- Significant functional benefits for 8- and 9-year-olds with
Duchenne in Part 2 of the EMBARK study, contributing to the
evidence of stabilization or slowing of disease progression in
later childhood when muscle weakness typically progresses
- Statistically significant differences were observed on all
key endpoints including 4.75 points (P=0.0026) on North Star
Ambulatory Assessment (NSAA), 6.87 seconds in time-to-rise (TTR)
from the floor (P=0.0010), and 4.76 seconds in 10-meter walk/run
(10MWR) (P=0.0097) compared to a well-matched external control
cohort
- Five abstracts, including two oral presentations at American
Society of Gene & Cell Therapy Conference, span Sarepta’s
portfolio of approved and pipeline therapies across Duchenne and
limb-girdle muscular dystrophy
Sarepta Therapeutics, Inc. (NASDAQ:SRPT), the leader in
precision genetic medicine for rare diseases, today presented new
data from Part 2 of the EMBARK study that continue to support the
clinical benefits of ELEVIDYS (delandistrogene moxeparvovec-rokl),
the only approved gene therapy for patients with Duchenne muscular
dystrophy. These data are among other ELEVIDYS data from Sarepta’s
portfolio presented during the 28th annual meeting of the American
Society of Gene & Cell Therapy (ASGCT) Conference.
In the recent analysis of Part 2 of the EMBARK study,
participants with Duchenne muscular dystrophy who had received a
placebo in Part 1 and were aged 8 to 9 years (n=14) at crossover
were included. At one year post ELEVIDYS treatment, there were
between-group differences (least square means) on all key endpoints
that were statistically significant, including 4.75 points
(P=0.0026) on North Star Ambulatory Assessment (NSAA), 6.87 seconds
in time-to-rise (TTR) from the floor (P=0.0010), and 4.76 seconds
in 10-meter walk/run (10MWR) (P=0.0097) compared to a well-matched
external control cohort.
"The latest data from the EMBARK study highlighting motor
function improvements in 8- and 9-year-old boys is encouraging and
adds to the growing body of evidence supporting ELEVIDYS," said
Aravindhan Veerapandiyan, M.D., Associate Professor of Pediatrics
at the University of Arkansas for Medical Sciences and Arkansas
Children’s Hospital. "What stands out is that these patients were
treated at an age when motor decline is typically expected in those
with Duchenne. Yet, those who received ELEVIDYS demonstrated
statistically significant and clinically meaningful functional
improvements compared to external controls."
The results presented at ASGCT are from the ongoing analysis of
results from Part 2 of EMBARK, which compared two-year outcomes
from 63 participants against data from an external control group of
untreated individuals with Duchenne. Results at two years
post-treatment showed that individuals treated with ELEVIDYS had
better outcomes in multiple motor function measures, compared to a
well-matched external control group. Additionally, no new safety
signals were observed in the EMBARK study over the two-year
duration and, in a subset of patients (n=16), micro-dystrophin
expression and sarcolemmal localization was sustained from Week 12
to Week 64.
“This has been a significant year for our neuromuscular
portfolio, with multiple, ongoing analyses and longer-term data on
efficacy and safety presented for ELEVIDYS,” said Louise
Rodino-Klapac, Ph.D., chief scientific officer and head of research
and development, Sarepta Therapeutics. “Building on the topline
EMBARK Part 2 data from earlier this year, we’re committed to
sharing ongoing analyses as fast as possible. The one-year results
of patients treated with ELEVIDYS at 8 to 9 years old provide
evidence that those treated with gene therapy outperform those who
don’t receive it at a critical point when more dramatic functional
decline is expected.”
A full listing of Sarepta’s presentations at ASGCT are
below.
Abstracts can be found at https://annualmeeting.asgct.org/. Data
from presentations are embargoed until 6:00 AM CT on the
presentation day for oral abstracts and until 6:00 AM CT on May 13,
2025 for poster abstracts.
Oral Presentations (*Previously presented at MDA 2025 and
supplemented with additional data)
Title
Date, Time
Long-term Functional Outcomes and Safety
Following Delandistrogene Moxeparvovec Treatment in DMD: EMBARK
2-Year Results*
May 16 4:30 – 4:45 p.m. CST Room
393-396
Cardiovascular Investigation of SRP-9005
(AAVrh74.MHCK7.hSGCG) in Non-Human Primates: A Gene Therapy for
Limb-Girdle Muscular Dystrophy 2C/R5
May 14 5 – 5:15 p.m. CST New Orleans
Theater B
Poster Presentations (*Denotes encore presentation)
Poster #
Title
#1350
3-Year Functional Outcomes of Patients
with Duchenne Muscular Dystrophy: Pooled Delandistrogene
Moxeparvovec Clinical Trial Data vs. External Controls*
#1353
Assessment of Cardiac Outcomes in
Delandistrogene Moxeparvovec Clinical Trials for Duchenne Muscular
Dystrophy*
#1422
In Situ Biodistribution and Localization
of Bidridistrogene Xeboparvovec (SRP-9003) in LGMD2E/R4 Mice After
1 Year of Follow-up
About EMBARK, Study SRP-9001-301
Study SRP-9001-301, also known as EMBARK, is a multinational,
phase 3, randomized, two-part crossover, placebo-controlled study
of ELEVIDYS in individuals with Duchenne muscular dystrophy between
the ages of 4 to 7 years. The primary endpoint is change from
baseline in NSAA Total Score at Week 52 following treatment.
