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Orexo AB (ORX) AI Stock Analysis

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SE:ORX

Orexo AB

(Nasdaq OMX AB:ORX)

Select Model
Rating:39Underperform
Price Target:SEK 1.00â–²(15.47% Upside)
Action:downgraded
Date:11/11/26

The overall score is critically low, driven primarily by a catastrophic financial performance where revenue has evaporated and cash burn is unsustainable. While the earnings call highlights promising pipeline progress for Izipry and OX640, the company's immediate financial position is precarious, with minimal cash reserves and a reliance on a future rights issue. The extremely weak technical picture confirms the market's severe risk assessment. The operational catalysts provide a glimmer of hope but are heavily overshadowed by the present financial distress.

Positive Factors
Low LeverageLow debt relative to equity reduces immediate solvency pressure and gives Orexo some flexibility while it advances its pipeline. This balance-sheet cushion can support development and restructuring efforts, although ongoing losses could erode it over time.
Negative Factors
Severe Revenue ContractionThe sharp contraction leaves Orexo operating from a much smaller revenue base while its cost structure remains high. Sustained weakness would reduce internal funding capacity, increase dependence on financing or partners, and make future earnings recovery more difficult.

Orexo AB (ORX) vs. iShares MSCI Sweden ETF (EWD)

-100%-75%-50%-25%0%25%50%SE:ORX-95.08%EWD+14.45%Dec '25Jan '26Feb '26Mar '26Apr '26May '26Jun '26Jul '26Aug '26Sep '26Oct '26Nov '26
Market Cap
SEK 5.66M
Dividend Yield
―
Average Volume (3M)
317.74K
Price to Earnings (P/E)
-0.1
Beta (1Y)
0.37
Revenue Growth
-97.68%
EPS Growth
-83.26%
Country
Sweden
Employees
61
Sector
Healthcare
Sector Strength
51
Industry
Medical - Pharmaceuticals

Orexo AB Business Overview & Revenue Model

Company Description

Orexo AB (publ), a specialty pharmaceutical company, develops and commercializes pharmaceuticals and digital therapies in the United States, European Union, the United Kingdom, and internationally. Its products include Zubsolv tablets for the treatme...

How the Company Makes Money

Orexo makes money primarily by commercializing prescription pharmaceutical products and, where applicable, by partnering its product candidates or technologies. Key revenue streams: 1) Product sales (net revenue): Orexo’s core earnings have historica...

Orexo AB Earnings Call Summary

Earnings Call Date:Oct 22, 2026(Q3-2026)|% Change Since:-74.15%|Next Earnings Date:Feb 04, 2027
Earnings Call SentimentPositive

The call had a cautiously positive operational tone, with meaningful progress on Izipry, OX640, OX390, semaglutide, partnerships, and cost restructuring. However, the company continues to face substantial financial pressures, including low revenue, a SEK 118 million loss from continued operations, negative cash flow, reduced own cash of SEK 62 million, large historical Zubsolv-related obligations, and pending regulatory and partnering milestones. The number and importance of development milestones and the planned rights issue outweighed the challenges, supporting an overall positive sentiment.

Positive Updates

Progress in Strategic Transformation
Orexo said it made substantial progress toward becoming a platform-focused company, including restructuring its balance sheet and operations, streamlining costs, and focusing on partnerships around the AmorphOX platform.

Negative Updates

Low Quarterly Revenue
Revenue from continued operations was SEK 0.8 million in Q3. Abstral royalties were low because individual country royalty agreements continue to expire, while Edluar royalties declined following generic product launches in Canada.

Company Guidance

Orexo expects Izipry to have a six months of review time, with approval expected in the end of Q1 next year; OX640 is on track to start its pivotal trial in Q4, with results expected in first half of next year, potentially into the beginning of Q2, and the company expects to announce the trial start also in this quarter. Normalized OpEx was SEK 55 million or SEK 18 million per month, but the 18 is higher than where they are aiming, and OpEx is expected to further decline in 2027, with cash flow getting closer to the EBITDA; the ambition is to have a runway taking the company past 2027 without income from partnering. The Zubsolv earn-out is expected in Q1 of next year, BARDA resource contribution is up to $54 million, and the DOJ payment is provisioned at up to $4 million over several years, while no significant numbers are foreseen from Zubsolv rebates moving from now on.

