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The Lancet Publishes HOPE-3 Data for Capricor Therapeutics’ Deramiocel in Duchenne Muscular Dystrophy

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Capricor Therapeutics (NASDAQ: CAPR) reported that The Lancet has published pivotal Phase 3 HOPE-3 data for Deramiocel, its investigational cell therapy for Duchenne muscular dystrophy (DMD). The randomized, double-blind, placebo-controlled trial (n=106) met its primary endpoint, with Deramiocel slowing upper limb function decline by 54% versus placebo on the PUL 2.0 scale (p=0.03) and showing clinically meaningful cardiac benefits.

The Lancet publication followed independent expert peer review, providing external validation of the trial’s design, statistical methodology and findings used in the prespecified Statistical Analysis Plan 3.0. Deramiocel’s Biologics License Application is under active FDA review, with a PDUFA target action date of August 22, 2026, and the therapy holds multiple regulatory designations including Orphan Drug, RMAT, ATMP and Rare Pediatric Disease.

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Positive

  • HOPE-3 met primary endpoint with 54% slowing of upper limb decline versus placebo (PUL 2.0, p=0.03)
  • Clinically meaningful cardiac benefits observed alongside skeletal muscle function effects in largely non-ambulatory DMD patients
  • The Lancet publication provides independent peer-reviewed validation of HOPE-3 design, statistics and findings
  • BLA under active FDA review for Deramiocel with PDUFA target action date of August 22, 2026
  • Multiple regulatory designations including Orphan Drug (US, EU), RMAT, ATMP and Rare Pediatric Disease for DMD

Negative

  • None.

Market Context

ANNX was down -4.124748334288597% in the momentum scanner, while CAPR's five recent news events all ...
Analysis

ANNX was down -4.124748334288597% in the momentum scanner, while CAPR's five recent news events all had negative 24-hour reactions. The Lancet publication therefore sits within a broader record of event sensitivity; FDA review remains the key risk.

Key Figures

Sample Size: n=106 Upper Limb Decline Slowing: 54 percent P-value: p=0.03 +4 more
7 metrics
Sample Size n=106 HOPE-3 Phase 3 trial
Upper Limb Decline Slowing 54 percent versus placebo on PUL 2.0
P-value p=0.03 PUL 2.0 primary endpoint
PDUFA Target Action Date August 22, 2026 Deramiocel BLA under active FDA review
DMD Population approximately 15,000 individuals United States
Peer-Reviewed Publications more than 250 CDCs investigated in scientific publications
Human Subjects over 250 subjects across multiple clinical trials

Historical Context

5 past events · Latest: Jun 26 (Neutral)
Pattern 5 events
Date Event Sentiment 24h Move Catalyst
Jun 26 Advisory committee meeting Neutral -13.0% FDA committee review scheduled for Deramiocel BLA with August 22 PDUFA date.
Jun 26 Clinical trial update Positive -13.0% HOPE-3 and five-year HOPE-2 OLE results reported with endpoints and no new safety signals.
Jun 08 Investor conference participation Neutral -2.1% Two investor conference appearances scheduled for June 10 in Miami.
May 04 Earnings date announcement Neutral -1.6% First-quarter 2026 results and corporate update scheduled for May 12.
Apr 22 Clinical trial presentation Positive -1.0% HOPE-3 Phase 3 results presented at AAN with statistically meaningful upper-limb benefit.

24h Move is the share-price change in the day after each event; other market factors may also have contributed.

Pattern Detected

CAPR's five selected recent news events all had negative 24-hour price reactions, including clinically positive updates.

Key Terms

pdufa, rmat, atmp
3 terms
pdufa regulatory
"with PDUFA Target Action Date of August 22, 2026"
PDUFA is the Prescription Drug User Fee Act, the U.S. law under which drug companies pay fees that fund the FDA's review of new medicines. In company news the term usually appears as the PDUFA date, the target deadline by which the FDA aims to decide on a drug application; that date tells investors when to expect the approval or rejection decision for the product.
rmat regulatory
"Regenerative Medicine Advanced Therapy (RMAT) designation"
A Regenerative Medicine Advanced Therapy (RMAT) designation is a regulatory fast-track status for cell, gene or tissue-based therapies that show promise for treating serious conditions. It acts like an express lane with extra support from regulators—potentially shortening review time and enabling earlier approval paths—which can reduce development risk and speed a therapy toward the market, making it a material value signal for investors in biotech stocks.
atmp regulatory
"Advanced Therapy Medicinal Product (ATMP) designation"
Advanced Therapy Medicinal Product (ATMP) is a class of medicines made from a patient’s own or donor cells, engineered genes, or repaired tissues that aim to treat, reverse, or cure diseases by changing how the body works at a biological level. Investors care because ATMPs can deliver breakthrough benefits and premium pricing like a custom-made solution, but they also bring higher scientific, manufacturing and regulatory risk compared with conventional drugs.

AI-generated analysis. How Rhea-AI works. Not financial advice.

