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Cytokinetics Announces MHRA Marketing Authorisation for MYQORZO®▼ (aficamten) and Positive Guidance from NICE for Symptomatic Obstructive Hypertrophic Cardiomyopathy in England and Wales

  • Cytokinetics announced that the UK Medicines and Healthcare products Regulatory Agency (MHRA) granted marketing authorisation for MYQORZO® (aficamten) to treat symptomatic obstructive hypertrophic cardiomyopathy (oHCM) in eligible adults.
  • The National Institute for Health and Care Excellence (NICE) issued guidance recommending aficamten for use in eligible adult patients with NYHA class II-III oHCM in England and Wales.
  • Aficamten is indicated as an add-on to optimised standard care including beta-blockers, non-dihydropyridine calcium-channel blockers, or disopyramide, or as monotherapy if these treatments are contraindicated.
  • The MHRA approval was based on SEQUOIA-HCM phase 3 data showing a statistically significant improvement in peak oxygen uptake (pVO2) compared with placebo at week 24.
  • Common adverse reactions reported with aficamten included hypertension (7.7%), palpitations (7.0%), dizziness (4.2%), and systolic dysfunction (3.5%).
  • MYQORZO is subject to additional monitoring via the MHRA Yellow Card Scheme to identify new safety information quickly.
  • The drug acts as a cardiac myosin inhibitor to reduce left ventricular outflow tract obstruction by decreasing cardiac contractility.
  • Cytokinetics expects NHS availability for eligible patients later in 2026 following the regulatory approvals.