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Cytokinetics (CYTK)
NASDAQ:CYTK

Cytokinetics (CYTK) AI Stock Analysis

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CYTK

Cytokinetics

(NASDAQ:CYTK)

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Neutral 57 (OpenAI - 4o)
Rating:57Neutral
Price Target:
$65.00
▲(3.36% Upside)
Action:ReiteratedDate:12/20/25
Cytokinetics' overall score reflects significant financial challenges and valuation concerns, offset by positive corporate events and potential growth from recent FDA approval. The technical analysis suggests neutral momentum, while the earnings call indicates progress but also highlights financial and regulatory risks.
Positive Factors
FDA Approval of MYQORZO
The FDA approval of MYQORZO for oHCM enhances Cytokinetics' market position and provides a new revenue stream, supporting long-term growth.
Strong Financial Position
A robust cash position provides Cytokinetics with the financial flexibility to invest in R&D and commercialization efforts, supporting sustainable growth.
European Expansion Plans
Expansion into the European market with aficamten could significantly increase Cytokinetics' market reach and revenue potential over the long term.
Negative Factors
High Leverage
High leverage and negative equity pose risks to financial stability, potentially limiting Cytokinetics' ability to meet obligations and invest in growth.
Negative Profitability
Persistent negative profitability indicates operational challenges, which could hinder long-term financial health and require strategic adjustments.
Pending Regulatory Approvals
Pending regulatory approvals create uncertainty in market penetration and revenue realization, impacting strategic planning and investor confidence.

Cytokinetics (CYTK) vs. SPDR S&P 500 ETF (SPY)

Cytokinetics Business Overview & Revenue Model

Company DescriptionCytokinetics, Incorporated, a late-stage biopharmaceutical company, focuses on discovering, developing, and commercializing muscle activators and inhibitors as potential treatments for debilitating diseases. The company develops small molecule drug candidates primarily engineered to impact muscle function and contractility. Its drug candidates include omecamtiv mecarbil, a novel cardiac myosin activator that is in Phase III clinical trial in patients with heart failure; and reldesemtiv, a skeletal muscle troponin activator, which is in Phase III clinical trial to treat amyotrophic lateral sclerosis and spinal muscular atrophy. The company also develops CK-136, a novel cardiac troponin activator that is in Phase I clinical trial; aficamten, a novel cardiac myosin inhibitor, which is in Phase III clinical trial for the treatment of patients with symptomatic obstructive hypertrophic cardiomyopathy; and CK-3772271, a small molecule cardiac myosin inhibitor that is in Phase I clinical trial. Cytokinetics, Incorporated has a strategic alliance with Astellas Pharma Inc. The company was incorporated in 1997 and is headquartered in South San Francisco, California.
How the Company Makes MoneyCytokinetics generates revenue primarily through the development of its drug candidates, which may include licensing agreements, collaboration deals, and partnerships with larger pharmaceutical companies. The company may receive milestone payments and royalties from these collaborations, particularly if their clinical trials lead to successful product approvals. Additionally, Cytokinetics may generate revenue through grants and government funding for research and development. The company's financial performance is closely tied to the progress of its clinical trials and the commercialization of its therapeutic products.

Cytokinetics Key Performance Indicators (KPIs)

Any
Any
Revenue by Segment
Revenue by Segment
Highlights revenue contributions from different business segments, providing insight into which areas drive growth and how diversified the company’s income streams are.
Chart InsightsRevenue is lumpy and partnership-driven—sporadic large license and milestone receipts dominate while development-related lines remain small. Those one‑off payments continued into 2024–25, but the company is pivoting: management expects regulatory decisions and a commercial launch of aficamten by late 2025/early 2026, which should convert milestone-driven cash flows into recurring product revenue if uptake and access go as planned. Key near-term risks are final approval/REMS, reimbursement and early prescribing breadth; the balance sheet gives the company runway to execute the launch even if initial uptake is slow.
Data provided by:The Fly

