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EchoIQ

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EchoIQ

Dear Team With EchoIQ (EIQ) failing to secure FDA approval for EchoSolv HF (for heart failure/diagnostics), what are your views on this counter going forward? PS: EchoIQ already has FDA clearance for EchoSolv AS (which identifies severe aortic stenosis using echocardiographic data). Looking forward, as always, to reading your response. Lambertus

Answer

Hi Lambertus,

For members not familiar with EIQ its a $420MN AI-powered medical technology company developing software that analyses echocardiogram data to help clinicians identify structural heart disease earlier and more accurately. Its flagship EchoSolv AS platform is FDA-cleared for assessing severe aortic stenosis, with the company developing a platform for additional cardiovascular conditions including heart failure.

EIQ has plunged ~55% this week after revealing the FDA had issued a Not Substantially Equivalent (NSE) determination for its initial EchoSolv HF 510(k) application for heart failure detection.

  • The news triggered a brutal reaction, with EIQ falling as much as 63%, its largest one-day decline since 2019, on huge volume.

Management believes there is a path forward and has commenced a review of the FDA’s concerns, with the key issue now whether EIQ can provide a credible timetable for an appeal or resubmission supported by additional data.

  • However, regulatory uncertainty has materially increased, prompting Bell Potter to downgrade EIQ to Speculative Sell with a 30c price target, well below the current ~56c share price.

The investment case has shifted from commercial execution to regulatory execution almost overnight. A successful resubmission will drive a sharp recovery, but until EIQ provides greater clarity on the FDA’s concerns, the required additional work and likely timeline, the stock is likely to remain highly speculative and volatile.

  • EIQ has largely become a binary situation, making it too hard for us, forecasting the result of an FDA application is a coin toss.
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ECHOiQ Ltd (EIQ)
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