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Prime Medicine Receives U.S. FDA Regenerative Medicine Advanced Therapy (RMAT) Designation for PM359 for the Treatment of Chronic Granulomatous Disease (CGD)

(Positive)
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Prime Medicine (Nasdaq: PRME) received U.S. FDA Regenerative Medicine Advanced Therapy (RMAT) designation for PM359, an investigational autologous Prime Edited stem cell therapy for p47phox-deficient chronic granulomatous disease (CGD).

The RMAT decision, based on Phase 1/2 data in two patients, adds to Fast Track, Orphan Drug, and Rare Pediatric Disease designations and enables intensive FDA interaction plus eligibility for rolling and priority BLA review.

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Positive

  • RMAT designation for PM359 in p47phox-deficient CGD
  • PM359 now holds RMAT, Fast Track, Orphan Drug, Rare Pediatric Disease status
  • Phase 1/2 data show rapid engraftment and durable immune function restoration in two patients
  • Neutrophil activity exceeded levels associated with clinical benefit
  • Safety profile consistent with busulfan-based conditioning alone
  • RMAT enables intensive FDA guidance and potential rolling, priority BLA review

Negative

  • Clinical efficacy data currently reported for only two treated patients
  • PM359 remains investigational with no approved Biologics License Application yet

News Market Reaction – PRME

+4.33%
18 alerts
+4.33% Session close to close
+2.3% Peak Tracked
-11.2% Trough Tracked
$644.80M Market Cap
0.6x Rel. Volume

In the Jun 22 session, PRME gained 4.33%, reflecting a moderate positive market reaction. Argus tracked a peak move of +2.3% during that session. Argus tracked a trough of -11.2% from its starting point during tracking. Our momentum scanner triggered 18 alerts that day, indicating notable trading interest and price volatility.

Data tracked by StockTitan Argus on the day of publication.

Market Context

This announcement adds RMAT status to PM359, alongside existing designations, backed by Phase 1/2 da...
Analysis

This announcement adds RMAT status to PM359, alongside existing designations, backed by Phase 1/2 data in p47phox-deficient CGD. Investors may track future FDA interactions, durability data from the 2 treated patients, and broader pipeline execution risks.

Key Figures

Phase: Phase 1/2 Patients treated: 2 patients Dosing regimen: Single dose
3 metrics
Phase Phase 1/2 Clinical data supporting RMAT designation for PM359 in CGD
Patients treated 2 patients Both treated patients showed durable restoration of immune cell function
Dosing regimen Single dose One-time PM359 dose drove rapid engraftment and immune restoration

Historical Context

5 past events · Latest: Jun 18 (Positive)
Pattern 5 events
Date Event Sentiment 24h Move Catalyst
Jun 18 Clinical trial clearance Positive +0.2% New Zealand Medsafe cleared CTA for PM577a in Wilson Disease trial.
Jun 03 Conference participation Neutral -2.2% CEO scheduled for Goldman Sachs healthcare conference fireside chat webcast.
May 28 Conference participation Neutral +3.0% Company presenting at Jefferies Global Healthcare Conference with webcast access.
May 07 Quarterly earnings Positive -8.7% Q1 2026 results with cash runway into 2027 and pipeline progress updates.
Apr 16 Executive appointment Positive -3.2% Appointment of new CFO to support upcoming clinical and pipeline expansion.

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

Pattern Detected

Recent PRME news has drawn mixed reactions, including notable selloffs following otherwise constructive corporate and pipeline updates.