Cytokinetics Earnings Call Summary

Earnings Call Date:Feb 24, 2026
(Q4-2025)
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% Change Since: |
Next Earnings Date:Apr 30, 2026
Earnings Call Sentiment Positive
The call emphasized material positive corporate milestones — regulatory approvals across major markets, immediate commercial readiness and early uptake indicators, large full-year revenue growth driven by collaboration milestones, and a strong cash balance — which collectively mark the company’s transition to a global commercial-stage biopharmaceutical company. Notwithstanding, costs have increased substantially as the company invests in commercial infrastructure and ongoing clinical programs, driving wider net losses and near-term uncertainty around product sales and ACACIA topline details. On balance, the strategic and operational positives (approvals, launch momentum, pipeline catalysts and strong cash runway) outweigh the financial short-term headwinds and information gaps, yielding a constructive but cautious outlook.
Q4-2025 Updates
Positive Updates
Regulatory Approvals and Global Commercial Transition
MYCorzo (aficamten) received FDA approval in the U.S., approval in China, a positive CHMP opinion and subsequent European Commission approval for the EU during the same week — enabling Cytokinetics' transition to a global commercial-stage company and planned first European launch in Germany in Q2 2026.
Early U.S. Commercial Launch Momentum
Commercial launch activities began immediately after FDA approval with REMS portal and patient support program live; first prescriptions dispensed within days and patients on therapy within the first week. Within three weeks, over 700 HCPs were REMS-certified and the company reported over 12,000 customer engagements, with Cardiovascular Account Specialists engaging over 95% of the 700 HCPs identified as high-prescribers.
Strong Full-Year Revenue Lift Driven by Collaborations and Milestones
Total revenues for full-year 2025 were $88.0M versus $18.5M in 2024, an increase of approximately +376%, primarily due to a $52.4M technology transfer to Bayer and $15.0M in approval-related milestones under the Sanofi license agreement.
Robust Cash Position Entering Commercial Phase
Year-end 2025 cash, cash equivalents and investments totaled approximately $1.22B (versus $1.25B at year-end 2024). The 2025 balance included a $100M drawing from the Royalty Pharma loan; excluding that draw, cash would have declined by about $134M during 2025.
Clinical Development Milestones and Trial Progress
Key near-term clinical milestones: topline results for ACACIA-HCM (non-obstructive HCM) expected in Q2 2026; sNDA for MAPLE-HCM submitted with FDA review expected by Q4 2026; Health Canada review accepted with potential approval later in 2026. Ongoing trials: COMMUN-HF has 100% U.S. site activation and >90% European site activation; AMBER-HFpEF cohort one enrollment expected complete Q1 2026.
Positive Clinical Data Narrative
MAPLE-HCM responder analyses showed significantly more patients on aficamten achieved positive responses vs metoprolol, with greater improvements in symptoms and cardiac biomarkers — results that have resonated in the cardiology community and support commercial messaging.
Launch Targets and Strategic Priorities
Company aims to achieve >50% of CMI new patient preference share by 2026, intends to grow the overall CMI category, and set capital allocation priorities on US launch, European readiness, label-expansion opportunities, and advancing pipeline programs.
Negative Updates
Increased Operating Expenses
