What Do They Do?

Sells oral medicines for anemia and other kidney-disease complications through dialysis organizations, wholesalers and specialty pharmacies.

How Do They Make Money?

Akebia sells Auryxia and Vafseo to dialysis organizations, wholesale distributors, specialty pharmacies and an authorized generic distributor; product sales are earned when customers receive the medicines. Partners pay through license fees, development, regulatory and commercial milestones, royalties on licensed-product sales, and product Akebia supplies.

FY2025 revenue by product or service revenue
SegmentShareRevenue
Product revenue, net
Sold outright

96%
FY2022: 60%
License, collaboration and other revenue
3.8%
FY2022: 40%

Who Are Their Customers?

Dialysis organizations and medicine distributors—including specialty pharmacies and the authorized generic distributor—buy products from Akebia and resell them to health care providers and patients.

Do Revenues Turn Into Profits?

Not on paper. It lost $5.3M in FY2025, but brought in more cash than it spent: $67.7M of free cash flow.

Operating income, FY2025
10% of revenue
▲ Now profitable vs FY2024 (−$50.5M, −32%)
Net income, FY2025
−2% of revenue
▼ −92% (Loss) vs FY2024 (−$69.4M, −43%)
Free cash flow, FY2025
29% of revenue
▲ Now profitable vs FY2024 (−$40.7M, −25%)

How Are They Changing?

Since the FY2025 annual report
Latest quarter: Q2 FY2026, the three months to Jun 30, 2026
Revenue
▼ −21%
vs $62.5M in Q2 FY2025
Net income
▼ Now a loss
vs $247K in Q2 FY2025
Product revenue, net share of revenue vs 96.8% in Q2 FY2025
Revenue over time
Product revenue, net License, collaboration and other revenue
$500M$250M$0

Who Do They Compete With?

Competes with Amgen, Johnson & Johnson, CSL Vifor, Roche Holding, Astellas, Teva Pharmaceuticals, Stada Arzneimittel, Hexal, Sandoz, Bayer, Sanofi, Fresenius Medical Care North America, Shire Pharmaceuticals Group, OPKO Health, Unicycive, Ardelyx, and Pfizer

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