Eligible participants received a single dose of ELEVIDYS during
either Part 1 or Part 2 of the study.
In Part 1, participants (n=125) were randomized according to age
(≥4 to <8 years) or NSAA Total Score at screening (>16 to
<29) and received either 1.33 x1014 vg/kg of ELEVIDYS or placebo
with a follow-up period for 52 weeks. In Part 2, participants cross
over - meaning, those who were previously treated with placebo in
Part 1 receive ELEVIDYS and participants who were previously
treated with ELEVIDYS receive placebo, with a follow-up period for
52 weeks. All patients remained blinded through Part 1 and Part
2.
Secondary outcome measures in EMBARK include the quantity of
micro-dystrophin produced by ELEVIDYS at week 12 (in a subset of
participants) as measured by western blot, timed function tests,
stride velocity and validated patient reported outcome measures for
mobility and upper limb function. One-year results from the Part 1
placebo-controlled period of the EMBARK study were published in
Nature Medicine in October 2024 and quantitative muscle MR
(magnetic resonance) outcomes from part 1 of EMBARK were published
in JAMA Neurology in May 2025.
About ELEVIDYS (delandistrogene moxeparvovec-rokl)
ELEVIDYS (delandistrogene moxeparvovec-rokl) is a single-dose,
adeno-associated virus (AAV)-based gene transfer therapy for
intravenous infusion designed to address the underlying genetic
cause of Duchenne muscular dystrophy – mutations or changes in the
DMD gene that result in the lack of dystrophin protein – through
the delivery of a transgene that codes for the targeted production
of ELEVIDYS micro-dystrophin in skeletal muscle.
ELEVIDYS is indicated for the treatment of Duchenne muscular
dystrophy (DMD) in individuals at least 4 years of age.
- For patients who are ambulatory and have a confirmed mutation
in the DMD gene
- For patients who are non-ambulatory and have a confirmed
mutation in the DMD gene.
The DMD indication in non-ambulatory patients is approved under
accelerated approval based on expression of ELEVIDYS
micro-dystrophin in skeletal muscle. Continued approval for this
indication may be contingent upon verification and description of
clinical benefit in a confirmatory trial(s).
IMPORTANT SAFETY INFORMATION
CONTRAINDICATION: ELEVIDYS is contraindicated in patients with
any deletion in exon 8 and/or exon 9 in the DMD gene.
WARNINGS AND PRECAUTIONS:
Infusion-related Reactions:
- Infusion-related reactions, including hypersensitivity
reactions and anaphylaxis, have occurred during or up to several
hours following ELEVIDYS administration. Closely monitor patients
during administration and for at least 3 hours after the end of
infusion. If symptoms of infusion-related reactions occur, slow, or
stop the infusion and give appropriate treatment. Once symptoms
resolve, the infusion may be restarted at a lower rate.
- ELEVIDYS should be administered in a setting where treatment
for infusion-related reactions is immediately available.
- Discontinue infusion for anaphylaxis.
Acute Serious Liver Injury:
- Acute serious liver injury has been observed with ELEVIDYS, and
administration may result in elevations of liver enzymes (such as
GGT, GLDH, ALT, AST) or total bilirubin, typically seen within 8
weeks.
- Patients with preexisting liver impairment, chronic hepatic
condition, or acute liver disease (e.g., acute hepatic viral
infection) may be at higher risk of acute serious liver injury.
Postpone ELEVIDYS administration in patients with acute liver
disease until resolved or controlled.
- Prior to ELEVIDYS administration, perform liver enzyme test and
monitor liver function (clinical exam, GGT, and total bilirubin)
weekly for the first 3 months following ELEVIDYS infusion. Continue
monitoring if clinically indicated, until results are unremarkable
(normal clinical exam, GGT, and total bilirubin levels return to
near baseline levels).
- Systemic corticosteroid treatment is recommended for patients
before and after ELEVIDYS infusion. Adjust corticosteroid regimen
when indicated. If acute serious liver injury is suspected,
consultation with a specialist is recommended.
Immune-mediated Myositis:
- In clinical trials, immune-mediated myositis has been observed
approximately 1 month following ELEVIDYS infusion in patients with
deletion mutations involving exon 8 and/or exon 9 in the DMD gene.
Symptoms of severe muscle weakness, including dysphagia, dyspnea,
and hypophonia, were observed.
- Limited data are available for ELEVIDYS treatment in patients
with mutations in the DMD gene in exons 1 to 17 and/or exons 59 to
71. Patients with deletions in these regions may be at risk for a
severe immune-mediated myositis reaction.