GAAP combined operating costs rose materially: R&D full-year 2025 of $416.0M versus $339.4M in 2024 (+22.6%); G&A full-year 2025 of $284.3M versus $215.3M in 2024 (+32.1%). Q4 increases also material: Q4 R&D $104.4M vs $93.6M (+11.6%); Q4 G&A $91.7M vs $62.3M (+47.2%). These increases were driven primarily by advancing clinical trials and commercial readiness/hiring.
Widening Net Loss
Net loss widened to $785.0M for full-year 2025 from $589.5M in 2024, an increase of ~+33%. Q4 net loss was $183.0M vs $150.0M prior-year (+22%). Loss per share also increased: full-year $6.54 vs $5.26; Q4 $1.50 vs $1.26.
No Product Sales Guidance and Early Commercial Uncertainty
As the first year of launch, the company did not provide product sales guidance for MYCorzo. Early launch metrics are encouraging but limited (three weeks of initial data); the company will begin reporting HCP active prescribers/prescription volumes/patient counts beginning with the Q1 call, creating near-term uncertainty for revenue modeling.
Dependence on External Partnerships for Ex-U.S. Commercialization
China commercialization is partner-led (Sanofi) and other regions involve partners (Bayer), creating reliance on partners for ex-U.S. execution; this can limit direct control over ex-U.S. uptake and timing.
Cash Movement Partly Supported by Loan Draw
The year-end cash balance included $100M drawing from a Royalty Pharma multi-tranche loan. Excluding that draw, cash would have declined by ~$134M in 2025, underscoring near-term cash burn associated with launch and R&D spend despite a sizable headline cash balance (~$1.22B).
Uncertain ACACIA Outcome and Communication Strategy
ACACIA-HCM topline (Q2 2026) remains blinded; the trial is positive if either co-primary (KCCQ or peak VO2) is statistically significant. Management emphasized potential for a 'high-level' topline release to preserve congress presentation, contributing to uncertainty about how much detail will be disclosed initially and how stakeholders (physicians, payers) will interpret magnitude of effect if marginal.
Company Guidance
Cytokinetics closed 2025 with ~$1.22B in cash, cash equivalents and investments (vs $1.25B at 2024 year‑end), including a $100M draw from Royalty Pharma (cash would have fallen ~$134M in 2025 excluding that draw); Q4 revenue was $17.8M (Q4’24 $16.9M) and FY revenue $88.0M (2024 $18.5M) — helped by a $52.4M technology transfer to Bayer and $15M in approval milestones — while Q4 R&D was $104.4M (Q4’24 $93.6M) and FY R&D $416.0M (2024 $339.4M), Q4 G&A $91.7M (Q4’24 $62.3M) and FY G&A $284.3M (2024 $215.3M), with net loss Q4 $183M ($1.50/sh) and FY net loss $785M ($6.54/sh) (2024 net loss $589.5M, $5.26/sh). For 2026 they will not give product‑sales guidance but expect GAAP combined R&D + SG&A of $830–$870M (including stock‑based comp $120–$130M; excluding SBC $700–$750M), will begin reporting product sales with Q1 2026 results, and will track three launch metrics (HCPs actively writing scripts, scripts per HCP, and patients on MYCorzo); commercial targets and milestones include >700 REMS‑certified HCPs within three weeks, >12,000 customer engagements, a goal of >50% CMI new‑patient preference share by 2026, Medicare access comparable to Camzyos in Q1 and commercial access comparable by Q4 2026, ACACIA‑HCM topline in Q2 2026, MYCorzo launch in Germany in Q2 2026, potential FDA sNDA decision on MAPLE‑HCM by Q4 2026, potential Health Canada approval in H2 2026, CEDAR adolescent cohort completion by Q4 2026, and continued execution of COMMUN‑HF, AMBER‑HFpEF and preclinical programs.

Cytokinetics Financial Statement Overview

Summary
Cytokinetics faces significant financial challenges, with negative profitability and high leverage. Despite revenue growth, the company struggles with high costs and negative cash flows, indicating financial instability.
Income Statement
15
Very Negative
Cytokinetics has experienced significant revenue growth in recent periods, but it remains unprofitable with negative margins across the board. The gross profit margin and net profit margin are deeply negative, indicating high costs relative to revenue. The EBIT and EBITDA margins are also negative, reflecting ongoing operational challenges.
Balance Sheet
10
Very Negative
The balance sheet shows a concerning level of leverage, with a negative debt-to-equity ratio due to negative stockholders' equity. This indicates financial instability and potential risk in meeting debt obligations. The return on equity is positive but misleading due to negative equity, and the equity ratio is not favorable.
Cash Flow
20
Very Negative
Cytokinetics has negative operating and free cash flows, although there is some growth in free cash flow. The operating cash flow to net income ratio is negative, indicating cash flow challenges. The free cash flow to net income ratio is slightly positive, suggesting some alignment between cash flow and reported earnings.
BreakdownDec 2025Dec 2024Dec 2023Dec 2022Dec 2021
Income Statement
Total Revenue88.04M18.47M7.53M94.59M70.43M
Gross Profit88.04M-320.93M-322.59M-146.22M-89.51M
EBITDA-602.57M-493.48M-456.68M-329.40M-176.34M
Net Income-784.96M-589.53M-526.24M-388.95M-215.31M
Balance Sheet
Total Assets1.42B1.40B824.32M1.01B841.32M
Cash, Cash Equivalents and Short-Term Investments882.22M1.08B614.82M782.58M471.64M
Total Debt1.28B788.68M755.77M750.30M269.93M
Total Liabilities2.08B1.54B1.21B1.12B597.46M
Stockholders Equity-659.63M-135.37M-386.32M-107.90M243.86M
Cash Flow
Free Cash Flow0.00-399.80M-415.75M-310.85M-191.39M
Operating Cash Flow0.00-395.89M-414.33M-299.52M-142.52M
Investing Cash Flow0.00-553.10M239.25M-262.13M-147.78M
Financing Cash Flow0.00930.61M221.32M516.17M319.98M

Cytokinetics Technical Analysis

Technical Analysis Sentiment
Negative
Last Price62.89
Price Trends
50DMA
64.03
Negative
100DMA
63.12
Negative
200DMA
50.64
Positive
Market Momentum
MACD
0.91
Negative
RSI
44.25
Neutral
STOCH
64.01
Neutral
Evaluating momentum and price trends is crucial in stock analysis to make informed investment decisions. For CYTK, the sentiment is Negative. The current price of 62.89 is below the 20-day moving average (MA) of 65.34, below the 50-day MA of 64.03, and above the 200-day MA of 50.64, indicating a neutral trend. The MACD of 0.91 indicates Negative momentum. The RSI at 44.25 is Neutral, neither overbought nor oversold. The STOCH value of 64.01 is Neutral, not indicating any strong overbought or oversold conditions. Overall, these indicators collectively point to a Negative sentiment for CYTK.

Cytokinetics Risk Analysis

Cytokinetics disclosed 37 risk factors in its most recent earnings report. Cytokinetics reported the most risks in the "Finance & Corporate" category.
Finance & Corporate - Financial and accounting risks. Risks related to the execution of corporate activity and strategy
Latest Risks Added 0 New Risks

Cytokinetics Peers Comparison

Overall Rating
UnderperformOutperform
Sector (51)
Financial Indicators
Name
Overall Rating
Market Cap
P/E Ratio
ROE
Dividend Yield
Revenue Growth
EPS Growth
63
Neutral
$11.29B-14.67-32.44%106.27%-43.90%
57
Neutral
$8.57B-9.632609.26%-17.08%
54
Neutral
$7.63B-19.66-38.79%-52.84%
53
Neutral
$6.58B-31.95-240.36%54.92%28.47%
52
Neutral
$8.69B-44.45-252.11%65.83%28.50%
51
Neutral
$7.86B-0.30-43.30%2.27%22.53%-2.21%
50
Neutral
$3.60B-15.10-22.60%74.91%31.54%
* Healthcare Sector Average
Performance Comparison
Ticker
Company Name
Price
Change
% Change
CYTK
Cytokinetics
62.89
16.03
34.21%
AXSM
Axsome Therapeutics
164.22
35.89
27.97%
RYTM
Rhythm Pharmaceuticals
99.15
45.83
85.95%
LEGN
Legend Biotech
19.72
-16.81
-46.02%
RNA
Avidity Biosciences
72.80
43.15
145.53%
NUVL
Nuvalent
104.53
27.49
35.68%

Cytokinetics Corporate Events

Business Operations and StrategyProduct-Related AnnouncementsRegulatory Filings and Compliance
Cytokinetics Gains FDA Approval for MYQORZO in oHCM
Positive
Dec 19, 2025

