Akebia Therapeutics, Inc.
US ˙ NasdaqCM ˙ US00972D1054

SecurityAKBA / Akebia Therapeutics, Inc.
InstitutionSimplex Trading, Llc
Latest Disclosed Ownership10,589 shares
Latest Disclosed Value $ 14,718
Simplex Trading, Llc ownership in AKBA / Akebia Therapeutics, Inc.

On May 14, 2026 - Simplex Trading, Llc filed a 13F-HR form disclosing ownership of 10,589 shares of Akebia Therapeutics, Inc. (US:AKBA) valued at $14,719 USD as of March 31, 2026. The entity filed a previous 13F-HR on February 11, 2026 disclosing 20,895 shares of Akebia Therapeutics, Inc.. This represents a change in shares of -49.32% during the quarter. The current value of the position is $10,268 USD.

Simplex Trading, Llc has a history of taking positions in derivatives of the underlying security (AKBA) in the form of stock options. The firm currently holds call options representing 81,100 of underlying shares valued at $112,729 USD and put options representing 1,900 of underlying shares valued at $2,641 USD .

Note: prior versions of this page mistakenly stated that the share values represented the number of options, not the number of underlying shares. For more information on the data backing these reports, please see the SEC document Frequently Asked Questions About Form 13F.

Institutional Ownership: 13F and NPORT Filings

The Security and Class in the table below are shown exactly as filed by the investor. We do our best to track continuity of investments through acquisitions, and this will be reflected in the table as changes in names. In addition to descriptive data, performance of the investment is shown over time. To calculate quarterly performance, we first calculate cost basis of the shares purchased during the quarter, then use that to calculate gross profit. Quarterly return is Gross Profit / Starting Portfolio value.

Note that cost basis is calculated and stored in thousands, so small quarterly changes in shares frequently result in a cost basis of zero.

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Institutional Put/Call Ratios
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In addition to reporting standard equity and debt issues, institutions with more than 100MM assets under management must also disclose their put and call option holdings. Since put options generally indicate negative sentiment, and call options indicate positive sentiment, we can get a sense of the overall institutional sentiment by plotting the ratio of puts to calls. The chart to the right plots the historical put/call ratio for this instrument.

