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Cytokinetics Inc.: Q2 FY2026 earnings call

What management said about Q2 FY2026, from the documents filed with the SEC on 6 August 2026: press release. Guidance figures: 2 raised. The quarter’s numbers.

Key takeaways

  • Total revenue fell year over year: Total revenues were $28.6 million, down from $66.8 million, when the second quarter of 2025 included $64.4 million of license and milestone revenue. Source
  • MYQORZO product revenue reached $25.3 million: MYQORZO net product revenue was $25.3 million, with $23.0 million from the U.S. and $2.3 million from Europe. Source
  • Prescriber and patient counts grew: By June 30, 2026, over 700 unique healthcare providers had prescribed MYQORZO and about 1,500 patients were dispensed it, up from over 275 providers and about 680 patients at March 31. Source
  • Non-obstructive trial met dual endpoints: ACACIA-HCM, a Phase 3 trial in symptomatic non-obstructive HCM, met both dual primary endpoints, with statistically significant improvements from baseline to Week 36. Source
  • LVEF below 50% reported more often: LVEF below 50% occurred in 10% of aficamten participants and 1% of placebo participants. Treatment interruptions for LVEF below 40% were rare. Source
  • Combined expense guidance raised: Full-year combined R&D and SG&A expense guidance rose to $860 million to $890 million, reflecting commercial readiness spending for a potential 2027 nHCM launch. Source
  • Cash rose to $1.7 billion: Cash, cash equivalents and investments were about $1.7 billion at June 30, 2026, up from $1.1 billion at March 31, 2026, after the second-quarter offering. Source

“In the U.S., we continued to build launch velocity evidenced by expanding physician adoption and increasing patient access.”

Robert I. Blum, Cytokinetics’ President and Chief Executive Officer

Guidance

AreaPeriodFigureAgainst last quarter
GAAP combined R&D and SG&A expense SourceFull year 2026$860 million to $890 millionRaised from $830 million to $870 million
Non-cash stock-based compensation within GAAP combined R&D and SG&A expense SourceFull year 2026$140 million to $130 millionRaised from $130 million to $120 million

What changed from last quarter

  • Guidance raised: Combined R&D and SG&A expense guidance was raised, with management citing commercial readiness investments tied to ACACIA-HCM results. Source
  • Guidance raised: Non-cash stock-based compensation expense within combined expense guidance was raised by $10 million at each end of the range. Source
  • New: Company completed a public offering of 11,338,028 shares at $71.00 per share, including the underwriters' full option exercise. Source
  • New: MYQORZO received UK marketing authorization from the MHRA, and NICE issued recommending guidance for England and Wales. Source
  • New: Dutch reimbursement for MYQORZO took effect August 1, 2026, after the quarter end. Source
  • New: New Drug Applications for aficamten were submitted in Hong Kong and Taiwan under the Sanofi collaboration. Source

Revenue and net loss

  • Total revenue fell year over year: Total revenues were $28.6 million, down from $66.8 million, when the second quarter of 2025 included $64.4 million of license and milestone revenue. Source
  • MYQORZO product revenue reached $25.3 million: MYQORZO net product revenue was $25.3 million, with $23.0 million from the U.S. and $2.3 million from Europe. Source
  • Net loss rose to $198.8 million: Net loss was $198.8 million, or $(1.50) per share, compared with a net loss of $134.4 million, or $(1.12) per share, in the second quarter of 2025. Source
  • Collaboration revenue rose modestly: Collaboration revenue was $3.3 million, compared with $2.4 million a year earlier. Source

MYQORZO launch and demand

  • Prescriber and patient counts grew: By June 30, 2026, over 700 unique healthcare providers had prescribed MYQORZO and about 1,500 patients were dispensed it, up from over 275 providers and about 680 patients at March 31. Source
  • Paid prescriptions reached over 80%: Over 80% of patients on therapy were on paid prescription at June 30, 2026, up from over 70% at March 31, 2026. Source
  • Physician awareness and campaigns drove uptake: Management cited increasing physician and patient awareness, driven by engagement and marketing campaigns, as part of continued U.S. launch progress. Source

“we have the financial resources to invest in both the global commercialization of MYQORZO and the continued progression of our pipeline”

Robert I. Blum, Cytokinetics’ President and Chief Executive Officer

European launch and approvals

  • Germany launch completed in June: MYQORZO was brought to market in Germany in June, and management reported 10 health technology assessment dossiers submitted across Europe. Source
  • UK authorization and NICE guidance: The MHRA granted UK marketing authorization for symptomatic NYHA class II-III oHCM in adults. NICE issued guidance recommending aficamten for use in England and Wales. Source
  • Dutch reimbursement effective August 1: The Dutch Ministry of Health approved reimbursement for MYQORZO, effective August 1, after the quarter end. Source
  • Asia and North America filings pending: Taiwan granted priority review designation. Filings for MYQORZO are under review in Canada and Switzerland. Source

ACACIA-HCM in non-obstructive HCM

  • Non-obstructive trial met dual endpoints: ACACIA-HCM, a Phase 3 trial in symptomatic non-obstructive HCM, met both dual primary endpoints, with statistically significant improvements from baseline to Week 36. Source
  • Key secondary endpoints also improved: Statistically significant improvements compared with placebo were also observed in key secondary endpoints. Source
  • LVEF below 50% reported more often: LVEF below 50% occurred in 10% of aficamten participants and 1% of placebo participants. Treatment interruptions for LVEF below 40% were rare. Source

Other pipeline programs

  • Japan trials to complete in Q3: Management expects to complete trial conduct in Q3 2026 for the Japan cohort of ACACIA-HCM and for CAMELLIA-HCM, which Bayer conducts with Cytokinetics. Source
  • CEDAR-HCM adolescent enrollment completed: Enrollment in the adolescent cohort of the pediatric oHCM trial CEDAR-HCM has recently been completed. Source
  • Omecamtiv and ulacamten trials continue: COMET-HF enrollment continues through 2026. AMBER-HFpEF Cohort 1 enrollment is expected to complete in the second half of 2026. CK-089 second Phase 1 study has been initiated. Source
  • New analyses at ESC Heart Failure: Analyses from SEQUOIA-HCM, MAPLE-HCM and FOREST-HCM were presented, supporting previously published safety and efficacy data for aficamten in oHCM. Source

Operating costs and guidance

  • Combined expense guidance raised: Full-year combined R&D and SG&A expense guidance rose to $860 million to $890 million, reflecting commercial readiness spending for a potential 2027 nHCM launch. Source
  • Stock-based compensation guidance raised: Non-cash stock-based compensation within combined expense guidance was raised to $140 million to $130 million. Source
  • R&D expense fell year over year: R&D expense was $97.8 million, compared with $110.1 million, including $15.9 million of non-cash stock-based compensation. Source
  • SG&A rose on launch costs: SG&A was $104.4 million, compared with $65.7 million, with the increase attributed to MYQORZO launch costs and personnel costs including stock-based compensation. Source

Product cost and collaboration costs

  • Product cost of $2.7 million: Cost of goods sold related to MYQORZO was $2.7 million in the quarter, against $25.3 million of net product revenue. Source
  • Collaboration costs include reimbursements: Collaboration cost of revenues was $2.9 million, compared with $2.4 million, and includes cost reimbursements and manufacturing of drug supplies for partners. Source
  • Long-term inventories recorded: Long-term inventories were $6.5 million at June 30, 2026, compared with nil at December 31, 2025. Source

Cash, capital and offering

  • Cash rose to $1.7 billion: Cash, cash equivalents and investments were about $1.7 billion at June 30, 2026, up from $1.1 billion at March 31, 2026, after the second-quarter offering. Source
  • Equity offering at $71.00 per share: The offering of 11,338,028 shares at $71.00 per share produced net proceeds of about $760.1 million after underwriting discounts and offering expenses. Source
  • Weighted share count increased: Weighted-average shares used for basic and diluted loss per share were 132.1 million, up from 119.5 million. Source

Coming up, as management said on 6 August 2026

  • Full ACACIA-HCM results at ESC: Primary ACACIA-HCM results are to be presented in a Hot Line Session at the ESC Congress. Source
  • Supplemental NDA for nHCM planned: Management plans to submit a supplemental NDA for aficamten in non-obstructive HCM in the fourth quarter of 2026. Source
  • Launches in more markets by mid-2027: Management expects to launch MYQORZO in more than five additional European markets by the first half of 2027. Source
  • Potential nHCM launch in 2027: Management referred to a potential 2027 launch of MYQORZO in non-obstructive HCM, which the increased expense guidance is intended to support. Source

Figures management reported

FigureReported
MYQORZO net product revenue Source$25.3 million
R&D expense Source$97.8 million
Approval SourceUK marketing authorization (MHRA)
Reimbursement SourceNetherlands, effective August 1
Trial readout SourceACACIA-HCM met both dual primary endpoints

Risks management discussed

  • Regulatory: Two aficamten participants had serious adverse events of heart failure associated with LVEF below 50%, which management reported as part of the non-obstructive HCM data. Source
  • Demand: European revenue includes initial stocking by German distributors, which management identified within the $2.3 million Europe figure. Source
  • Financial: Higher expense guidance reflects spending ahead of a potential 2027 nHCM launch, which management described as commercial readiness investment. Source

Earlier plans management reported on

  • Met: The Q1 release expected a first launch in Germany in Q2 2026. The Q2 release reports the launch took place in June.
  • Not stated: The Q1 release expected enrollment completion in Q4 2026. The Q2 release says enrollment has recently been completed, without a status term.
  • Not stated: The Q1 release maintained full-year 2026 guidance. The Q2 release updated the combined expense and stock-based compensation ranges.

Other quarters

Summarised with AI from the documents the company filed with the SEC. Every point is checked against the filing before it is shown: management’s own words word for word, figures against the line or table row they come from. A point that fails the check is left out. Source opens the filing at that line.