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In a significant turn of events, Sarepta Therapeutics, a biotech company specialising in rare disease treatments, is currently under intense regulatory scrutiny due to safety concerns surrounding its gene therapies, Elevidys and SRP-9004.
Two patient deaths, both from liver failure, have been reported in relation to Elevidys, Sarepta's gene therapy for Duchenne muscular dystrophy (DMD). This has led the Food and Drug Administration (FDA) to request Sarepta to halt Elevidys shipments in the United States as of July 22, 2025. Shipments for nonambulant DMD patients remain suspended while Sarepta evaluates enhanced immunosuppressive regimens.
The FDA's concerns extend beyond Elevidys, as clinical holds have been placed on Sarepta’s ongoing trials for gene therapies targeting limb-girdle muscular dystrophy (LGMD), including SRP-9004. This decision was made due to insufficient evidence to ensure safe use across multiple gene therapy drugs employing the AAVrh74 vector platform.
The regulatory pushback is not limited to the US, as the European Medicines Agency (EMA) panel recommended rejecting Elevidys, further compounding challenges for Sarepta’s Duchenne gene therapy market access and financial outlook.
However, Sarepta has expressed a commitment to collaborating with the FDA to address safety concerns and develop improved patient management protocols. This includes adding Boxed Warnings regarding liver toxicity risks to Elevidys' labeling.
Despite these challenges, Sarepta's portfolio of DMD medicines, including Elevidys, continues to generate decent sales. In Q2 2024, the company reported total revenue of $362.9 million, marking a year-over-year growth of at least 41.4%. Elevidys contributed $282 million to this revenue.
Investors, however, may want to steer clear of Sarepta Therapeutics. The company's shares are down by 88% year to date due to safety issues with Elevidys. If Sarepta encounters more clinical or regulatory setbacks, its shares could become practically worthless in the not-so-distant future.
As a precautionary measure, Sarepta has decided to deprioritize the development of SRP-9004. This decision comes after another patient death, this time from an investigational medicine SRP-9004, was reported.
In light of these developments, it's advisable for potential investors to exercise caution when considering Sarepta Therapeutics. The company is taking steps to rectify things, including cutting expenses, reducing its workforce by 36%, and the FDA's request. However, the future of Sarepta's gene therapies remains uncertain.
[1] FDA News - Sarepta Therapeutics pauses Elevidys shipments following FDA request [2] BioCentury - Sarepta Therapeutics pauses Elevidys shipments following FDA request [3] Fierce Biotech - FDA places clinical holds on Sarepta's LGMD gene therapies [4] Reuters - European panel recommends rejecting Sarepta's Duchenne gene therapy [5] Sarepta Therapeutics - Sarepta Therapeutics provides update on FDA actions related to Elevidys and SRP-9004
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