Stock Analysis
Data Source: SEC EDGAR 13F
Updated Hourly

Axsome Therapeutics INC. (AXSM)

408 + Investors. Track Smart Money conviction in AXSM. See who's accumulating, reducing, or initiating positions.

Current Price
-- USD
Analyst Target
-- (0 analysts)
Upside
0.00%
Net Flow Q/Q
↑ +11
Streak
3Q ▲
Buyers last Q
51%

Smart Money Signals — AXSM

Based on 410 hedge funds · latest filing: 2026 Q1 · updated quarterly

📈

Buying streak — 3 quarters in a row

last 6Q
For 3 consecutive quarters, more hedge funds added AXSM than sold it. That's a consistent pattern of professional buying — not a one-time trade. When institutions keep buying quarter after quarter, it usually means they see a multi-year opportunity, not just a short-term momentum flip.
🏔️

At the ownership peak (100% of max)

100% of all-time peak
410 hedge funds hold AXSM right now — the highest count in 3.0 years. When ownership is this concentrated, any bad news can trigger a chain reaction: one big fund sells, others follow. This is a classic 'crowded trade' — high popularity doesn't equal safety.
📶

Steady growth — +18% more funds vs a year ago

fund count last 6Q
+62 new funds entered over the past year (+18% YoY). Gradual, steady growth in institutional ownership is generally a healthy signal — not a speculative rush, but consistent conviction.
🟡

Slight buying edge — 51% buying

217 buying207 selling
Last quarter: 217 funds bought or added vs 207 that reduced or exited. It's nearly a 50/50 split — some institutions are convinced, others are taking profits. This mixed picture is normal near price highs.
⚠️

Fewer new buyers each quarter (-17 vs last Q)

new funds entering per quarter
Funds opening this position for the first time: 52 → 50 → 87 → 70. Each quarter fewer new institutions are entering. This usually means most funds that wanted in are already in — the stock is well-known but the pool of potential new buyers is shrinking.
🔒

47% of holders stayed for 2+ years

■ 47% conviction (2yr+) ■ 24% medium ■ 29% new
192 out of 410 hedge funds have held AXSM for over 2 years without selling. Long-term investors are generally harder to shake out during market stress, creating a stable ownership base that limits the risk of sudden capitulation.
🚀

Acceleration phase — new buyers rushing in

91 → 52 → 50 → 87 → 70 new funds/Q
New funds entering each quarter: 52 → 50 → 87 → 70. The pace of institutional discovery is accelerating sharply. This is the 'hot idea' phase — the thesis is being passed from fund to fund. You are not late — the accumulation wave is still building.
🏛️

Deep conviction — 53% of holders stayed 2+ years

■ 53% veterans ■ 15% 1-2yr ■ 32% new
Of 427 current holders: 228 (53%) have held for over 2 years without selling. These are not momentum buyers — they have lived through drawdowns and stayed. A large veteran base acts as a stabilizing force during selloffs.
✅

Strong quality — 38% AUM from major funds

38% from top-100 AUM funds
55 of 410 holders rank in the top 100 by AUM, accounting for 38% of total institutional value held. A meaningful share of the ownership value comes from the most well-resourced institutions.
4.1
out of 10
Moderate Exit Risk
Exit risk score 4.1/10 — some crowding factors present, but no critical concentration. Watch ownership trend over the next 1–2 quarters for direction.

Methodology note: these Smart Money cards use consecutive 13F disclosure snapshots, not trade-by-trade execution data. "Buying", "selling", "new holders", and "trimmed" refer to quarter-over-quarter changes in reported holders, aggregate shares, or disclosed position values between filings. They are useful for ownership regime analysis and crowding, but they do not imply exact trade timing on the filing date.

Institutional Sentiment Summary — AXSM

In 2026 Q1, 217 hedge funds were net buyers of AXSM (70 opened a new position, 147 added to an existing one), while 207 reduced or exited (148 trimmed, 59 sold completely) — a 51% buyer ratio, indicating a slight buying edge. This marks 3 consecutive quarters of net institutional buying — a persistent conviction signal. 38% of total institutional value in AXSM is held by top-100 AUM funds, reflecting strong institutional quality. Net fund flow last quarter: +11 funds (more new holders than closures). Total institutional holders: 410.

Hedge Fund Ownership: AXSM

How many hedge funds hold AXSM — quarterly history vs. share price
Quarterly hedge fund ownership of AXSM vs. share price

Market Analysis: AXSM

Analyst Price Targets

Avg. Price Target
--

Analyst Recommendations

Stock Performance

Real-time

Company Profile: AXSM

-- --

Institutional ownership data sourced from SEC EDGAR Form 13F-HR filings.

Is It Too Late to Buy Axsome Therapeutics INC. (AXSM) Based on Hedge Fund 13F Filings?

Signal Freshness measures how much AXSM has moved relative to its sector benchmark (XLV) since the 2026 Q1 13F filing. A stock that has barely outrun its sector is still a relatively fresh entry point — the fund's thesis has not yet been priced in by the broader market.

Since Quarter End March 31, 2026 · 79d ago
AXSM
+49.0%
XLV
+1.6%

AXSM outperformed XLV by +47.4% since March 31, 2026.

Since 13F Filing Date May 15, 2026 · 34d ago
AXSM
+10.6%
XLV
+2.7%

Since the filing became public, AXSM outperformed XLV by +7.9% .

Interpretation: The stock is tracking its sector benchmark closely. The signal remains fresh and the entry point is still near the fund's implied reference. Learn more →

Smart Money Signal ?
Limited Smart Money Interest

No strong consensus or elite conviction detected among institutional holders.

