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Otarmeni™ (lunsotogene parvec) Receives EMA Filing Acceptance for Genetic Hearing Loss

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Regeneron (NASDAQ: REGN) announced that the European Medicines Agency accepted for review, under Accelerated Assessment, the Marketing Authorization Application for Otarmeni (lunsotogene parvec), an in vivo AAV gene therapy for biallelic OTOF variant-associated hearing loss.

The filing is backed by the pivotal CHORD trial, where 24 children (10 months–16 years) received a single intracochlear dose (10 unilateral, 14 bilateral). An earlier CHORD data cut (n=20) supported Otarmeni’s U.S. FDA accelerated approval in April 2026. If approved, it would be the first gene therapy for OTOF-related hearing loss in the EU. The condition affects about 46 newborns per year in the EU. Otarmeni is approved in the U.S.; outside the U.S., safety and efficacy have not been fully evaluated. Regulatory submissions are planned in additional markets, including Japan.

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Positive

  • EMA accepts Otarmeni MAA under Accelerated Assessment
  • Pivotal CHORD trial enrolls 24 pediatric participants with single-dose treatment
  • Earlier CHORD data supported April 2026 FDA accelerated approval
  • Potential first gene therapy for OTOF-related hearing loss in EU
  • Regulatory submissions planned in additional markets, including Japan

Negative

  • OTOF-related hearing loss affects about 46 EU newborns per year
  • Outside the U.S., Otarmeni safety and efficacy not fully evaluated
  • CHORD clinical trial participant count limited to 24 children

News Market Reaction – REGN

-0.58%
-0.58% Session close to close

In the May 22 session, REGN declined 0.58%, reflecting a mild negative market reaction.

Data tracked by StockTitan Argus on the day of publication.

Market Context

This announcement highlights EMA accelerated assessment of Otarmeni for ultra-rare OTOF-related hear...
Analysis

This announcement highlights EMA accelerated assessment of Otarmeni for ultra-rare OTOF-related hearing loss, supported by CHORD trial data in 24 participants. The therapy already has U.S. accelerated approval, while submissions are planned in other markets. Recent history shows mixed price reactions to both positive collaborations and clinical readouts, so investors may watch for further regulatory milestones, broader uptake signals, and how this niche gene therapy fits alongside larger drivers like Dupixent and oncology assets.

Key Figures

CHORD participants: 24 participants Unilateral dosing: n=10 Bilateral dosing: n=14 +3 more
6 metrics
CHORD participants 24 participants Pivotal CHORD trial single-dose Otarmeni infusion
Unilateral dosing n=10 Otarmeni intracochlear infusion in one ear
Bilateral dosing n=14 Otarmeni intracochlear infusion in both ears
Earlier CHORD cut n=20 Supported FDA accelerated approval in April 2026
Participant age range 10 months to 16 years Age of CHORD trial participants
EU incidence 46 newborn children per year Approximate OTOF-related hearing loss cases in EU annually

Historical Context

5 past events · Latest: May 18 (Positive)
Pattern 5 events
Date Event Sentiment 24h Move Catalyst
May 18 Strategic partnership Positive -9.8% Collaboration with Parabilis to develop Antibody-Helicon conjugate therapies.
May 15 Phase 3 melanoma update Negative -9.8% Fianlimab combo failed to reach statistical significance for PFS vs pembrolizumab.
May 15 STEM competition awards Positive -2.0% Regeneron and partners awarded over $7M to 2026 ISEF student winners.
May 08 ESG index recognition Positive +0.8% Named to Dow Jones Best-in-Class World Index, highlighting ESG leadership.
May 05 Dupixent Phase 4 data Positive -1.0% Dupixent improved esophageal function and disease measures in EoE Phase 4 trial.

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

Pattern Detected

Recent news often showed weak or negative price follow-through, including several positive or neutral updates that coincided with share declines.