Orexo AB Financial Statement Overview

Summary

Financial health is critically weak. Revenue has collapsed 90% TTM, net profit margin is -236%, and free cash flow is deeply negative with an 890% decline. The only minor positive is a now-low debt-to-equity ratio of 0.04, but this was achieved through massive equity destruction, with a -137% return on equity.

Income Statement

8Very Negative

Balance Sheet

42Neutral

Cash Flow

15Very Negative
Financial statement breakdown
BreakdownTTMDec 2025Dec 2024Dec 2023Dec 2022Dec 2021
Income Statement
Total Revenue12.60M26.00M590.00M638.80M624.30M565.00M
Gross Profit-7.60M-55.50M517.90M549.90M552.00M486.10M
EBITDA-302.10M-285.90M34.50M-22.00M-73.90M-141.30M
Net Income-375.00M-129.80M-203.00M-128.30M-177.60M-223.50M
Balance Sheet
Total Assets377.00M1.30B594.80M786.60M1.11B1.27B
Cash, Cash Equivalents and Short-Term Investments152.60M912.40M123.30M171.00M351.80M504.10M
Total Debt6.60M492.20M476.00M473.80M539.60M550.50M
Total Liabilities199.60M812.20M721.10M727.70M915.10M924.10M
Stockholders Equity177.40M490.60M-126.30M58.90M193.90M349.60M
Cash Flow
Free Cash Flow-98.40M173.00M-37.30M-113.90M-180.50M-281.80M
Operating Cash Flow-93.40M173.00M-32.70M-95.00M-156.60M-229.00M
Investing Cash Flow635.00M635.90M-5.30M200.80M-234.70M-52.90M
Financing Cash Flow-496.80M-2.30M-15.50M-70.10M-21.40M250.60M

Orexo AB Technical Analysis

Technical Analysis SentimentNegative
Last Price0.87

Price Trends

50DMA5.41Negative
100DMA8.18Negative
200DMA11.16Negative

Market Momentum

MACD-1.29Negative
RSI13.06Positive
STOCH9.72Positive

Evaluating momentum and price trends is crucial in stock analysis to make informed investment decisions. For SE:ORX, the sentiment is Negative. The current price of 0.87 is below the 20-day moving average (MA) of 2.43, below the 50-day MA of 5.41, and below the 200-day MA of 11.16, indicating a bearish trend. The MACD of -1.29 indicates Negative momentum. The RSI at 13.06 is Positive, neither overbought nor oversold. The STOCH value of 9.72 is Positive, not indicating any strong overbought or oversold conditions. Overall, these indicators collectively point to a Negative sentiment for SE:ORX.

Orexo AB Peers Comparison

Overall Rating

UnderperformOutperform
Sector (51)

Financial Indicators

SE:ORX against its peers
NameOverall RatingMarket CapP/E RatioROEDividend YieldRevenue GrowthEPS Growth
SE:CAMXSE:CAMX78OutperformSEK 43.75B58.0316.50%―2.96%-4.07%
SE:SOBISE:SOBI72OutperformSEK 165.71B25.3815.99%―14.79%26766.85%
SE:IRLAB.ASE:IRLAB.A52NeutralSEK 333.86M-3.28-97.06%―4.74%66.33%
Sector *51Neutral$7.86B-0.30-43.30%2.27%22.53%-2.21%
SE:ALZCURSE:ALZCUR49NeutralSEK 890.82M44.7465.99%―――
SE:XSPRAYSE:XSPRAY40UnderperformSEK 616.42M-3.85-25.14%――44.46%
SE:ORXSE:ORX39UnderperformSEK 377.97M-0.10-115.03%―-97.68%-83.26%