Key Terms

regenerative medicine advanced therapy, rmat, biologics license application, hematopoietic stem cell, +2 more
6 terms
regenerative medicine advanced therapy regulatory
"has granted Regenerative Medicine Advanced Therapy (RMAT) designation to PM359"
Regenerative Medicine Advanced Therapy (RMAT) is a U.S. regulatory designation for cell, gene, and tissue‑based therapies intended to treat serious or life‑threatening conditions; it gives developers a “fast lane” with more frequent agency interaction and eligibility for accelerated review pathways. For investors, an RMAT label signals that a therapy may reach market faster and face less regulatory uncertainty than a standard program, which can raise the potential value and reduce timeline risk—though it is not a guarantee of approval.
rmat regulatory
"PM359 now holds RMAT, Fast Track, Orphan Drug, and Rare Pediatric Disease"
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.
biologics license application regulatory
"path to a Biologics License Application. We are working with urgency"
A biologics license application is a formal request submitted to regulatory authorities seeking approval to market a new biological medicine, such as vaccines or treatments made from living organisms. It is a comprehensive review process that evaluates the safety, effectiveness, and manufacturing quality of the product. For investors, receiving approval signals that a biological therapy can be sold to the public, potentially leading to revenue growth and market success.
hematopoietic stem cell medical
"an investigational autologous Prime Edited hematopoietic stem cell therapy for"
A hematopoietic stem cell is a primitive cell found in bone marrow and blood that acts like a seed that can grow into all types of blood and immune cells throughout a person’s life. Investors care because these cells are the basis for treatments and products—such as blood stem-cell transplants and engineered cell therapies—where clinical success, manufacturing scale, regulatory approval, or supply issues can drive the value and risk of companies developing them.
busulfan-based conditioning medical
"a safety profile consistent with busulfan-based conditioning alone. The findings support"
A busulfan-based conditioning regimen is a preparatory treatment that uses the chemotherapy drug busulfan to destroy or suppress a patient’s existing bone marrow and immune cells before a stem cell or bone marrow transplant. Like clearing a field before planting, it makes room for new cells to take hold; for investors, the choice of conditioning affects clinical trial outcomes, safety and side-effect profiles, regulatory review, market adoption, and the commercial prospects of transplant-related drugs and therapies.
accelerated approval regulatory
"endpoints that may support accelerated approval, and eligibility for rolling"
Accelerated approval is a process that allows new medical treatments to be approved more quickly than usual if they address serious or life-threatening conditions and show promising early results. For investors, it signals that a treatment may reach the market sooner, potentially boosting a company's prospects, but it also involves some uncertainty since full evidence of effectiveness is still being gathered.

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

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-- RMAT designation granted based on Phase 1/2 clinical data, including results previously published in The New England Journal of Medicine, demonstrating PM359’s potential to address unmet need in p47phox-deficient CGD --

-- Designation enables early and intensive FDA engagement, and provides eligibility for rolling and priority Biologics License Application review --

-- PM359 now holds RMAT, Fast Track, Orphan Drug, and Rare Pediatric Disease Designations --

CAMBRIDGE, Mass., June 22, 2026 (GLOBE NEWSWIRE) -- Prime Medicine, Inc. (Nasdaq: PRME), a biotechnology company committed to delivering a new class of differentiated one-time curative genetic therapies, today announced that the U.S. Food and Drug Administration (FDA) has granted Regenerative Medicine Advanced Therapy (RMAT) designation to PM359, an investigational autologous Prime Edited hematopoietic stem cell therapy for the treatment of p47phox-deficient chronic granulomatous disease (CGD). RMAT designation was granted based on Phase 1/2 clinical data, including data previously published in The New England Journal of Medicine, and will provide the benefits of intensive FDA guidance and expedited review through the program’s development.

“FDA’s decision to grant RMAT designation to PM359 reinforces the potential for this program to deliver a meaningful, disease-modifying impact in CGD, where patients face significant morbidity, lifelong complications, and limited treatment options,” said Allan Reine, M.D., Chief Executive Officer of Prime Medicine. “The combination of RMAT, Fast Track, Orphan Drug, and Rare Pediatric Disease Designations underscores the seriousness of CGD and the need for transformative therapies that deliver durable benefit, while positioning us to engage with the FDA on the most efficient path to a Biologics License Application. We are working with urgency to advance PM359 toward potential approval, while building on this foundation across our broader pipeline, including programs in Wilson Disease and Alpha-1 Antitrypsin Deficiency.”

RMAT designation was established under the 21st Century Cures Act to expedite the development and review of regenerative medicine therapies intended to treat serious or life-threatening diseases when preliminary clinical evidence indicates the therapy has the potential to address unmet medical need. RMAT designation provides all the benefits of Fast Track and Breakthrough Therapy Designations, including intensive FDA interaction, discussions on surrogate or intermediate endpoints that may support accelerated approval, and eligibility for rolling and priority review of a future Biologics License Application.

