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FDA Investigates Fatal Liver Failures Linked to Sarepta’s Elevidys Therapy

Two teenage deaths within 90 days of infusion prompted Sarepta to suspend shipments to non-ambulatory patients.

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Overview

  • The FDA is probing two reports of acute liver failure deaths in non-ambulatory Duchenne muscular dystrophy patients treated with Elevidys.
  • The patients were a 16-year-old weighing 154 pounds and a 15-year-old weighing 110 pounds, and both died within three months of treatment.
  • Sarepta has halted commercial shipments of Elevidys for non-ambulatory individuals and paused dosing in its ENVISION trial for older and non-ambulatory patients.
  • Elevidys, approved in 2024 for ambulatory patients aged 4 and older, has been used by over 900 patients despite earlier efficacy concerns.
  • FDA regulators are evaluating whether to update safety warnings or take further actions, which could include market withdrawal of the gene therapy.