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Fulcrum scraps sickle cell drug program after FDA raises cancer-risk concerns

By Thomson Reuters Jun 1, 2026 | 4:09 PM

June 1 (Reuters) – Fulcrum Therapeutics said on Monday it would stop developing its experimental sickle-cell disease drug after the U.S. Food ​and Drug Administration raised cancer-risk concerns, ‌which left no viable regulatory path for the treatment.

The drug developer’s shares slumped nearly 50% in extended trading.

• The drug, pociredir, was being developed as an oral ‌treatment ​for sickle-cell disease, an ⁠inherited blood disorder that ⁠can cause pain, anemia, organ damage and reduced life expectancy.

• Fulcrum said the FDA concerns were tied to secondary blood cancers seen ​with Ipsen’s cancer drug, Tazverik, which was withdrawn globally in March.

• The company said ⁠it submitted information to the ⁠FDA supporting the position that mechanistic ​differences between the two drugs’ target were relevant ​to the benefit-risk assessment.

• The FDA, however, ‌concluded that any drug that targets the protein PRC2 carries risk.

• “We arrived at this decision after discussion with the FDA, and despite robust ⁠elevations in fetal hemoglobin seen with pociredir and the potential for clinical benefit, we do not see a ⁠path forward ‌with pociredir,” said Fulcrum CEO ⁠Alex Sapir.

• Fetal hemoglobin is a ​form ‌of hemoglobin linked to clinical benefit ​in sickle-cell ⁠disease.

• Fulcrum will explore options including a merger, acquisition, business combination or other transaction, and has initiated efforts to cut operating expenses and preserve cash.

(Reporting by Kunal Das in Bengaluru; Editing by ​Shilpi Majumdar)