The initial clinical trial results were reported in the December 2025 publication in The New England Journal of Medicine. The data demonstrate that a single dose of PM359 drove rapid engraftment and a durable, clinically meaningful restoration of immune cell function in both treated patients, with neutrophil activity well above the level associated with clinical benefit and a safety profile consistent with busulfan-based conditioning alone. The findings support the potential of PM359 to deliver a one-time, disease-modifying treatment for patients with p47phox-deficient CGD.

About PM359

PM359 is an investigational autologous hematopoietic stem cell therapy designed to correct the delGT mutation in NCF1, the most prevalent disease-causing mutation in p47phox-deficient CGD. PM359 is being evaluated in an ongoing Phase 1/2, multinational, first-in-human trial. In addition to RMAT designation, PM359 has received Fast Track, Orphan Drug, and Rare Pediatric Disease Designations from the FDA.

About Chronic Granulomatous Disease (CGD)

Chronic granulomatous disease (CGD) is a rare inherited hematologic disorder characterized by susceptibility to severe, difficult-to-treat infections and inflammatory and autoimmune complications. CGD is caused by mutations in any one of the subunits comprising the NADPH oxidase complex, which is required for phagocytic cells, in particular neutrophils, to destroy many invasive microorganisms. CGD causative mutations are estimated to occur in between one in 100,000 and one in 200,000 births in the United States, with the p47phox form accounting for approximately 25% of cases. Current standard of care relies on lifelong antimicrobial prophylaxis and, in select cases, allogeneic hematopoietic stem cell transplantation, which carries significant morbidity and is not accessible to all patients. There are no approved gene editing therapies for CGD.

About Prime Medicine

Prime Medicine is a leading biotechnology company dedicated to creating and delivering the next generation of gene editing therapies to patients. The Company is deploying its proprietary Prime Editing platform, a versatile, precise and efficient gene editing technology, to develop a new class of differentiated one-time curative genetic therapies. Designed to make only the right edit at the right position within a gene while minimizing unwanted DNA modifications, Prime Editors have the potential to repair almost all types of genetic mutations and work in many different tissues, organs and cell types. Taken together, Prime Editing’s versatile gene editing capabilities could unlock opportunities across thousands of potential indications.

Prime Medicine is currently progressing a diversified portfolio of investigational therapeutic programs organized around our core areas of focus: liver, lung, and immunology and oncology. Across each core area, Prime Medicine is focused initially on a set of high value programs, each targeting a disease with well-understood biology and a clearly defined clinical development and regulatory path, and each expected to provide the foundation for expansion into additional opportunities. Over time, the Company intends to maximize Prime Editing’s broad and versatile therapeutic potential, as well as the modularity of the Prime Editing platform, to rapidly and efficiently expand beyond the diseases in its current pipeline, potentially including additional genetic diseases, immunological diseases, cancers, infectious diseases, and targeting genetic risk factors in common diseases, which collectively impact millions of people. For more information, please visit www.primemedicine.com.

© 2026 Prime Medicine, Inc. All rights reserved. PRIME MEDICINE, the Prime Medicine logos, and PASSIGE are trademarks of Prime Medicine, Inc. All other trademarks referred to herein are the property of their respective owners.

Forward Looking Statements

This press release contains forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995, as amended, including, without limitation, implied and express statements about Prime Medicine’s beliefs and expectations regarding: the significance and potential benefits of RMAT designation; the significance and potential benefits of the combination of RMAT, Fast Track, Orphan Drug, and Rare Pediatric Disease designations; the ongoing regulatory interactions with the FDA based on the data from its Phase 1/2 trial of PM359 and the outcomes of any such interactions, including its plan to submit a Biologics License Application for PM359; the significance of the Phase 1/2 clinical data for PM359, including data published in The New England Journal of Medicine; the potential of PM359 to address the unmet medical need for patients with CGD; the potential of Prime Editing to correct the causative mutations of, and to cure, diseases, including CGD, Wilson Disease and Alpha-1 Antitrypsin Deficiency; its expectations regarding the breadth of Prime Editing technology and the implementation of its strategic plans for its business, programs, and technology; and the potential of Prime Editing to unlock opportunities across thousands of potential indications.