Using Put/Call Ratio as an indicator of investor sentiment overcomes one of the key deficiencies of using total institutional ownership, which is that a significant amount of assets under management are invested passively to track indices. Passively-managed funds do not typically buy options, so the put/call ratio indicator more closely tracks the sentiment of actively-managed funds.

AKBA / Akebia Therapeutics, Inc. Historical Put/Call Ratio
Disclosed Equity Positions (from 13F/NPORT Filings)
File
Date
Effective
Date
Form Security Class ID Avg Price
Paid (Est)
Reported
Shares
ΔShares ΔShares
(%)
Reported
Value
(x1000)
ΔValue
(%)
Alloc
(%)
ΔAlloc ΔAlloc (%) Cost Basis
(x1000)
Unrealized
Gain/Loss
(x1000)
2026-05-14 2026-03-31 13F AKEBIA THREAPEUTICS COM 00972D105 10,589 -10,306 -49.32 15 -57.58 0.0000
2026-02-11 2025-12-31 13F AKEBIA THERAPEUTICS COM 00972D105 20,895 -79,208 -79.13 34 0.0000
2025-11-12 2025-09-30 13F AKEBIA THERAPEUTICS COM 00972D105 100,103 -92,931 -48.14 0 0.0001
2025-08-05 2025-06-30 13F AKEBIA THERAPEUTICS COM 00972D105 193,034 54,564 39.40 1 0.0004
2025-05-12 2025-03-31 13F AKEBIA THERAPEUTICS COM 00972D105 138,470 9,488 7.36 0 0.0002
2025-02-11 2024-12-31 13F AKEBIA THERAPEUTICS COM 00972D105 128,982 128,982 0 0.0001
2022-08-03 2022-06-30 13F AKEBIA THERAPEUTICS COM 00972D105 0 -86,989 -100.00 0 -100.00
2022-05-02 2022-03-31 13F AKEBIA THERAPEUTICS COM 00972D105 86,989 31,954 58.06 62 -50.00 0.0001
2022-02-23 2021-12-31 13F/A-1 AKEBIA THERAPEUTICS COM 00972D105 55,035 55,035 124 0.0001
2021-08-12 2021-06-30 13F AKEBIA THERAPEUTICS COM 00972D105 0 -48,118 -100.00 0 -100.00
2021-04-26 2021-03-31 13F AKEBIA THERAPEUTICS COM 00972D105 48,118 -52,704 -52.27 162 -42.55 0.0003
2021-02-02 2020-12-31 13F AKEBIA THERAPEUTICS COM 00972D105 100,822 3,373 3.46 282 15.57 0.0004
2020-10-14 2020-09-30 13F AKEBIA THERAPEUTICS COM 00972D105 97,449 52,801 118.26 244 -59.74 0.0003
2020-07-13 2020-06-30 13F AKEBIA THERAPEUTICS COM 00972D105 44,648 -71,938 -61.70 606 -31.37 0.0010
2020-04-29 2020-03-31 13F AKEBIA THERAPEUTICS COM 00972D105 116,586 -8,094 -6.49 883 12.20 0.0016
2020-02-05 2019-12-31 13F AKEBIA THERAPEUTICS COM 00972D105 124,680 106,689 593.01 787 1,024.29 0.0017
2019-10-15 2019-09-30 13F AKEBIA THERAPEUTICS COM 00972D105 17,991 -31,856 -63.91 70 -70.95 0.0002
2019-07-26 2019-06-30 13F AKEBIA THERAPEUTICS COM 00972D105 49,847 13,357 36.60 241 -19.13 0.0007
2019-04-18 2019-03-31 13F AKEBIA THERAPEUTICS COM 00972D105 36,490 36,490 -26.80 298 23.65 0.0008
2019-01-16 2018-12-31 13F AKEBIA THERAPEUTICS COM 00972D105 0 -33,863 -100.00 0 -100.00
2018-10-23 2018-09-30 13F AKEBIA THERAPEUTICS COM 00972D105 33,863 -14,655 -30.21 299 -38.22 0.0010
2018-07-30 2018-06-30 13F AKEBIA THERAPEUTICS COM 00972D105 48,518 46,743 2,633.41 484 2,925.00 0.0019
2018-04-26 2018-03-31 13F AKEBIA THERAPEUTICS COM 00972D105 1,775 -346 -16.31 16 -48.39 0.0007
2018-01-10 2017-12-31 13F AKEBIA THERAPEUTICS COM 00972D105 2,121 -320 -13.11 31 -35.42 0.0013
2017-10-25 2017-09-30 13F AKEBIA THERAPEUTICS COM 00972D105 2,441 1,841 306.83 48 500.00 0.0020
2017-07-12 2017-06-30 13F AKEBIA THERAPEUTICS COM 00972D105 600 -3,354 -84.83 8 -77.78 0.0003
2017-04-21 2017-03-31 13F AKEBIA THERAPEUTICS COM 00972D105 3,954 -23,178 -85.43 36 -87.23 0.0016
2017-01-11 2016-12-31 13F AKEBIA THERAPEUTICS COM 00972D105 27,132 4,560 20.20 282 38.24 0.0168
2016-10-07 2016-09-30 13F AKEBIA THERAPEUTICS COM 00972D105 22,572 5,567 32.74 204 60.63 0.0138
2016-07-18 2016-06-30 13F AKEBIA THERAPEUTICS COM 00972D105 17,005 6,908 68.42 127 41.11 0.0085
2016-04-14 2016-03-31 13F AKEBIA THERAPEUTICS COM 00972D105 10,097 7,950 370.28 90 233.33 0.0072
2016-01-20 2015-12-31 13F AKEBIA THERAPEUTICS COM 00972D105 2,147 -31,001 -93.52 27 -91.56 0.0021
2015-10-08 2015-09-30 13F AKEBIA THERAPEUTICS COM 00972D105 33,148 33,148 320 0.0235
Disclosed Call Options
File
Date
Effective
Date
Form Security Class ID Opt Avg Share
Price
Shares ΔShares
(%)
Value
(x1000)
ΔValue
(%)
Prior Allocation
(%)
Allocation
(%)
ΔAllocation
(%)
Cost Basis
(x1000)
Profit
(x1000)
Return
(%)
2026-05-14 2026-03-31 13F AKEBIA THREAPEUTICS CALL Call 81,100 -43.01 113 -51.09 n/a n/a n/a
2026-02-11 2025-12-31 13F AKEBIA THERAPEUTICS CALL Call 142,300 -2.80 229 n/a n/a n/a
2025-11-12 2025-09-30 13F AKEBIA THERAPEUTICS CALL Call 146,400 39.16 0 n/a n/a n/a
2025-08-05 2025-06-30 13F AKEBIA THERAPEUTICS CALL Call 105,200 1,745.61 0 n/a n/a n/a
2025-05-12 2025-03-31 13F AKEBIA THERAPEUTICS CALL Call 5,700 -88.00 0 n/a n/a n/a
2025-02-11 2024-12-31 13F AKEBIA THERAPEUTICS CALL Call 47,500 -83.44 0 n/a n/a n/a
2024-11-08 2024-09-30 13F AKEBIA THERAPEUTICS CALL Call 286,900 -13.01 0 n/a n/a n/a
2024-07-25 2024-06-30 13F AKEBIA THERAPEUTICS CALL Call 329,800 1.70 0 n/a n/a n/a
2024-04-25 2024-03-31 13F AKEBIA THERAPEUTICS CALL Call 324,300 106.82 1 n/a n/a n/a
2024-02-02 2023-12-31 13F AKEBIA THERAPEUTICS CALL Call 156,800 -50.82 0 n/a n/a n/a
2023-11-01 2023-09-30 13F AKEBIA THERAPEUTICS CALL Call 318,800 12.81 0 n/a n/a n/a
2023-08-04 2023-06-30 13F AKEBIA THERAPEUTICS CALL Call 282,600 -12.91 0 n/a n/a n/a
2023-04-27 2023-03-31 13F AKEBIA THERAPEUTICS CALL Call 324,500 -26.25 0 n/a n/a n/a
2023-02-02 2022-12-31 13F AKEBIA THERAPEUTICS CALL Call 440,000 -18.09 0 -100.00 n/a n/a n/a
2022-11-04 2022-09-30 13F AKEBIA THERAPEUTICS CALL Call 537,200 138.12 169 113.92 n/a n/a n/a
