Milestone Pharmaceuticals Inc. (MIST) Discusses FDA Approval and Clinical Insights for CARDAMYST Nasal Spray in PSVT Treatment Transcript
Despite the CRL setback and heavy dilution, we remain optimistic on etripamil's long-term market potential and Milestone's investment thesis. The recent $52.5 million equity raise was poorly timed and dilutive, but it ensures Milestone's survival even if approval is delayed. Our updated financial model reflects higher risk, dilution, and a later launch, reducing risk-adjusted fair value but still offering upside.
I rate Milestone Pharmaceuticals Inc. a Strong Buy under $2, expecting FDA approval for Cardamyst in early 2026 after addressing recent regulatory setbacks. Cardamyst offers a unique, self-administered treatment for PSVT and AFib-RVR with no direct at-home competitors, strong efficacy, and significant pricing power. Financially, Milestone has sufficient runway into 2026, with a $75M milestone payment pending approval, though another small equity raise may be needed if they experience further delays.
| Biotechnology Industry | Healthcare Sector | Joseph G. Oliveto CEO | NASDAQ (NGS) Exchange | 59935V107 CUSIP |
| CA Country | 33 Employees | - Last Dividend | - Last Split | 9 May 2019 IPO Date |
Milestone Pharmaceuticals Inc. is a biopharmaceutical company that concentrates its efforts on the innovation and commercialization of cardiovascular medicines. Established in 2003 and based in Montréal, Canada, the company is engaged in addressing unmet medical needs in cardiovascular diseases with a strong focus on developing novel therapeutic solutions. Milestone Pharmaceuticals has forged partnerships through its license and collaboration agreement with Ji Xing Pharmaceuticals for the development and commercialization of its lead product candidate etripamil across various applications, alongside collaborative efforts with the Montreal Heart Institute, the WCN network, and other leading research centers.
Milestone Pharmaceuticals Inc. is primarily focused on the development of its flagship product candidate, etripamil, alongside its engagement in various collaborative research efforts: