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BioXcel Therapeutics

BTAI
Biotechnology · Healthcare
Price
$0.90
+0.07 (+8.61%)
Market Cap
$27.8M
Exchange
NASDAQ Capital Market
Winston Score
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No score yet — Winston is napping.
We couldn’t gather enough financial data to score this stock reliably.

Share count rising — dilution

+640.6% over 4y

The company has issued more shares over this period, which dilutes each existing shareholder’s stake.

Diluted shares outstanding: 1.6M (2021) → 12.2M (2025)

BioXcel Therapeutics is a small biotech company that develops medicines for people with serious mental health and brain-related conditions. Its main product is IGALMI (dexmedetomidine), a thin film that dissolves under the tongue and is used to calm agitation in adults with schizophrenia or bipolar disorder. The company sells primarily to hospitals and healthcare facilities in the United States.

BioXcel earns revenue from selling IGALMI, but it spends far more on research, development, and commercialization than it currently brings in — reflected in its deeply negative operating margins. The company operates almost entirely in the US and is quite small, with a market cap near zero, meaning it relies heavily on outside funding to keep running. The key risk is whether IGALMI can gain enough traction with prescribers to generate meaningful sales before the company exhausts its cash, making future financing or a partnership deal critical to its survival.

Winston Score History

Growth Profile

When traditional metrics don't capture the full picture, these are the signals growth stock investors use instead.

Revenue Growth

+22.6% YoY

YoY Growth Rate

Steady revenue growth

EPS Growth

+30.7% YoY

YoY Growth Rate

Strong earnings growth

R&D Spend

$30M/ year

Flat (-1% vs prior year)

>1,000% of revenue

261.8x the sector average (18%)

Steady R&D investment year-over-year

Insider Activity

2.2%ownership

Relatively low insider ownership

Cash Runway

~4 months

$17M cash & investments

Short runway — potential dilution ahead through share issuance

Cash watch

BioXcel Therapeutics has less than a year of cash at its current burn rate. Growth investors should watch for potential share dilution from future fundraising — that directly reduces your ownership.

The Winston Score above measures business quality today. Growth stocks often score lower because they invest in the future rather than maximising current profits. These metrics show what matters most for evaluating that future.

Score breakdown

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Quality

Gross Margin
-65.5%
Thin — -65.5% gross margin
Operating Margin
-4911.7%
Losing money on operations — -4911.7%
ROCE
N/A
Data not available

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Growth

Sales YoY
-63.3%
Shrinking sales (-63.3% YoY)
EPS YoY
N/A
Data not available
EPS Consistency
8/8 quarters
Every recent quarter grew earnings vs last year

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Cash Flow

Cash Conversion
N/A
Data not available
FCF Margin
-8438.4%
Burning cash (-8438.4%)

Free cash flow is negative. They are burning cash, not generating it.

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Stability

Debt / Equity
N/A
Data not available
Interest Cover
N/A
Data not available

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Valuation

P/E Ratio (TTM)
N/M
Negative earnings — P/E not meaningful
P/E vs Forward
N/A
not available
Data not available

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Dividends

Not applicable for this business.
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