2022-08-03 2022-06-30 13F AKEBIA THERAPEUTICS CALL Call 225,600 -55.45 79 -78.24 n/a n/a n/a
2022-05-02 2022-03-31 13F AKEBIA THERAPEUTICS CALL Call 506,400 1,010.53 363 252.43 n/a n/a n/a
2022-02-23 2021-12-31 13F/A AKEBIA THERAPEUTICS CALL Call 45,600 -16.48 103 -51.18 n/a n/a n/a
2022-02-04 2021-12-31 13F AKEBIA THERAPEUTICS CALL Call 54,600 211 n/a n/a n/a
2021-10-28 2021-09-30 13F AKEBIA THERAPEUTICS CALL Call 54,600 0.37 211 2.43 n/a n/a n/a
2021-08-12 2021-06-30 13F AKEBIA THERAPEUTICS CALL Call 54,400 9,596.97 206 8.99 n/a n/a n/a
2021-04-26 2021-03-31 13F AKEBIA THERAPEUTICS CALL Call 561 29.56 189 56.20 n/a n/a n/a
2021-02-02 2020-12-31 13F AKEBIA THERAPEUTICS CALL Call 433 -1.81 121 10.00 n/a n/a n/a
2020-10-14 2020-09-30 13F AKEBIA THERAPEUTICS CALL Call 441 90.91 110 -64.86 n/a n/a n/a
2020-07-13 2020-06-30 13F AKEBIA THERAPEUTICS CALL Call 231 450.00 313 909.68 n/a n/a n/a
2020-04-29 2020-03-31 13F AKEBIA THERAPEUTICS CALL Call 42 -62.50 31 -55.71 n/a n/a n/a
2020-02-05 2019-12-31 13F AKEBIA THERAPEUTICS CALL Call 112 133.33 70 288.89 n/a n/a n/a
2019-10-15 2019-09-30 13F AKEBIA THERAPEUTICS CALL Call 48 -29.41 18 -43.75 n/a n/a n/a
2019-07-26 2019-06-30 13F AKEBIA THERAPEUTICS CALL Call 68 -66.50 32 -80.61 n/a n/a n/a
2019-04-18 2019-03-31 13F AKEBIA THERAPEUTICS CALL Call 203 0.00 165 47.32 n/a n/a n/a
2019-01-16 2018-12-31 13F AKEBIA THERAPEUTICS CALL Call 203 120.65 112 38.27 n/a n/a n/a
2018-10-23 2018-09-30 13F AKEBIA THERAPEUTICS CALL Call 92 48.39 81 32.79 n/a n/a n/a
2018-07-30 2018-06-30 13F AKEBIA THERAPEUTICS CALL Call 62 376.92 61 -24.69 n/a n/a n/a
2018-04-26 2018-03-31 13F AKEBIA THERAPEUTICS CALL Call 13 18.18 0 -100.00 n/a n/a n/a
2018-01-10 2017-12-31 13F AKEBIA THERAPEUTICS CALL Call 11 -47.62 0 -100.00 n/a n/a n/a
2017-10-25 2017-09-30 13F AKEBIA THERAPEUTICS CALL Call 21 -83.06 11 -68.57 n/a n/a n/a
2017-07-12 2017-06-30 13F AKEBIA THERAPEUTICS CALL Call 124 2,380.00 35 3,400.00 n/a n/a n/a
2017-04-21 2017-03-31 13F AKEBIA THERAPEUTICS CALL Call 5 -66.67 1 -75.00 n/a n/a n/a
2017-01-11 2016-12-31 13F AKEBIA THERAPEUTICS CALL Call 15 1,400.00 4 n/a n/a n/a
2016-10-07 2016-09-30 13F AKEBIA THERAPEUTICS CALL Call 1 -98.25 0 -100.00 n/a n/a n/a
2016-07-18 2016-06-30 13F AKEBIA THERAPEUTICS CALL Call 57 -17.39 5 -16.67 n/a n/a n/a
2016-04-14 2016-03-31 13F AKEBIA THERAPEUTICS CALL Call 69 16.95 6 -86.67 n/a n/a n/a
2016-01-20 2015-12-31 13F AKEBIA THERAPEUTICS CALL Call 59 -75.11 45 200.00 n/a n/a n/a
2015-10-08 2015-09-30 13F AKEBIA THERAPEUTICS CALL Call 237 12.86 15 -31.82 n/a n/a n/a
2015-07-08 2015-06-30 13F AKEBIA THERAPEUTICS CALL Call 210 2,233.33 22 633.33 n/a n/a n/a
