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US FDA declines to approve Regenxbio’s gene therapy for rare disease

By Thomson Reuters Feb 9, 2026 | 3:19 PM

Feb 9 (Reuters) – Regenxbio said on Monday the U.S. Food and Drug Administration had declined to approve its gene therapy for a rare disease called ‍Hunter syndrome, citing uncertainty regarding the trial design.

Shares of the drug developer tumbled about 19% to $8.31 in aftermarket trading.

The company, which was seeking approval for RGX-121 to treat Mucopolysaccharidosis II, an ultra-rare neurodegenerative disease also known as Hunter syndrome, said the ‌FDA had outlined several reasons in its ‌so-called complete response letter.

They included uncertainty regarding the study’s eligibility criteria, as well as if a particular surrogate endpoint was reasonably likely to predict clinical benefit, the company disclosed.

“We are concerned ​about FDA’s feedback regarding the overall development path and evaluation of the data in the context of ‍the urgent need for this irreversible ​ultra-rare disease,” said CEO Curran Simpson.

The health ​regulator last month placed a clinical hold on two of ‍its experimental gene therapy programs that included RGX-121.

The potential next steps, which include a new study, treating additional patients and conducting longer-term follow up, “would be challenging in an ultra-rare disease population, like MPS II”, the company said.

The ‍company plans to seek a meeting with the FDA on resubmitting its marketing application to provide further evidence on the ‍patient population and ‍additional longer-term clinical data.

Hunter Syndrome is a ​genetic disorder in which the body cannot ​break ⁠down certain sugar molecules, which can affect ‌physical and mental development.

RGX-121 is a potential one-time gene therapy for the treatment of boys with MPS II, designed to deliver the gene which helps in breaking down complex sugar molecules.

(Reporting by Sneha S K in Bengaluru; Editing by Alan Barona ⁠and Sriraj Kalluvila)