Nikola Gasic's questions to Cytokinetics Inc (CYTK) leadership • Q3 2024
Question
Nikola Gasic from Leerink Partners asked about the expected Peak VO2 improvement for aficamten in the MAPLE-HCM study relative to SEQUOIA-HCM and the potential timeline for guideline adoption.
Answer
Fady Malik, EVP of R&D, reiterated that SEQUOIA showed a 1.74 mL/kg/min improvement and that metoprolol historically shows no improvement. He cautioned that the exact effect size in MAPLE is hard to predict due to study differences but emphasized the key goal is showing a meaningfully better effect than metoprolol. He added that guideline committees are aware of the fast-moving field.