Drugs / Apitegromab
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Apitegromab

also known as SRK-015

Monoclonal antibody targets MSTN via inhibition

Developed for
spinal muscular atrophy, type II · spinal muscular atrophy, type III · muscular atrophy · facioscapulohumeral muscular dystrophy · spinal muscular atrophy
Investigated by
Scholar Rock, Inc.

Regulatory milestones approvals, filings & regulatory actions · 5 recorded

MilestoneJurisdictionBrandIndicationDateSentence it was read from
Filed US (FDA) — arthrogryposis spinal muscular atrophy 2026-03-31

“has resubmitted the Biologics License Application (BLA) for apitegromab for the treatment of children and adults with SMA” scholarrock.com ↗

Rejected (CRL) US (FDA) — arthrogryposis spinal muscular atrophy 2025-09-23

“the U.S. Food and Drug Administration (FDA) has issued a Complete Response Letter (CRL) for the apitegromab Biologics License Application (BLA)” scholarrock.com ↗

“In September 2025 , Scholar Rock received a Complete Response Letter (CRL) from the FDA for apitegromab” scholarrock.com ↗

Filed EU (EMA) — arthrogryposis spinal muscular atrophy 2025-03-25

“submitted and received validation for its Marketing Authorisation Application (MAA) to the European Medicines Agency (EMA) for apitegromab for the treatment of SMA” scholarrock.com ↗

“European Medicines Agency (EMA) validated Marketing Authorisation Application (MAA) for apitegromab for patients with SMA” scholarrock.com ↗

Filed US (FDA) — arthrogryposis spinal muscular atrophy 2025-03-25

“FDA has accepted its Biologics License Application (BLA) for apitegromab” scholarrock.com ↗

Filed US (FDA) — arthrogryposis spinal muscular atrophy 2025-01-29

“The Company submitted a Biologics License Application (BLA) application for apitegromab to the FDA, which has been accepted under priority review” scholarrock.com ↗

“today announced the submission of a Biologics License Application to the U.S. Food and Drug Administration (FDA) for apitegromab” scholarrock.com ↗

“The FDA has accepted the Biologics License Application (BLA) for apitegromab under priority review” scholarrock.com ↗

“Scholar Rock’s apitegromab BLA submission in March 2026 included two fill-finish facilities” scholarrock.com ↗

“Scholar Rock submitted a BLA to the FDA in January 2025” scholarrock.com ↗

“the U.S. FDA accepted its BLA for apitegromab” scholarrock.com ↗

Trials 7

PhaseRegistry idDatesIndicationSponsorStatusOutcome
Phase 24 trials · 1 met primary
Phase 2 NCT07435129 Jul 2026 → Jun 2028 expected facioscapulohumeral muscular dystrophy Scholar Rock, Inc. Recruiting No outcome recorded
Phase 2 NCT07047144 Sep 2025 → Nov 2028 expected spinal muscular atrophy, type II, spinal muscular atrophy, type III Scholar Rock, Inc. Recruiting No outcome recorded
Phase 2 NCT06445075 May 2024 → Mar 2025 — Scholar Rock, Inc. Completed Met primary
Phase 2 NCT03921528 Apr 2019 → Jan 2021 muscular atrophy, spinal muscular atrophy, type II, spinal muscular atrophy, type III Scholar Rock, Inc. Completed Mixed
Phase 32 trials · 1 met primary
Phase 3 NCT05626855 Apr 2023 → Nov 2026 expected muscular atrophy, spinal muscular atrophy, type II, spinal muscular atrophy, type III Scholar Rock, Inc. Active not recruiting No outcome recorded
Phase 3 NCT05156320 Apr 2022 → Dec 2024 muscular atrophy, spinal muscular atrophy, type II, spinal muscular atrophy, type III Scholar Rock, Inc. Completed Met primary
Phase not stated1 trial
— NCT06877689 — spinal muscular atrophy Scholar Rock, Inc. No longer available No outcome recorded