2015-04-21 2015-03-31 13F AKEBIA THERAPEUTICS CALL Call 9 3 n/a n/a n/a
Disclosed Put Options
File
Date
Effective
Date
Form Security Class ID Opt Avg Share Price Shares ΔShares
(%)
Value
(x1000)
ΔValue
(%)
Prior Allocation
(%)
Allocation
(%)
ΔAllocation
(%)
Cost Basis
(x1000)
Profit
(x1000)
Return
(%)
2026-05-14 2026-03-31 13F AKEBIA THREAPEUTICS PUT Put 1,900 -44.12 3 -60.00 n/a n/a n/a
2026-02-11 2025-12-31 13F AKEBIA THERAPEUTICS PUT Put 3,400 -96.64 5 n/a n/a n/a
2025-11-12 2025-09-30 13F AKEBIA THERAPEUTICS PUT Put 101,300 11.32 0 n/a n/a n/a
2025-08-05 2025-06-30 13F AKEBIA THERAPEUTICS PUT Put 91,000 -53.36 0 n/a n/a n/a
2025-05-12 2025-03-31 13F AKEBIA THERAPEUTICS PUT Put 195,100 44.41 0 n/a n/a n/a
2025-02-11 2024-12-31 13F AKEBIA THERAPEUTICS PUT Put 135,100 444.76 0 n/a n/a n/a
2024-11-08 2024-09-30 13F AKEBIA THERAPEUTICS PUT Put 24,800 -74.54 0 n/a n/a n/a
2024-07-25 2024-06-30 13F AKEBIA THERAPEUTICS PUT Put 97,400 -42.77 0 n/a n/a n/a
2024-04-25 2024-03-31 13F AKEBIA THERAPEUTICS PUT Put 170,200 1,730.11 0 n/a n/a n/a
2024-02-02 2023-12-31 13F AKEBIA THERAPEUTICS PUT Put 9,300 -41.14 0 n/a n/a n/a
2023-11-01 2023-09-30 13F AKEBIA THERAPEUTICS PUT Put 15,800 364.71 0 n/a n/a n/a
2023-08-04 2023-06-30 13F AKEBIA THERAPEUTICS PUT Put 3,400 41.67 0 n/a n/a n/a
2023-04-27 2023-03-31 13F AKEBIA THERAPEUTICS PUT Put 2,400 -20.00 0 n/a n/a n/a
2023-02-02 2022-12-31 13F AKEBIA THERAPEUTICS PUT Put 3,000 -79.02 0 -100.00 n/a n/a n/a
2022-11-04 2022-09-30 13F AKEBIA THERAPEUTICS PUT Put 14,300 38.83 4 33.33 n/a n/a n/a
2022-08-03 2022-06-30 13F AKEBIA THERAPEUTICS PUT Put 10,300 -93.49 3 -97.35 n/a n/a n/a
2022-05-02 2022-03-31 13F AKEBIA THERAPEUTICS PUT Put 158,100 830.00 113 197.37 n/a n/a n/a
2022-02-23 2021-12-31 13F/A AKEBIA THERAPEUTICS PUT Put 17,000 -48.64 38 -70.31 n/a n/a n/a
2022-02-04 2021-12-31 13F AKEBIA THERAPEUTICS PUT Put 33,100 128 n/a n/a n/a
2021-10-28 2021-09-30 13F AKEBIA THERAPEUTICS PUT Put 33,100 0.00 128 2.40 n/a n/a n/a
2021-08-12 2021-06-30 13F AKEBIA THERAPEUTICS PUT Put 33,100 3,678.54 125 -57.77 n/a n/a n/a
2021-04-26 2021-03-31 13F AKEBIA THERAPEUTICS PUT Put 876 20.83 296 45.81 n/a n/a n/a
2021-02-02 2020-12-31 13F AKEBIA THERAPEUTICS PUT Put 725 -24.00 203 -15.06 n/a n/a n/a
2020-10-14 2020-09-30 13F AKEBIA THERAPEUTICS PUT Put 954 808.57 239 68.31 n/a n/a n/a
2020-07-13 2020-06-30 13F AKEBIA THERAPEUTICS PUT Put 105 -68.84 142 -44.31 n/a n/a n/a
2020-04-29 2020-03-31 13F AKEBIA THERAPEUTICS PUT Put 337 0.30 255 20.28 n/a n/a n/a
2020-02-05 2019-12-31 13F AKEBIA THERAPEUTICS PUT Put 336 950.00 212 1,666.67 n/a n/a n/a