* Healthcare Sector Average

Performance Comparison

0%100%200%300%SE:ORXSE:SOBISE:CAMXSE:ALZCURSE:IRLAB.ASE:XSPRAYDec '25Jan '26Feb '26Mar '26Apr '26May '26Jun '26Jul '26Aug '26Sep '26Oct '26Nov '26
SE:ORX and its peers over the selected period
Show on chartTickerCompany NamePriceChange% Change
SE:ORXOrexo AB0.87-16.70-95.07%
SE:SOBISwedish Orphan Biovitrum Ab487.00146.8043.15%
SE:CAMXCamurus AB739.0095.5014.84%
SE:ALZCURAlzeCure Pharma AB6.524.76270.45%
SE:IRLAB.AIRLAB Therapeutics AB Class A0.62-1.65-72.69%
SE:XSPRAYXspray Pharma AB11.28-13.18-53.89%

Orexo AB Corporate Events

Orexo Publishes Disclosure Document for Approximately SEK 253 Million Rights Issue

Nov 11, 2026

Orexo has published a disclosure document for an approximately SEK 253 million rights issue announced on October 6 and approved by an extraordinary general meeting on November 6. The document was registered with Sweden’s Financial Supervisory Authori...

Orexo, SVF Vaccines to Explore Powder-Based LNP-mRNA Vaccine Formulation

Nov 11, 2026

Orexo AB and SVF Vaccines AB announced a research collaboration covering AmorphOX®-based, powder-formulated LNP-mRNA vaccines. The work evaluates whether formulations can be spray dried while preserving critical nanoparticle properties and functional...

Orexo Announces Two OX640 Data Presentations at ACAAI 2026

Nov 10, 2026

Orexo is a Swedish pharmaceutical company focused on treatments for severe diseases and life-saving rescue medications. Its work includes OX640, a powder-based intranasal epinephrine product in clinical development for emergency treatment of anaphyla...

Orexo Shareholders Approve Rights Issue and Financing Measures

Nov 6, 2026

Orexo is a Swedish pharmaceutical company focused on treatments for severe diseases and life-saving rescue medicines. Its AmorphOX® technology supports drug stability and bioavailability, alongside a portfolio of globally approved medicines and clini...

Orexo Sets Terms for SEK 253 Million Rights Issue

Nov 2, 2026

Orexo finalized a rights issue of up to 316.1 million ordinary shares at SEK 0.80 each, raising approximately SEK 253 million before costs, subject to shareholder approval. The proceeds will strengthen the company’s finances, fund prioritized develop...

Orexo Wins FDA Review of High‑Dose Naloxone Nasal Powder IZIPRY

Oct 29, 2026

Orexo AB has secured U.S. FDA acceptance for review of its resubmitted New Drug Application for IZIPRY, a high‑dose naloxone nasal powder designed to reverse overdoses from potent synthetic opioids such as fentanyl. The decision sets a PDUFA target a...

Orexo Deepens R&D-Driven Transformation Amid Losses and Capital Raise

Oct 22, 2026

Orexo AB reported weak third-quarter financials from its continued operations, with net revenues falling to SEK 0.8 million and a widened net loss, reflecting heavy investment in research and development. Cash flow from operating activities was deepl...

Orexo to Present Q3 2026 Interim Results in Live Investor Call

Oct 16, 2026

Orexo AB is a Swedish pharmaceutical company focused on treatments for severe diseases and life‑saving rescue medications. Its core innovation is the proprietary AmorphOX drug delivery technology, designed to improve bioavailability and stability acr...

Orexo’s AmorphOX® tech shows promising oral semaglutide bioavailability

Oct 14, 2026

Orexo AB has reported promising initial results from its first preclinical in vivo pharmacokinetic study of an oral semaglutide tablet formulated with its AmorphOX® drug delivery technology. The lead formulation showed bioavailability comparable to a...

