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KarXT Approval Faces Scrutiny Over Potential Labeling Issues, Analyst Warns

• Bristol-Myers Squibb's KarXT, aimed at treating schizophrenia, faces potential FDA approval hurdles due to labeling concerns regarding cardiovascular risks and food effects. • An analyst from Morgan Stanley maintains a Sell rating on BMY stock, anticipating a negative market reaction if KarXT's label includes restrictive cardiovascular monitoring measures. • Investor expectations lean towards a positive outcome with a clean label, which would likely result in a modest increase in BMY’s stock value, but labeling issues could hinder market performance. • Substantial growth in BMY's stock from KarXT would likely require significant contribution from the Alzheimer’s disease psychosis indication or failure of ABBV’s emraclidine.

Bristol-Myers Squibb's (BMS) schizophrenia drug, KarXT, is facing increased scrutiny as its FDA approval date approaches. Concerns have been raised regarding potential labeling restrictions that could impact its market performance. An analyst from Morgan Stanley has reiterated a Sell rating on BMS stock, citing these labeling uncertainties.

Labeling Concerns and Market Impact

The primary concern revolves around the possibility of KarXT carrying a black box warning, along with specific language addressing cardiovascular risks and the impact of food on the drug's efficacy. Such labeling could put KarXT at a disadvantage compared to other antipsychotics currently available, including AbbVie's emraclidine, which is also in development. While the probability of KarXT receiving approval for schizophrenia is estimated at a high 90%, the nature of the label remains a critical factor.

Analyst's Perspective

According to Morgan Stanley analyst Terence Flynn, investor expectations are largely optimistic, anticipating a 'clean' label for KarXT. This scenario would likely result in a modest increase in BMS's stock value. However, Flynn suggests that even minor labeling issues are not expected to significantly hinder KarXT’s market share, given its clinical profile. The stock is anticipated to react negatively, potentially decreasing by around 5%, if the label includes restrictive measures like extensive cardiovascular monitoring.

Future Growth Prospects

For BMS to see substantial stock growth from KarXT, the drug would likely need to demonstrate significant efficacy in treating Alzheimer’s disease psychosis or benefit from the failure of AbbVie’s emraclidine in its pivotal program. The analyst's assessment reflects a cautious stance on BMS’s near-term launch outlook and broader market dynamics.

Additional Analyst Ratings

In a separate report also released on September 3, Barclays assigned a Sell rating to BMS stock with a price target of $42.00, further underscoring the concerns surrounding KarXT's market potential.
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[1]
Bristol-Myers Squibb's KarXT Faces FDA Approval Hurdles: Analyst Issues Sell Rating Amid ...
markets.businessinsider.com · Sep 14, 2024

Morgan Stanley's Terence Flynn maintains a Sell rating on BMY stock due to potential FDA labeling concerns for KarXT, de...

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