Sarepta, days out from critical FDA meeting, lists questions expected at gene therapy AdComm

BIOMARKER

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1. Sarepta Therapeutics is preparing for an FDA advisory committee meeting to discuss its Duchenne muscular dystrophy (DMD) gene therapy, SRP-9001.

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2. The discussion will focus on whether the totality of evidence supports the conclusion that SRP-9001 is reasonably likely to predict clinical benefits.

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3. Evidence includes natural history, preclinical data, biomarker results, and functional results from clinical trials.

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4. The panel will also address the risk-benefit analysis of SRP-9001 for treating ambulatory DMD patients.

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5. Sarepta's ability to complete a confirmatory trial for the gene therapy will be assessed by the panel.

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6. The biotech has a poor track record, with the confirmatory trial for its first DMD drug, Exondys 51, still unfinished.

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7. Sarepta has yet to provide confirmatory clinical trial results on three drugs almost seven years after the first accelerated approval.

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8. Sarepta CEO Doug Ingram believes the company's confirmatory trial, EMBARK, is in a strong position to address concerns.

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9. Data from EMBARK is expected around the end of the year.

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10. The FDA advisory committee meeting is scheduled for May 12.

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