Cytokinetics and Bayer form exclusive licensing deal for aficamten in Japan, focusing on hypertrophic cardiomyopathy (HCM). The agreement includes €50 million upfront, potential €90 million in milestones, and up to €490 million in commercial milestone payments, plus tiered royalties on Japanese sales. Bayer will conduct Phase 3 trials for obstructive HCM, while Cytokinetics expands ACACIA-HCM and CEDAR-HCM trials into Japan.