On December 19, 2025, Cytokinetics announced that the U.S. Food and Drug Administration approved MYQORZO (aficamten) tablets in multiple strengths for the treatment of adults with symptomatic obstructive hypertrophic cardiomyopathy to improve functional capacity and symptoms. MYQORZO, an allosteric and reversible inhibitor of cardiac myosin motor activity, works by reducing cardiac contractility and left ventricular outflow tract obstruction in oHCM patients, marking a significant commercial and clinical milestone that strengthens Cytokinetics’ position in the cardiovascular therapeutics market and expands treatment options for patients with this serious cardiac condition.

The most recent analyst rating on (CYTK) stock is a Buy with a $95.00 price target. To see the full list of analyst forecasts on Cytokinetics stock, see the CYTK Stock Forecast page.

Product-Related Announcements
Cytokinetics Receives EU Recommendation for MYQORZO®
Positive
Dec 12, 2025

On December 12, 2025, Cytokinetics announced that the European Medicines Agency’s Committee for Medicinal Products for Human Use has recommended marketing authorization for MYQORZO® (aficamten) in the EU. This cardiac myosin inhibitor is intended for treating symptomatic obstructive hypertrophic cardiomyopathy in adults, with a final decision expected from the European Commission in early 2026.

The most recent analyst rating on (CYTK) stock is a Buy with a $72.00 price target. To see the full list of analyst forecasts on Cytokinetics stock, see the CYTK Stock Forecast page.

Executive/Board Changes
Cytokinetics Appoints New Executive VP and CLO
Positive
Nov 14, 2025

On November 13, 2025, Cytokinetics announced the appointment of Jeffrey J. Hessekiel as Executive Vice President, Chief Legal and Administrative Officer, effective November 14, 2025. Mr. Hessekiel brings extensive legal and compliance experience from his previous roles at Exelixis, Arnold & Porter LLP, and Gilead Sciences, Inc. His compensation package includes a base salary of $660,000, a signing bonus, and an equity award, reflecting the company’s strategic focus on strengthening its leadership team to enhance its market position.

The most recent analyst rating on (CYTK) stock is a Hold with a $69.00 price target. To see the full list of analyst forecasts on Cytokinetics stock, see the CYTK Stock Forecast page.

Glossary
BuyA stock rated as a "Buy" is expected to perform better than the overall market or a specific benchmark over the near-to-medium term. This rating suggests the stock is likely to deliver higher returns compared to other stocks in the same sector or market index. Note: This is not investment advice; please consult a financial advisor before making investment decisions.
HoldA stock rated as a "Hold" is expected to perform in line with the overall market or a specific benchmark. This rating indicates that the stock is neither particularly compelling nor unfavorable for investment. Note: This is not investment advice; please consult a financial advisor before making investment decisions.
SellA stock rated as a "Sell" is expected to perform worse than the overall market or a specific benchmark over the near-to-medium term. This rating suggests the stock may deliver lower returns compared to other stocks in the same sector or market index. Note: This is not investment advice; please consult a financial advisor before making investment decisions.

Disclaimer

This AI Analyst Stock Report is automatically generated by our AI systems using advanced algorithms and publicly available financial, technical, and market data. While the information provided aims to be accurate and insightful, it is intended for informational purposes only and should not be considered financial advice. Any content created by an AI (Artificial Intelligence) system may contain inaccuracies and/or contain errors. Investing in stocks carries inherent risks, and past performance is not indicative of future results. This report does not account for your personal financial circumstances, objectives, or risk tolerance. Always conduct your own research or consult with a qualified financial advisor before making investment decisions. The analysis and recommendations provided are based on historical and current data and may not fully reflect future market conditions or unexpected developments. Neither the creators of this report nor its affiliated entities guarantee the accuracy, completeness, or reliability of the information presented. Use this report at your own discretion and risk.Date of analysis: Dec 20, 2025