2019-10-15 2019-09-30 13F AKEBIA THERAPEUTICS PUT Put 32 -13.51 12 -29.41 n/a n/a n/a
2019-07-26 2019-06-30 13F AKEBIA THERAPEUTICS PUT Put 37 -47.89 17 -70.69 n/a n/a n/a
2019-04-18 2019-03-31 13F AKEBIA THERAPEUTICS PUT Put 71 91.89 58 205.26 n/a n/a n/a
2019-01-16 2018-12-31 13F AKEBIA THERAPEUTICS PUT Put 37 -59.78 19 -76.54 n/a n/a n/a
2018-10-23 2018-09-30 13F AKEBIA THERAPEUTICS PUT Put 92 187.50 81 161.29 n/a n/a n/a
2018-07-30 2018-06-30 13F AKEBIA THERAPEUTICS PUT Put 32 77.78 31 210.00 n/a n/a n/a
2018-04-26 2018-03-31 13F AKEBIA THERAPEUTICS PUT Put 18 -10.00 10 100.00 n/a n/a n/a
2018-01-10 2017-12-31 13F AKEBIA THERAPEUTICS PUT Put 20 0.00 5 -50.00 n/a n/a n/a
2017-10-25 2017-09-30 13F AKEBIA THERAPEUTICS PUT Put 20 -79.17 0 -100.00 n/a n/a n/a
2017-07-12 2017-06-30 13F AKEBIA THERAPEUTICS PUT Put 96 52.38 2 -50.00 n/a n/a n/a
2017-04-21 2017-03-31 13F AKEBIA THERAPEUTICS PUT Put 63 -84.48 4 -69.23 n/a n/a n/a
2017-01-11 2016-12-31 13F AKEBIA THERAPEUTICS PUT Put 406 153.75 13 1,200.00 n/a n/a n/a
2016-10-07 2016-09-30 13F AKEBIA THERAPEUTICS PUT Put 160 -60.30 1 -96.55 n/a n/a n/a
2016-07-18 2016-06-30 13F AKEBIA THERAPEUTICS PUT Put 403 101.50 29 16.00 n/a n/a n/a
2016-04-14 2016-03-31 13F AKEBIA THERAPEUTICS PUT Put 200 65.29 25 92.31 n/a n/a n/a
2016-01-20 2015-12-31 13F AKEBIA THERAPEUTICS PUT Put 121 384.00 13 225.00 n/a n/a n/a
2015-10-08 2015-09-30 13F AKEBIA THERAPEUTICS PUT Put 25 4 n/a n/a n/a
Legend
Shares
The total number of shares held by the institution at the end of the reporting period (the effective date). This is provided in the filing.
Value
The total value of the shares as of the effective date. This is provided in the filing.
Avg. Share Price
The weighted average share price of the shares held by the institution. We use FIFO accounting to determine this price
Class
This is the security class as indicated by the filer. There are a variety of values for this field. Common values include "EC" = equity common, "EP" - equity preferred
Allocation (%)
The percent of the institution's portfolio that this position represents. This is provided in NPORT filings. For 13F filings, we calculate it.
Change in Allocation
The change in allocation from the prior reporting period. This is calculated as current allocation - prior allocation.
Change in Allocation (%)
The percent change in allocation from the prior reporting period. This is calculated as (current allocation - prior allocation) / prior allocation.
Cost Basis
The total cost of the shares held. This is calculated as reported shares * avg. share price
Unrealized Gain/Loss
This is the market value of the position as of the effective date minus the cost basis.