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Scholar Rock gets first FDA nod for rare muscle-wasting disease

By Thomson Reuters Sep 11, 2026 | 4:27 PM

By Sneha S K and Christy Santhosh

Sept 11 (Reuters) – The U.S. Food and Drug Administration approved Scholar Rock’s therapy on Friday to treat a rare genetic condition that ​causes muscle weakness, marking the first regulatory approval for ‌the company.

The injectable treatment, sold as Isembyld, is the first muscle-targeted therapy designed to improve motor function for adults and children with spinal muscular atrophy who have been treated with existing therapies for the condition.

Scholar Rock shares ‌rose ​over 23% in after-market trading. The ⁠company said Isembyld will be ⁠available in the coming days but did not immediately respond to a Reuters request for comment on pricing details.

Spinal muscular atrophy is a genetic disorder that damages motor neurons, causing ​progressive muscle weakness and problems with movement, breathing and swallowing.

The condition is estimated to affect roughly 10,000 children and adults ⁠in the United States, according to ⁠the Muscular Dystrophy Association.

Cantor analysts said Isembyld’s approval ​sets up Scholar Rock to be one of the best long-term ​growth stories in biotech based on geographic, indication and ‌product line expansions.

Chemically known as apitegromab, Isembyld selectively blocks activation of myostatin, a protein that limits muscle growth, with the aim of increasing muscle mass and strength.

The approval was based on late-stage ⁠data that showed the therapy significantly improved motor function for patients with the condition compared with placebo.

It will compete with Biogen’s Spinraza, Novartis’ ⁠gene therapy Zolgensma and ‌Roche’s oral Evrysdi.

The company has previously said ⁠it would use a U.S.-based manufacturing facility for ​Isembyld.

BMO ‌Capital Markets analyst Evan Seigerman forecasts 2035 adjusted ​worldwide peak ⁠sales of $2.1 billion for the drug.

Scholar Rock is also testing the drug to preserve muscle in obesity, competing with more than a dozen companies developing treatments aimed at minimizing muscle loss during weight loss.

(Reporting by Sneha S K and Christy Santhosh in Bengaluru; Editing ​by Tasim Zahid)