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Sarepta Therapeutics is seeking to convert the accelerated approval of its therapeutic exon-skippers for Duchenne muscular dystrophy to full despite the drugs’ failure to improve motor function in a confirmatory trial.
The FDA has formally accepted Sarepta Therapeutics’ application for the full approval of its two Duchenne muscular dystrophy medicines, with a verdict expected on or before Feb. 28, 2027.
Sarepta is looking to convert the accelerated approval for
Amondys 45
and
Vyondys 53
—exon-skipping therapies given the greenlight in 2021 and 2019, respectively—into full approval. In November last year, results from the confirmatory Phase 3 ESSENCE trial showed that
neither agent elicited significant motor function improvements
versus placebo.
Still, analysts at Oppenheimer view the FDA’s acceptance of Sarepta’s applications as a “positive signal,” especially because Sarepta on Tuesday said the submission also includes supplemental “substantial published real-world evidence and the favorable and consistent safety profiles of both exon-skipping therapies.”
“We think inclusion of positive real-world safety data improves likelihood of conversion to full approval,” the analysts told investors in a note on Tuesday, noting that “safety will be key” for the FDA’s verdict.
Jefferies shared this sentiment, saying in its own Tuesday note that real-world data suggest the exon-skippers can “help patients remain ambulatory, off ventilators, and out of ERs/hospitals.” Given that side effects are mostly mild or moderate, “the overall benefit/risk pro favorable” for Amondys and Vyondys, the analysts added.
FDA
Sarepta Plans FDA Run for Duchenne Exon Skippers Despite Confirmatory Trial Failure
Sarepta Therapeutics says the FDA has agreed to review a regulatory package for Amondys 45 and Vyondys 53 after they failed a confirmatory trial, but whether the agency will agree to approve them is still unknown.
March 19, 2026
·
2 min read
·
Annalee Armstrong
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Beyond the beefed-up submission, Jefferies also pointed to other broader changes that could boost Sarepta’s chances of an approval. For one, the firm noted the exit of former Commissioner Marty Makary—as well as that of Vinay Prasad, ex-director of the Center for Biologics Evaluation and Research—which in turn could give way to a regulator that is more lenient toward rare diseases.
“We are closely monitoring the new FDA’s stance toward rare diseases,” Jefferies wrote. The firm also noted some “softening” on the regulator’s part regarding recent rejections, “alongside cases where the agency has revised its view on supportive data.”
Replimune, which owns the twice-rejected melanoma therapy RP1, said last week that the FDA has
accepted
a resubmission after some “collaborative dialogue” with the company. A decision is expected by Aug. 2, with an advisory committee meeting planned.
Similarly, uniQure
now plans a Q3 submission
for its Huntington’s disease gene therapy after a 180-degree-turn from the FDA, which had previously wanted a sham surgery–controled trial to establish the benefits of the investigational treatment—but has now instead agreed to the use of uniQure’s externally controlled Phase 1/2 trial.
FDA
FDA’s uniQure, REGENXBIO reversals could bolster other near-term rare disease applications
The FDA’s recently altered outlook on the evidence required for approval of rare disease drugs could have immediate benefits for companies including Skyhawk Therapeutics, Capricor Therapeutics and Biohaven.
June 25, 2026
·
6 min read
·
Heather McKenzie
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Full approvals for Amondys and Vyondys would hand Sarepta a much-needed win after the biotech last year was rocked by patient deaths associated with its gene therapies. Its FDA-approved Duchenne gene therapy Elevidys was linked to two deaths—one in
March 2025
and another in
June
—followed by a
third mortality
in a patient treated with an investigational gene therapy for limb-girdle muscular dystrophy.
Following this episode, the biotech
pivoted away
from gene therapies to instead
focus on RNA interference modalities
.