- Advise patients to contact a physician immediately if they
experience any unexplained increased muscle pain, tenderness, or
weakness, including dysphagia, dyspnea, or hypophonia, as these may
be symptoms of myositis. Consider additional immunomodulatory
treatment (immunosuppressants [e.g., calcineurin-inhibitor] in
addition to corticosteroids) based on patient’s clinical
presentation and medical history if these symptoms occur.
Myocarditis:
- Acute serious myocarditis and troponin-I elevations have been
observed following ELEVIDYS infusion in clinical trials.
- If a patient experiences myocarditis, those with pre-existing
left ventricle ejection fraction (LVEF) impairment may be at higher
risk of adverse outcomes. Monitor troponin-I before ELEVIDYS
infusion and weekly for the first month following infusion and
continue monitoring if clinically indicated. More frequent
monitoring may be warranted in the presence of cardiac symptoms,
such as chest pain or shortness of breath.
- Advise patients to contact a physician immediately if they
experience cardiac symptoms.
Preexisting Immunity against AAVrh74:
- In AAV-vector based gene therapies, preexisting anti-AAV
antibodies may impede transgene expression at desired therapeutic
levels. Following treatment with ELEVIDYS, all patients developed
anti-AAVrh74 antibodies.
- Perform baseline testing for presence of anti-AAVrh74 total
binding antibodies prior to ELEVIDYS administration.
- ELEVIDYS administration is not recommended in patients with
elevated anti-AAVrh74 total binding antibody titers greater than or
equal to 1:400.
Adverse Reactions:
- The most common adverse reactions (incidence ≥5%) reported in
clinical studies were vomiting, nausea, liver injury, pyrexia, and
thrombocytopenia.
Report negative side effects of prescription drugs to the FDA.
Visit www.fda.gov/medwatch or call 1-800-FDA-1088. You may also
report side effects to Sarepta Therapeutics at 1-888-SAREPTA
(1-888-727-3782).
For further information, please see the full Prescribing
Information.
About Sarepta Therapeutics
Sarepta is on an urgent mission: engineer precision genetic
medicine for rare diseases that devastate lives and cut futures
short. We hold leadership positions in Duchenne muscular dystrophy
(Duchenne) and limb-girdle muscular dystrophies (LGMDs) and are
building a robust portfolio of programs across muscle, central
nervous system, and cardiac diseases. For more information, please
visit www.sarepta.com or follow us on LinkedIn,
X, Instagram and Facebook.
Internet Posting of Information
We routinely post information that may be important to investors
in the 'For Investors' section of our website at www.sarepta.com.
We encourage investors and potential investors to consult our
website regularly for important information about us.
Forward-Looking Statements
This statement contains “forward-looking statements.” Any
statements that are not statements of historical fact may be deemed
to be forward-looking statements. Words such as “believe,”
“anticipate,” “plan,” “expect,” “will,” “may,” “intend,” “prepare,”
“look,” “potential,” “possible” and similar expressions are
intended to identify forward-looking statements. These
forward-looking statements include, without limitation, statements
relating to our future operations, research and development
programs, clinical trials and the potential benefits and risks of
ELEVIDYS.
Actual results could materially differ from those stated or
implied by these forward-looking statements as a result of such
risks and uncertainties. Known risk factors include the following:
different methodologies, assumptions and applications we use to
assess particular safety or efficacy parameters may yield different
statistical results, and even if we believe the data collected from
clinical trials are positive, these data may not be sufficient to
support approval by the FDA or other global regulatory authorities;
success in clinical trials does not ensure that later clinical
trials will be successful, and the results of future research may
not be consistent with past positive results; our products or
product candidates may be perceived as insufficiently effective,
unsafe or may result in unforeseen adverse events; our products or
product candidates may cause undesirable side effects that result
in significant negative consequences following any marketing
approval; we may not be able to comply with all FDA requests in a
timely manner or at all; the possible impact of regulations and
regulatory decisions by the FDA and other regulatory agencies on
our business; and those risks identified under the heading “Risk
Factors” in our most recent Annual Report on Form 10-K for the year
ended December 31, 2024 filed with the Securities and Exchange
Commission (SEC) as well as other SEC filings made by the Company,
which you are encouraged to review.
Any of the foregoing risks could materially and adversely affect
the Company’s business, results of operations and the trading price
of Sarepta’s common stock. For a detailed description of risks and
uncertainties Sarepta faces, you are encouraged to review the SEC
filings made by Sarepta. We caution investors not to place
considerable reliance on the forward-looking statements contained
herein. Sarepta does not undertake any obligation to publicly
update its forward-looking statements based on events or
circumstances after the date hereof, except as required by law.
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version on businesswire.com: https://www.businesswire.com/news/home/20250516672196/en/
Investor Contact: Ian Estepan 617-274-4052
iestepan@sarepta.com
Media Contacts: Tracy Sorrentino 617-301-8566
tsorrentino@sarepta.com
Kara Hoeger 617-710-3898 KHoeger@sarepta.com
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