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Sarepta Shares Plunge After ESSENCE Phase 3 Miss in Duchenne Trial

The company will seek FDA guidance on converting its exon-skipping drugs from accelerated to full approval.

Overview

  • Sarepta reported that the nine-year ESSENCE study of Amondys 45 (casimersen) and Vyondys 53 (golodirsen) failed its primary endpoint despite numerical trends favoring treatment.
  • The randomized trial enrolled 225 boys aged 6 to 13 and assessed function over 96 weeks, including a four-stair climb where gains did not reach statistical significance.
  • Shares fell roughly 36% in premarket trading on Tuesday, and Reuters noted the stock is down about 80% for the year.
  • The company cited COVID-19 disruptions to participation and data collection and pointed to post-hoc analyses suggesting slower disease progression, as analysts warned scrutiny from regulators, payers and physicians will intensify.
  • The setback follows July’s brief market withdrawal of Elevidys after three deaths from acute liver failure, even as Sarepta posted stronger-than-expected Q3 revenue of $399.4 million.