News releases announcing trial results or a regulatory action · 41

DateIssuerRelease
2026-10-08 Scholar Rock, Inc. Regulatory Scholar Rock Resubmits Apitegromab Marketing Authorisation Application (MAA) to European Medicines Agency (EMA) for Treatment of Children and Adults with Spinal Muscular Atrophy (SMA) scholarrock.com ↗
Scholar Rock (NASDAQ: SRRK), a global biopharmaceutical company dedicated to improving the lives of patients with rare, severe, and debilitating neuromuscular diseases by applying its leading platform in myostatin biology, today announced it has resubmitted the Marketing Authorisation Application (MAA) for apitegromab for the treatment of children and adults with spinal muscular atrophy (SMA) to the European Medicines Agency (EMA).
2026-09-11 Scholar Rock, Inc. Regulatory Scholar Rock Announces FDA Approval of ISEMBYLD™ (apitegromab-mstn), the First and Only Muscle-Targeted Treatment for Children and Adults with Spinal Muscular Atrophy (SMA) scholarrock.com ↗
today announced that the FDA has approved ISEMBYLD (apitegromab-mstn) for the treatment of spinal muscular atrophy (SMA) in adults and children two years of age and older who are currently receiving a survival motor neuron 2 (SMN2)-targeted treatment.
2026-09-02 Scholar Rock, Inc. Regulatory Scholar Rock Receives FDA Fast Track Designation for Apitegromab Facioscapulohumeral Muscular Dystrophy (FSHD) Program as Participant Dosing Commences in Phase 2 FORGE Trial scholarrock.com ↗
today announced that the FDA has granted Fast Track and Orphan Drug designations to apitegromab for the treatment of people living with FSHD.
2026-08-21 Scholar Rock, Inc. Regulatory Scholar Rock Provides Update on Global Apitegromab Regulatory Progress Across U.S., Europe, and Japan scholarrock.com ↗
Japan Pharmaceuticals and Medical Devices Agency (PMDA) has agreed no additional clinical studies required for apitegromab regulatory submission; Scholar Rock now on track to submit apitegromab Japanese New Drug Application (JNDA) by YE 2026
2026-08-07 Scholar Rock, Inc. Regulatory Scholar Rock Announces FDA Review of Apitegromab Biologics License Application (BLA) for Spinal Muscular Atrophy (SMA) to Progress with Second Fill-Finish Facility; Approval Decision Anticipated by September 30, 2026 Action Date scholarrock.com ↗
2026-03-31 Scholar Rock, Inc. Regulatory Scholar Rock Resubmits Biologics License Application (BLA) to FDA for Apitegromab for Treatment of Children and Adults with Spinal Muscular Atrophy (SMA) scholarrock.com ↗
Scholar Rock (NASDAQ: SRRK), a global biopharmaceutical company dedicated to improving the lives of children and adults with spinal muscular atrophy (SMA) and additional rare, severe, and debilitating neuromuscular diseases by applying its leading platform in myostatin biology to advance musculoskeletal health, today announced it has resubmitted the Biologics License Application (BLA) for apitegromab for the treatment of children and adults with SMA to the U.S. Food and Drug Administration (FDA).
2025-09-23 Scholar Rock, Inc. Regulatory FDA Issues Complete Response Letter (CRL) for Apitegromab as a Treatment for Patients with Spinal Muscular Atrophy (SMA) Solely Related to Observations Identified at Catalent Indiana LLC Fill-Finish Facility scholarrock.com ↗
Scholar Rock (NASDAQ: SRRK), a global biopharmaceutical company dedicated to dramatically improving the lives of children and adults with spinal muscular atrophy (SMA) and additional rare, severe and debilitating neuromuscular diseases by applying its leading platform in myostatin biology to advance musculoskeletal health, today announced that the U.S. Food and Drug Administration (FDA) has issued a Complete Response Letter (CRL) for the apitegromab Biologics License Application (BLA) for the treatment of patients with spinal muscular atrophy (SMA).
2025-08-14 Scholar Rock, Inc. Results Pivotal SAPPHIRE Trial Data Published in The Lancet Neurology: Apitegromab Demonstrated Significant Motor Function Gains for Children and Adults with SMA on SMN-Targeted Treatment scholarrock.com ↗
As reported, the Phase 3 SAPPHIRE trial met its primary endpoint, achieving a statistically significant and clinically meaningful improvement in motor function (measured by HFMSE) for patients receiving apitegromab versus placebo, despite all participants receiving chronic, ongoing SMN-targeted treatment.
2025-06-23 Scholar Rock, Inc. Results Scholar Rock to Present Comprehensive Update at 2025 Annual Cure SMA Research and Clinical Care Meeting, Including Positive Results from Pivotal Phase 3 SAPPHIRE Trial scholarrock.com ↗
Oral presentation on the positive Phase 3 SAPPHIRE trial of apitegromab for people living with spinal muscular atrophy (SMA), which demonstrated statistically significant improvement and clinically meaningful benefit as measured by the Hammersmith Functional Motor Scale Expanded (HFMSE)
2025-06-18 Scholar Rock, Inc. Results Scholar Rock Reports Positive Phase 2 EMBRAZE Trial Results Demonstrating Statistically Significant Preservation of Lean Mass with Apitegromab During Tirzepatide-Induced Weight Loss scholarrock.com ↗
Apitegromab therapy (10 mg/kg) with tirzepatide preserved an additional 4.2 pounds (1.9 kilograms) or 54.9% (p=0.001) of lean mass compared to tirzepatide alone, leading to higher quality weight loss.
2025-03-25 Scholar Rock, Inc. Regulatory FDA Grants Priority Review for Biologics License Application (BLA) and EMA Accepts Marketing Authorisation Application (MAA) for Apitegromab as a Treatment for Spinal Muscular Atrophy scholarrock.com ↗
2025-03-16 Scholar Rock, Inc. Results Scholar Rock Presents New Phase 3 SAPPHIRE Data at the 2025 Muscular Dystrophy Association Clinical & Scientific Conference scholarrock.com ↗
New analysis performed in the pooled population (ages 2-21) showed clinically meaningful and consistent improvement in HFMSE across pre-specified subgroups (type of SMN-targeted therapy, age at SMN-targeted therapy initiation) and geographic region.

