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  • BridgeBio’s Oral Achondroplasia Pill Shows Growth, Proportionality Win
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BridgeBio’s Oral Achondroplasia Pill Shows Growth, Proportionality Win

BridgeBio's oral infigratinib delivered a 2.1 cm/year growth advantage and the first statistically significant body proportionality benefit in achondroplasia, with a Q3 2026 filing planned.
pharminent June 29, 2026 (Last updated: June 29, 2026)

Rare Disease & Gene Therapy — June 29, 2026

An oral pill just out-differentiated the injectables in achondroplasia: BridgeBio’s infigratinib delivered a 2.1 cm/year growth advantage and the disease’s first statistically significant body proportionality benefit in Phase 3, with an NEJM publication and a Q3 2026 filing in hand — a day where pivotal data across bone disease, ocular gene therapy, and muscular dystrophy editing reshaped competitive timelines.

Today’s top developments:

  • BridgeBio’s oral infigratinib posts first statistically significant body proportionality benefit in achondroplasia, Q3 2026 filing planned (BioSpace)
  • AstraZeneca’s efzimfotase alfa Phase 3 data support a $3-5B hypophosphatasia forecast — two pediatric trials hit, the adult trial missed (Fierce Biotech)
  • Epicrispr’s EPI-321 epigenetic editor reports the first clinical evidence of increased muscle in facioscapulohumeral muscular dystrophy (Fierce Biotech)
  • 4DMT completes 4FRONT-2 enrollment ~4 months early with over 500 patients, positioning 4D-150 for an H2 2026 wet AMD readout (4D Molecular Therapeutics)

What to Watch

  • BridgeBio’s Q3 2026 infigratinib filing — the live question is whether the FDA admits the body proportionality benefit into the label, a differentiator versus BioMarin’s Voxzogo and Ascendis’ Yuviwel that could reshape the achondroplasia market ahead of an early-to-mid 2027 launch.
  • Epicrispr EPI-321 dose escalation — longer follow-up and higher-dose FSHD cohorts will test whether the early lean-muscle gains hold, and whether epigenetic DUX4 silencing can outpace the siRNA and RNA programs racing for the first approved FSHD therapy.
  • 4FRONT-2 52-week readout (H2 2026) — the pivotal data point for 4D-150 in wet AMD and a likely valuation inflection for 4DMT’s platform licensing discussions, in a field thinned by setbacks at REGENXBIO and Adverum.
  • AstraZeneca’s hypophosphatasia filing path — the missed adult HICKORY endpoint leaves the breadth of any efzimfotase alfa label open; timeline and endpoint-remediation strategy will shape whether the $3-5B forecast survives payer scrutiny against established Strensiq.

This brief highlights the edition’s top stories. Read the full June 29, 2026 edition → for all stories and analysis — or browse the Rare Disease & Gene Therapy archive.

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