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--Independent Peer Review Provides External Validation of the Trial's Design, Statistical Methodology and Findings--

--Randomized, Double-Blind, Placebo-Controlled HOPE-3 Phase 3 Trial (n=106) Met Primary Endpoint, with Deramiocel Slowing Upper Limb Function Decline by 54 Percent versus Placebo (PUL 2.0, p=0.03) and Showing Clinically Meaningful Cardiac Benefit--

--Deramiocel BLA Remains Under Active FDA Review, with PDUFA Target Action Date of August 22, 2026--

SAN DIEGO, July 29, 2026 (GLOBE NEWSWIRE) -- Capricor Therapeutics (NASDAQ: CAPR), a biotechnology company developing transformative cell and exosome-based therapeutics for rare diseases, today announced that The Lancet, one of the most selective and highly regarded peer-reviewed journals in medicine, has published results from the Company’s pivotal Phase 3 HOPE-3 clinical trial evaluating Deramiocel, its investigational cell therapy for the treatment of Duchenne muscular dystrophy (DMD). The manuscript underwent independent expert peer review, providing external validation of the trial’s design, statistical methodology and findings. The results are based on the Company’s prespecified Statistical Analysis Plan version 3.0 (SAP 3.0). The paper, titled “Deramiocel heart-derived cellular therapy in advanced Duchenne muscular dystrophy (HOPE-3): a phase 3, randomised, double-blind, placebo-controlled trialcan be accessed here.

“The HOPE-3 results are a landmark moment for the Duchenne community, demonstrating a significant benefit on skeletal muscle function alongside compelling data shown in cardiac function,” said Craig McDonald, M.D., Distinguished Professor of Physical Medicine & Rehabilitation and Pediatrics at UC Davis Health, National PI of the HOPE-2 and HOPE-3 trials and lead author of the publication. “A 54 percent slowing of upper limb disease progression (p=0.03) is a substantial, meaningful effect in a population where functional decline is typically relentless and irreversible. HOPE-3 is the first Phase 3 trial to demonstrate a significant benefit on function in a largely non-ambulatory DMD population, and the concurrent benefits in several cardiac measures lend biological support to a consistent treatment effect across skeletal and cardiac muscle. After many years of work, seeing a therapy deliver at this level has been a profound privilege.”

“The totality of evidence for Deramiocel is strong, with clinically meaningful benefits now published in The Lancet, one of medicine's most highly regarded journals," said Linda Marbán, Ph.D., CEO of Capricor. “The Lancet's rigorous, independent peer review process further validates these results. This is the same body of evidence that forms the foundation of our BLA and will be discussed at our Advisory Committee meeting. The publication reinforces our confidence in the strength and durability of these results in advance of Deramiocel's PDUFA target action date of August 22. We have continued to work with the FDA throughout its review, and we firmly believe this evidence supports approval. Deramiocel can change the course of this disease, and we are focused on our goal of bringing it to patients as the first approved cell therapy for Duchenne.”

About Duchenne Muscular Dystrophy

Duchenne Muscular Dystrophy (DMD) is a severe, X-linked genetic disorder characterized by progressive muscle degeneration affecting the skeletal, respiratory, and cardiac muscles. It is caused by the absence of functional dystrophin, a key structural protein in muscle cells. DMD affects approximately 15,000 individuals in the United States and primarily impacts boys. Over time, deterioration of the heart muscle leads to cardiomyopathy and heart failure, which is the leading cause of death in DMD. There is no cure, and treatment options remain limited.

About Deramiocel

Deramiocel (CAP-1002) consists of allogeneic cardiosphere-derived cells (CDCs), a rare population of cardiac cells that have been shown in preclinical and clinical studies to exert potent immunomodulatory and anti-fibrotic actions in the preservation of cardiac and skeletal muscle function in muscular dystrophies such as DMD. CDCs act by secreting extracellular vesicles known as exosomes, which target macrophages and alter their expression profile to adopt a healing rather than pro-inflammatory phenotype. CDCs have been investigated in more than 250 peer-reviewed scientific publications and administered to over 250 human subjects across multiple clinical trials.

Deramiocel has received Orphan Drug Designation for the treatment of DMD from both the U.S. FDA and the European Medicines Agency (EMA). In addition, it has been granted Regenerative Medicine Advanced Therapy (RMAT) designation in the U.S., Advanced Therapy Medicinal Product (ATMP) designation in Europe, and Rare Pediatric Disease Designation from the FDA, which may qualify Capricor for a Priority Review Voucher upon approval.

About Capricor Therapeutics

Capricor Therapeutics (NASDAQ: CAPR) is a biotechnology company dedicated to advancing cell and exosome-based therapeutics for the treatment of rare diseases. Our lead product candidate, Deramiocel, is an allogeneic cardiac-derived cell therapy in late-stage development for Duchenne muscular dystrophy (DMD), shown in clinical studies to preserve cardiac and skeletal muscle function. Capricor is also advancing its proprietary StealthX™ exosome platform for the targeted delivery of oligonucleotides, proteins, and small-molecule therapeutics across a range of diseases. At Capricor, we are committed to delivering new therapies for patients with rare diseases. For more information, visit capricor.com, and follow Capricor on FacebookInstagram and X.

