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Sarepta Plunges 36% After Duchenne Trial Misses Primary Endpoint

The company plans an FDA meeting to discuss a path to full approval for its PMO drugs.

Overview

  • Topline Phase 3 ESSENCE results showed casimersen and golodirsen failed the primary goal, despite numerical trends favoring treatment.
  • The nine-year study followed 225 boys aged 6 to 13 for 96 weeks using a four‑step climb measure that did not reach statistical significance.
  • Sarepta said it will meet the FDA to discuss converting the drugs’ existing accelerated approvals to traditional approvals.
  • The company cited pandemic disruptions to participation and data collection and highlighted post‑hoc analyses suggesting larger effects, which may draw skepticism.
  • The setback intensifies scrutiny of Sarepta’s DMD portfolio after a July Elevidys market pause following three deaths, even as Q3 revenue of $399.4 million beat expectations.