Orexo launches 250 MSEK rights issue to fund pipeline and strengthen finances

Oct 6, 2026

Orexo AB plans a rights issue of about 250 MSEK, subject to shareholder approval, to bolster its balance sheet and fund key development programs including the OX640 pivotal trial, continued work on OX390 and the AmorphOX platform, and completion of t...

Orexo convenes EGM to approve rights issue and capital authorizations

Oct 6, 2026

Orexo AB has called an Extraordinary General Meeting for 6 November 2026 in Stockholm, inviting shareholders to participate either in person, by proxy, or through postal voting subject to registration and voting-right procedures. The meeting will add...

Orexo Resubmits High-Dose Opioid Overdose Rescue Drug IZIPRY for FDA Review

Sep 29, 2026

Orexo, a Swedish pharma company specializing in severe disease therapies and rescue medications, is leveraging its proprietary AmorphOX platform to enhance drug absorption, stability, and delivery. Listed on Nasdaq Stockholm and OTCQX in the U.S., it...

Orexo Wins FDA Green Light to Advance Needle‑Free Anaphylaxis Treatment OX640

Sep 14, 2026

Orexo AB has secured U.S. FDA acceptance of its Investigational New Drug application for OX640, a powder‑based intranasal epinephrine candidate for emergency treatment of anaphylaxis. Based on the AmorphOX platform, OX640 aims to offer a needle‑free...

Orexo Wins BARDA Funding Boost to Extend OX390 Overdose Rescue Development

Sep 10, 2026

Orexo AB has secured a contract modification from BARDA that extends the initial development phase of its OX390 rescue medication project to the end of 2027 and adds USD 2.99 million in funding. The deal raises the potential total value of the multi-...

Orexo CFO Fredrik Järrsten to Step Down as Company Streamlines Operations

Sep 1, 2026

Orexo AB has announced that Chief Financial Officer Fredrik Järrsten will resign and leave the company in December 2026 after four years in the role. Järrsten, who also oversaw several administrative functions and previously business development, is...

Orexo Moves to Settle U.S. DOJ Probe With Non‑Prosecution Deal

Aug 31, 2026

Orexo AB has reached a non‑binding agreement in principle with the U.S. Department of Justice to resolve a long‑running investigation that began in 2020. The deal would involve a USD 4 million payment over several years and a capped contingent paymen...

Glossary
BuyA stock rated as a "Buy" is expected to perform better than the overall market or a specific benchmark over the near-to-medium term. This rating suggests the stock is likely to deliver higher returns compared to other stocks in the same sector or market index. Note: This is not investment advice; please consult a financial advisor before making investment decisions.
HoldA stock rated as a "Hold" is expected to perform in line with the overall market or a specific benchmark. This rating indicates that the stock is neither particularly compelling nor unfavorable for investment. Note: This is not investment advice; please consult a financial advisor before making investment decisions.
SellA stock rated as a "Sell" is expected to perform worse than the overall market or a specific benchmark over the near-to-medium term. This rating suggests the stock may deliver lower returns compared to other stocks in the same sector or market index. Note: This is not investment advice; please consult a financial advisor before making investment decisions.

Disclaimer

This AI Analyst Stock Report is automatically generated by our AI systems using advanced algorithms and publicly available financial, technical, and market data. While the information provided aims to be accurate and insightful, it is intended for informational purposes only and should not be considered financial advice. Any content created by an AI (Artificial Intelligence) system may contain inaccuracies and/or contain errors. Investing in stocks carries inherent risks, and past performance is not indicative of future results. This report does not account for your personal financial circumstances, objectives, or risk tolerance. Always conduct your own research or consult with a qualified financial advisor before making investment decisions. The analysis and recommendations provided are based on historical and current data and may not fully reflect future market conditions or unexpected developments. Neither the creators of this report nor its affiliated entities guarantee the accuracy, completeness, or reliability of the information presented. Use this report at your own discretion and risk.

Date of analysis: Nov 11, 2026