33 top-rated funds 7 high-conviction
Consensus
6.6
/ 10
breadth
×
Elite
4.3
/ 10
conviction
Hedge Fund Positioning: AXSM
408 + Investors

Track Smart Money conviction in AXSM. See who's accumulating, reducing, or initiating positions.

Metric All 13F Filers (2026 Q1) Prior (2025 Q4) Change
Funds Holding 408 399 2.26%
13F Shares 39M 39M -0.44%
Total Value $6.34B $6.82B -6.94%
New Positions 69 87 -18
Increased Positions 144 148 -4
Closed Positions 60 40 +20
Reduced Positions 141 115 +26
Total Calls 12 14 -14.29%
Total Puts 9 11 -18.18%
PUT/CALL Ratio 0.75 0.79 Neutral

Statistics: AXSM

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Enterprise Value/EBITDA --
Beta (5Y Monthly) --
Short Ratio (Days to Cover) --
Short % of Float --

Financial Highlights

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Institutional Holders (2026 Q1)

408 + investors

Explore institutional interest and hedge fund ownership dynamics. Analyze portfolio weights, new positions, and conviction trends in AXSM. Verified SEC 13F-HR filings.

QUARTER:
Top 25 AXSM holders by conviction (% of portfolio weight) — 2026 Q1 · Source: SEC Form 13F
# Investor % of Portfolio Shares Mkt Value
1 Alethea Capital Management, LLC 56.28% 649,114 $109.7M
2 Ishara Investments LP 6.56% 41,000 $6.9M
3 Iridian Asset Management LLC/Ct 4.62% 67,491 $11.4M
4 KVP Capital Advisors, LP 4.57% 36,200 $6.1M
5 PFM Health Sciences, LP 4.07% 264,304 $44.7M
6 First Turn Management, LLC 3.56% 188,772 $31.9M
7 Occam Crest Management LP 3.55% 34,614 $5.9M
8 Deep Track Capital, LP 3.04% 1,100,000 $185.9M
9 Arrowpoint Investment Partners (Singapore) Pte. Ltd. 2.46% 16,401 $2.8M
10 Privium Fund Management B.V. 2.07% 58,729 $9.9M
11 Tri Locum Partners LP 1.47% 62,116 $10.5M
12 Eventide Asset Management, LLC 1.45% 519,558 $87.8M
13 Sofinnova Investments, Inc. 1.37% 212,747 $36.0M
14 Superstring Capital Management LP 1.35% 11,217 $1.9M
15 Rhenman & Partners Asset Management AB 1.33% 63,800 $10.8M
16 Sofinnova Investments, Inc. 1.28% 200,000 $33.8M
17 1492 Capital Management LLC 1.20% 18,594 $3.1M
18 Tetragon Partners GP Ltd 1.15% 35,000 $5.9M
19 Verdad Advisers, LP 1.14% 5,971 $1.0M
20 AlphaCentric Advisors LLC 1.09% 6,438 $1.1M
21 Moody Aldrich Partners LLC 1.04% 33,973 $5.7M
22 Nicholas Investment Partners, LP 0.99% 81,478 $13.8M
23 HighVista Strategies LLC 0.95% 20,437 $3.5M
24 Lisanti Capital Growth, LLC 0.94% 22,075 $3.7M
25 Goodwin Investment Advisory 0.85% 4,241 $717K
Investor Ownership
History 		% of Portfolio Prev % Rank Conviction Avg Buy Price 13F Score™ 3Y / 7Y Sell Timing Shares Mkt Value Change Change % Source Quarter Filed

Frequently Asked Questions — Axsome Therapeutics INC. (AXSM)

What does the Smart Money Trend signal show for AXSM?

Buying streak — 3 quarters in a row: For 3 consecutive quarters, more hedge funds added AXSM than sold it. That's a consistent pattern of professional buying — not a one-time trade. When institutions keep buying quarter after quarter, it usually means they see a multi-year opportunity, not just a short-term momentum flip.

What is the institutional breadth score for AXSM?

Slight buying edge — 51% buying: Last quarter: 217 funds bought or added vs 207 that reduced or exited. It's nearly a 50/50 split — some institutions are convinced, others are taking profits. This mixed picture is normal near price highs.

What is the fund quality score for AXSM holders?

Strong quality — 38% AUM from major funds: 55 of 410 holders rank in the top 100 by AUM, accounting for 38% of total institutional value held. A meaningful share of the ownership value comes from the most well-resourced institutions.

How long have hedge funds held AXSM?

47% of holders stayed for 2+ years: 192 out of 410 hedge funds have held AXSM for over 2 years without selling. Long-term investors are generally harder to shake out during market stress, creating a stable ownership base that limits the risk of sudden capitulation.

Is it too late to buy Axsome Therapeutics INC. (AXSM) following the 2026 Q1 hedge fund 13F filings?

As of today, AXSM has moved +10.6% since the 2026 Q1 13F filing date (May 15, 2026), compared to +2.7% for the XLV sector ETF — an outperformance of +7.9%. Since the quarter end (March 31, 2026), AXSM has gained +49.0% vs +1.6% for XLV. The stock is tracking its sector benchmark closely. The signal remains fresh and the entry point is still near the fund's implied reference.

Where does this institutional ownership data come from?

All holdings data is sourced from SEC Form 13F filings, which institutional investment managers with over $100 million in assets are required to submit quarterly. Data is parsed directly from SEC EDGAR.

Disclaimer: The information on this page is for informational purposes only and does not constitute investment advice, a recommendation, or an offer to buy or sell any security. Institutional holdings data is sourced from SEC Form 13F filings and reflects positions as of the filing date. Past performance of any fund or portfolio is not indicative of future results. 13Foresight is not a registered investment adviser. Always conduct your own due diligence before making investment decisions.

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