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Sarepta Defies FDA, Keeps Duchenne Gene Therapy on the Market

Regulators have placed limb-girdle muscular dystrophy trials on hold to assess Elevidys’s safety after three liver-failure deaths.

FILE - The Food and Drug Administration seal is seen at the Hubert Humphrey Building Auditorium in Washington, Tuesday, April 22, 2025. (AP Photo/Jose Luis Magana, File)
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Overview

  • The FDA has formally asked Sarepta to voluntarily stop all Elevidys shipments in response to emerging safety signals.
  • Sarepta has refused the FDA’s request and will continue limited distribution to ambulatory Duchenne patients with newly added liver-injury warnings.
  • Earlier this year, two teenage boys died of acute liver failure after receiving Elevidys, and a third patient died in a related limb-girdle muscular dystrophy trial.
  • The company suspended shipments to non-ambulatory patients and is subject to a clinical hold on limb-girdle studies during the FDA investigation.
  • Facing threats to its leading revenue source, Sarepta has laid off nearly 500 employees as regulators weigh Elevidys’s future.