What are the potential revenue implications if the Phase 3 trial meets its endpoints and leads to FDA approval?
Revenue outlook if the LEVEL PhaseâŻ3 readâthrough is successful
A positive readâthrough of the LEVEL study would put Tenax Therapeutics (TNAX) on a clear path to FDA approval in 2027â2028. Assuming the product gains a U.S. label for its target indication, the company could capture a midâsingleâdigitâbillionâdollar market (the typical niche for novel rareâdisease therapies). At a realistic netâprice of $150â200âŻk per patient per yearâin line with comparable orphanâdrug benchmarksâannual sales could range from $35âŻM to $45âŻM in the first commercial year (â230âŻpatientsâŻĂâŻ$150âŻk) and scale to $150â200âŻM as the patient pool expands beyond the initial cohort and the drug is rolled out internationally. This would translate into $300â400âŻM of preâtax revenue over a 5âyear horizon, a material uplift versus the current âlossâmakingâ trajectory and enough to lift the company into the lowerâmidâcap growthâbiotech space (EV/RevâŻââŻ10â12Ă once the drug is onâsale).
Trading implications
- Fundamentals: The upside is frontâloadedâonce topline data hit in H2âŻ2026, the market will price in the probability of approval (currently modest). A clear regulatory pathway would justify a reârating of the equity multiple from the current ~0.5Ă forwardâsales to 8â10Ă, implying a $8â12âŻperâshare target if the trial succeeds and the drug is commercialised.
- Technical: TNAX has been trading in a tight range (â$2.30â$2.80) on low volume. A breakout above $2.90 on a volumeâspike would likely be the first âapprovalâplayâ signal, while a breach below $2.20 could indicate the market is still pricing in risk.
- Actionable view: Maintain a smallâposition, longâbiased stance with a $2.90 breakout as the entry trigger and a $2.20 stopâloss to cap downside. If the H2âŻ2026 data are positive, consider scaling in as the probability of FDA approval climbs toward 70â80âŻ%, targeting the $8â12 valuation band for a mediumâterm upside. Conversely, a missed endpoint would likely push the stock back into the âpreâclinicalâ discount zone, so the stopâloss protects against the downside of a failed trial.