Cautionary Note Regarding Forward-Looking Statements

Statements in this press release regarding the efficacy, safety, and intended utilization of Capricor’s product candidates; the initiation, conduct, size, timing and results of clinical trials; the pace of enrollment of clinical trials; plans regarding regulatory filings, future research and clinical trials; regulatory developments involving products, including future interactions with regulatory authorities and the ability to obtain regulatory approvals or otherwise bring products to market; manufacturing capabilities; dates for regulatory meetings; the potential that required regulatory inspections may be delayed or not be successful which would delay or prevent product approval, revenue and reimbursement estimates, projected terms of definitive agreements, our financial position, our possible uses of existing cash and investment resources, and statements regarding our litigation with Nippon Shinyaku Co., Ltd. and NS Pharma, Inc., including the nature of the dispute, our expectations regarding any legal proceedings, and our ability to commercialize Deramiocel independent of our existing distribution agreement and any other statements about Capricor’s management team’s future expectations, beliefs, goals, plans or prospects constitute forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995. Any statements that are not statements of historical fact (including statements containing the words “believes,” “plans,” “could,” “anticipates,” “expects,” “estimates,” “should,” “target,” “will,” “would” and similar expressions) should also be considered to be forward-looking statements. There are a number of important factors that could cause actual results or events to differ materially from those indicated by such forward-looking statements. More information about these and other risks that may impact Capricor’s business is set forth in Capricor’s Annual Report on Form 10-K for the year ended December 31, 2025, as filed with the Securities and Exchange Commission on March 17, 2026 and in our Quarterly Report on Form 10-Q for the quarter ended March 31, 2026, as filed with the Securities and Exchange Commission on May 13, 2026. All forward-looking statements in this press release are based on information available to Capricor as of the date hereof, and Capricor assumes no obligation to update these forward-looking statements.

Deramiocel and the StealthX™ vaccine are investigational candidates and have not been approved for commercial use in any indication.

For more information, please contact:

Capricor Media Contact:
Caitlin Kasunich / Raquel Cona
KCSA Strategic Communications
ckasunich@kcsa.com / rcona@kcsa.com
212.896.1241 / 516.779.2630

Capricor Company Contact:
AJ Bergmann, Chief Financial Officer
abergmann@capricor.com
858.727.1755


FAQ

What did The Lancet publish about Capricor Therapeutics (NASDAQ: CAPR) and Deramiocel in July 2026?

The Lancet published Phase 3 HOPE-3 results for Deramiocel in Duchenne muscular dystrophy. According to Capricor, the randomized, double-blind, placebo-controlled trial met its primary endpoint and showed skeletal muscle and cardiac benefits after independent expert peer review validated the trial’s design and statistics.

What were the key efficacy results from the HOPE-3 Phase 3 trial of Deramiocel for DMD (CAPR)?

HOPE-3 met its primary endpoint with Deramiocel slowing upper limb function decline by 54% versus placebo on PUL 2.0 (p=0.03). According to Capricor, the trial also demonstrated clinically meaningful benefits across several cardiac measures in a largely non-ambulatory Duchenne muscular dystrophy population.

What is the FDA PDUFA date for Capricor’s Deramiocel BLA and what does it mean for investors?

Deramiocel’s Biologics License Application is under active FDA review with a PDUFA target action date of August 22, 2026. According to Capricor, this is when the FDA is expected to take action on the application, following HOPE-3 data discussed at an Advisory Committee meeting.

What is Deramiocel (CAP-1002) and how does it work in Duchenne muscular dystrophy?

Deramiocel is an allogeneic cardiosphere-derived cell therapy being developed for Duchenne muscular dystrophy. According to Capricor, these cells secrete exosomes that modulate macrophages toward a healing, anti-fibrotic profile, helping preserve cardiac and skeletal muscle function based on preclinical and clinical studies.

What regulatory designations has Deramiocel received for Duchenne muscular dystrophy?

Deramiocel has received Orphan Drug Designation for DMD from the FDA and EMA, plus RMAT, ATMP and Rare Pediatric Disease designations. According to Capricor, the Rare Pediatric Disease status may qualify the company for a Priority Review Voucher if the therapy is approved.

How significant is HOPE-3 for non-ambulatory Duchenne muscular dystrophy patients treated with Deramiocel?

HOPE-3 is described as the first Phase 3 trial to show significant functional benefit in a largely non-ambulatory DMD population. According to Capricor and trial investigators, the 54% slowing of upper limb disease progression is considered substantial and accompanied by supportive cardiac benefits.

How many patients have been exposed to Deramiocel’s cardiosphere-derived cells in clinical research so far?

Capricor reports that cardiosphere-derived cells, the basis of Deramiocel, have been administered to over 250 human subjects across multiple clinical trials. According to the company, these cells have also been described in more than 250 peer-reviewed scientific publications exploring their mechanisms and effects.