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AKBA Should I Buy

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Intellectia

Should You Buy Akebia Therapeutics Inc (AKBA) Today? Analysis, Price Targets, and 2026 Outlook.

Conclusion
Hold
Latest Price
1.420
1 Day change
52 Week Range
4.080
Analysis Updated At
2026/03/19
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Akebia Therapeutics Inc (AKBA) is not a strong buy at the moment for a beginner investor with a long-term focus. While the company has shown revenue growth, its declining net income and EPS, coupled with neutral trading sentiment and no significant positive catalysts, suggest that it is better to hold off on investing in this stock for now.

Technical Analysis

The MACD is slightly positive at 0.0239 and contracting, RSI is neutral at 54.403, and moving averages are converging, indicating no clear trend. The stock is trading near its pivot level of 1.392, with resistance at 1.528 and support at 1.257.

Options Data

Bullish
Open Interest Put-Call Ratio
Bullish
Option Volume Put-Call Ratio

Technical Summary

StrongSellSellNeutralBuyStrongBuydotted line Image
Sell
4
Buy
5

Positive Catalysts

  • Revenue increased by 23.93% YoY in Q4 2025, and gross margin improved significantly to 82.06%, up 41.56% YoY.

Neutral/Negative Catalysts

  • Net income dropped by 46.31% YoY, and EPS declined by 50.00% YoY. Analyst price targets have been lowered recently due to lower-than-expected revenue from Vafseo. No significant hedge fund, insider, or congressional trading activity. No recent news or significant event-driven catalysts.

Financial Performance

In Q4 2025, revenue grew to $57.62M (up 23.93% YoY), but net income dropped to -$12.24M (down 46.31% YoY), and EPS fell to -0.05 (down 50.00% YoY). Gross margin improved to 82.06%, showing operational efficiency.

Growth

Profitability

Efficiency

Analyst Ratings and Price Target Trends

BTIG and Piper Sandler both lowered their price targets to $4 from $5 and $6, respectively, while maintaining Buy/Overweight ratings. This reflects cautious optimism but highlights concerns over revenue challenges.

Wall Street analysts forecast AKBA stock price to rise
3 Analyst Rating
Wall Street analysts forecast AKBA stock price to rise
3 Buy
0 Hold
0 Sell
Strong Buy
Current: 1.420
sliders
Low
4
Averages
5
High
6
Current: 1.420
sliders
Low
4
Averages
5
High
6
BTIG
Buy
downgrade
$5 -> $4
AI Analysis
2026-02-25
Reason
BTIG
Price Target
$5 -> $4
AI Analysis
2026-02-25
downgrade
Buy
Reason
BTIG lowered the firm's price target on Akebia to $4 from $5 and keeps a Buy rating on the shares. The firm is citing a new US Renal Care protocol related to observed dosing contributed to a decrease in channel inventory of $4.5M-$5.0M, leading to a lower-than-expected Vafseo revenue recognized in Q4 of $5M-$6M, the analyst tells investors in a research note.
Piper Sandler
Allison Bratzel
Overweight
downgrade
$6 -> $4
2026-02-06
Reason
Piper Sandler
Allison Bratzel
Price Target
$6 -> $4
2026-02-06
downgrade
Overweight
Reason
Piper Sandler analyst Allison Bratzel lowered the firm's price target on Akebia to $4 from $6 and keeps an Overweight rating on the shares. Following a number of Q4/FY25 pre-releases in recent weeks and ahead of Q4 reporting, the firm is taking the opportunity to review and adjust its estimates for some of its commercial names, as well as some price targets.
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