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pharminent June 22, 2026 (Last updated: June 22, 2026)

FDA Reverses Course on Regenxbio’s Hunter Syndrome Gene Therapy

Rare Disease & Gene Therapy — June 22, 2026

Just four months after rejecting it, the FDA told Regenxbio its existing data may support an accelerated approval filing for Navsunli in Hunter syndrome — the latest rare-disease about-face under new agency leadership, landing alongside a completed Rett-syndrome pivotal enrollment and two RNAi regulatory wins.

Today’s top developments:

  • FDA reverses course on Regenxbio’s Hunter syndrome gene therapy, backing an accelerated approval path four months after rejecting it — the agency agreed existing data on Navsunli (clemidsogene lanparvovec) may support an accelerated approval filing, roughly four months after its February 2026 complete response letter (Fierce Biotech)
  • Taysha completes REVEAL pivotal enrollment for TSHA-102 in Rett syndrome — all 17 patients dosed, with topline 6-month interim data and FDA BLA pathway feedback expected 1H 2027 (Taysha Gene Therapies IR)
  • Arrowhead secures EU approval for plozasiran in familial chylomicronemia syndrome — the REDEMPLO label does not require genetic confirmation, potentially broadening the eligible population (Arrowhead Pharmaceuticals IR)
  • Regeneron cemdisiran NDA receives FDA Priority Review for generalized myasthenia gravis — with EMA acceptance in parallel, it could become the first siRNA indicated for gMG, offering quarterly subcutaneous dosing (Regeneron IR)

What to Watch

  • Taysha TSHA-102 catalysts — REVEAL 6-month interim data and FDA BLA pathway feedback, both expected 1H 2027, will be the primary catalysts to track for TSHA-102 and will clarify whether intrathecal AAV evidence standards have evolved since prior CNS program reviews.
  • Regeneron cemdisiran in gMG — The PDUFA date and EMA opinion timing will determine whether an siRNA can displace or complement IV complement inhibitors in gMG, with payer willingness to reimburse quarterly subcutaneous dosing at a premium a key open question.
  • Solid Biosciences SGT-003 in Duchenne — SGT-003 recruitment pace and early expression data will be watched against ELEVIDYS real-world outcomes to assess whether next-generation capsid engineering translates to clinically meaningful differentiation in Duchenne.
  • Alnylam-Pfizer PMCPA episode — The finding raises questions about how promotional conduct standards will apply as multiple RNAi and small-molecule therapies compete for the same rare disease physician audiences in ATTR and adjacent indications.

This brief highlights the edition’s top stories. Read the full June 22, 2026 edition → for all stories and analysis — or browse the Rare Disease & Gene Therapy archive.

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