All press releases naming this drug 59 releases

DateIssuerRelease

Evidence & citations 6 cited values

Every value below carries the sentence it was read from. 9 sources stand behind the page.

FieldValueCited text
Known as Apitegromab “Apitegromab, an investigational, fully human monoclonal antibody, inhibits activation of myostatin (a negative regulator of skeletal muscle growth), thereby preserving muscle mass.” PMID 38330285 ↗ Feb 2024
6

NCT05156320 ↗

NCT06445075 ↗

NCT05626855 ↗

NCT07047144 ↗

NCT06877689 ↗

NCT07435129 ↗

Known as SRK-015 “Apitegromab (SRK-015) is an investigational, fully human immunoglobulin G4 monoclonal antibody that specifically binds to human proforms (i.e., inactive precursor forms) of...” NCT05626855 ↗
1

NCT03921528 ↗

Action Inhibit “Growth/differentiation factor 8 inhibitor” CHEMBL4594326 ↗
1

“inhibits activation of myostatin” PMID 38330285 ↗ Feb 2024

Modality Monoclonal antibody “fully human anti-proMyostatin monoclonal antibody (mAb)” NCT03921528 ↗
Route Intravenous “administered every 4 weeks by intravenous infusion” NCT03921528 ↗
Target MSTN “Growth/differentiation factor 8 inhibitor” CHEMBL4594326 ↗