Any forward-looking statements in this press release are based on management’s current expectations and beliefs and are subject to a number of risks, uncertainties and important factors that may cause actual events or results to differ materially from those expressed or implied by any forward-looking statements contained in this press release, including, without limitation, risks associated with: uncertainties related to Prime Medicine’s product candidates entering clinical trials; the authorization, initiation, and conduct of preclinical and IND-enabling studies and other development requirements for potential product candidates, including uncertainties related to opening INDs and obtaining regulatory approvals; risks related to the development and optimization of new technologies, the results of preclinical studies, or clinical studies not being predictive of future results in connection with future studies; the scope of protection Prime Medicine is able to establish and maintain for intellectual property rights covering its Prime Editing technology; Prime Medicine’s ability to identify and enter into future license agreements and collaborations; Prime Medicine’s expectations regarding the anticipated timeline of its cash runway and future financial performance; and general economic, industry and market conditions. These and other risks and uncertainties are described in greater detail in the section entitled “Risk Factors” in Prime Medicine’s most recent Annual Report on Form 10-K, as well as any subsequent filings with the Securities and Exchange Commission. In addition, any forward-looking statements represent Prime Medicine’s views only as of today and should not be relied upon as representing its views as of any subsequent date. Prime Medicine explicitly disclaims any obligation to update any forward-looking statements subject to any obligations under applicable law. No representations or warranties (expressed or implied) are made about the accuracy of any such forward-looking statements.

Investor and Media Contacts

Gregory Dearborn
Prime Medicine
857-209-0696
gdearborn@primemedicine.com

Hannah Deresiewicz
Precision AQ
212-362-1200                
Hannah.deresiewicz@precisionaq.com


FAQ

What RMAT designation did the FDA grant Prime Medicine’s PM359 (PRME) in June 2026?

The FDA granted RMAT designation to Prime Medicine’s PM359 for treating p47phox-deficient chronic granulomatous disease. According to Prime Medicine, this status supports intensive FDA guidance, accelerated development discussions, and eligibility for rolling and priority review of a future Biologics License Application.

Why is FDA RMAT designation for PM359 (PRME) important for CGD patients?

RMAT designation signals that preliminary PM359 data may address unmet medical need in CGD. According to Prime Medicine, patients with p47phox-deficient CGD face significant morbidity, lifelong complications, and limited options, so expedited development and review could potentially shorten time to a one-time disease-modifying therapy.

What Phase 1/2 clinical results support RMAT designation for PM359 (PRME)?

Phase 1/2 results showed a single PM359 dose produced rapid engraftment and durable immune function restoration in two patients. According to Prime Medicine, neutrophil activity remained well above clinically beneficial levels, with a safety profile consistent with busulfan-based conditioning alone, supporting PM359’s one-time treatment potential.

Which FDA designations does PM359 from Prime Medicine (PRME) currently hold?

PM359 holds RMAT, Fast Track, Orphan Drug, and Rare Pediatric Disease designations. According to Prime Medicine, this combination reflects the seriousness of p47phox-deficient CGD and may facilitate frequent FDA interaction, flexible endpoint discussions, and potential accelerated or priority review pathways for a future Biologics License Application.

How could RMAT designation affect the PM359 Biologics License Application (BLA) process for PRME?

RMAT status makes PM359 eligible for rolling and priority BLA review. According to Prime Medicine, it also enables intensive FDA engagement and discussions on surrogate or intermediate endpoints that might support accelerated approval, potentially streamlining regulatory timelines if future trial results remain supportive.

What did The New England Journal of Medicine report about PM359 results for CGD?

A December 2025 publication described initial PM359 trial outcomes in two patients with p47phox-deficient CGD. According to Prime Medicine, a single dose led to durable, clinically meaningful restoration of immune cell function, with neutrophil activity sustained above levels associated with clinical benefit and a manageable safety profile.

How does PM359 fit into Prime Medicine’s broader genetic therapy pipeline (PRME)?

PM359 is an autologous Prime Edited stem cell therapy candidate for p47phox-deficient CGD. According to Prime Medicine, experience from PM359’s RMAT-supported development will help advance additional programs in genetic diseases, including pipeline efforts in Wilson disease and alpha-1 antitrypsin deficiency.