Milestone Pharmaceuticals: Cardamyst Beat Placebo, But The Commercial Bar Is Higher
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Stephen Ayers9.26K FollowersFollow5ShareSavePlay(14min)CommentsSummaryMilestone Pharmaceuticals Inc. received FDA approval for CARDAMYST, a nasal spray for acute PSVT episodes, but faces a challenging commercialization path.The PSVT market is crowded with effective, cheap oral generics and ablation, making MIST's premium pricing and differentiation difficult to justify.RAPID trial data failed to show significant advantages for CARDAMYST in rapid (10-minute) conversion or ED avoidance, undermining its value proposition to payers and prescribers.I maintain a neutral Hold rating for MIST stock, as CARDAMYST's market opportunity appears niche and MIST must prove commercial traction amid substantial risks. OJO Images/OJO Images via Getty Images Introduction Milestone Pharmaceuticals Inc. (MIST) news reached my desk last week with the FDA approval of its nasal spray, CARDAMYST, which is described as a “calcium channel blocker indicated for the conversion ofThis article was written byStephen Ayers9.26K FollowersFollowWith a background as a RN, I analyze healthcare-related stocks by evaluating clinical data, treatment guidelines, and market dynamics. After completing my MBA, I expanded into tech, where I focus on identifying key valuation drivers and using DCF modeling for scenario-based forecasts. My writing is influenced by books such as "Superforecasting" and "Fooled by Randomness."Analyst’s Disclosure:I/we have no stock, option or similar derivative position in any of the companies mentioned, and no plans to initiate any such positions within the next 72 hours. I wrote this article myself, and it expresses my own opinions. I am not receiving compensation for it (other than from Seeking Alpha). I have no business relationship with any company whose stock is mentioned in this article. This article is intended to provide informational content and should not be viewed as an exhaustive analysis of the featured company. It should not be interpreted as personalized investment advice with regard to "Buy/Sell/Hold/Short/Long" recommendations. The predictions and opinions presented are based on the author's analysis and reflect a probabilistic approach, not absolute certainty. Efforts have been made to ensure the information's accuracy, but inadvertent errors may occur. Readers are advised to independently verify the information and conduct their own research. Investing in stocks involves inherent volatility, risk, and speculative elements. Before making any investment decisions, it is crucial for readers to conduct thorough research and assess their financial circumstances. The author is not liable for any financial losses incurred as a result of using or relying on the content of this article.Seeking Alpha's Disclosure: Past performance is no guarantee of future results. No recommendation or advice is being given as to whether any investment is suitable for a particular investor. Any views or opinions expressed above may not reflect those of Seeking Alpha as a whole. Seeking Alpha is not a licensed securities dealer, broker or US investment adviser or investment bank. Our analysts are third party authors that include both professional investors and individual investors who may not be licensed or certified by any institute or regulatory body.