Recent Company History

Over the past few weeks, REGN has reported mixed updates. A Phase 3 melanoma trial miss on May 15 and a multi-target Parabilis collaboration on May 18 both saw shares fall about 9.82%. Positive items such as ESG index recognition on May 8, Dupixent Phase 4 data on May 5, and STEM award news on May 15 drew modest or negative reactions. Today’s EMA acceptance for Otarmeni fits into a backdrop where good news has not consistently supported the share price.

Key Terms

in vivo, adeno-associated virus, gene therapy, biallelic, +4 more
8 terms
in vivo medical
"an in vivo adeno-associated virus vector-based gene therapy for the treatment"
In vivo describes tests or experiments performed inside a living organism, such as an animal or human, to observe how a drug, device or biological process behaves in a real, functioning body. Investors care because in vivo results reveal safety, effectiveness and possible side effects that lab tests cannot, much like road-testing a prototype car in traffic rather than only on a bench — outcomes can strongly influence regulatory approval, clinical success and a company’s valuation.
adeno-associated virus medical
"an in vivo adeno-associated virus vector-based gene therapy for the treatment"
Adeno-associated virus (AAV) is a naturally occurring, small virus that researchers use as a safe carrier to deliver corrective genes into human cells, much like a specialized delivery van transporting instructions to a malfunctioning machine. It matters to investors because AAV-based therapies drive large development costs, unique manufacturing and regulatory risks, and the potential for high-value, one-time treatments that can significantly affect a biotech company’s future revenue and valuation.
gene therapy medical
"adeno-associated virus vector-based gene therapy for the treatment of biallelic"
Gene therapy is a medical technique that involves altering or replacing faulty genes in a person's cells to treat or prevent disease. It is considered a promising area of innovation because it has the potential to provide long-term or even permanent solutions to genetic conditions. For investors, advancements in gene therapy can signal opportunities in biotech companies and emerging treatments with significant growth potential.
biallelic medical
"gene therapy for the treatment of biallelic OTOF variant-associated hearing loss."
Biallelic means that both copies of a gene in a cell carry mutations or alterations, rather than just one. For investors following biotech or healthcare companies, this matters because changes in both gene copies often produce clearer or more severe disease effects, influence which patients might benefit from a therapy or diagnostic, and can affect clinical trial design, regulatory decisions and potential market size — like finding the same misprint on both copies of an instruction manual.
orphan designation regulatory
"Otarmeni, formerly known as DB-OTO, previously received Orphan Designation from the EMA."
Orphan designation is a regulatory label granted to a drug or therapy intended to treat a rare disease, which typically affects a small number of patients. It matters to investors because it unlocks incentives—such as development cost reductions, tax credits, priority review and a period of market exclusivity—that improve the commercial and regulatory prospects of a product; think of it as a government-backed head start and safety net for a niche but potentially high-value medicine.
accelerated assessment regulatory
"has accepted for review under Accelerated Assessment the Marketing Authorization Application"
A regulatory shortcut that speeds up the review of an application for a drug, device or other regulated product so authorities decide faster than under the normal timetable. For investors, accelerated assessment matters because it can shorten the time until a product can be sold, reduce uncertainty and bring revenue or strategic value sooner—similar to getting an express lane at a checkout that accelerates when you can start earning from a new offering.
marketing authorization application regulatory
"Accelerated Assessment the Marketing Authorization Application (MAA) for Otarmeni"
A marketing authorization application is a formal request submitted to a government regulator asking permission to sell a prescription medicine or medical product in a country or region. Think of it like asking for a business license after showing evidence the product is safe and works; investors care because approval determines whether the product can generate sales, how soon revenue starts, and how much regulatory risk and uncertainty remains.
intracochlear infusion medical
"received a single dose of Otarmeni via intracochlear infusion, either unilaterally"
Intracochlear infusion is the direct delivery of a drug or therapeutic fluid into the cochlea, the tiny fluid‑filled structure in the inner ear that converts sound vibrations into nerve signals, using a microscopic tube, catheter or implantable pump. For investors, it matters because delivering medicine straight to the target can improve effectiveness and limit side effects compared with systemic treatment, but it also adds technical, safety and regulatory hurdles that affect development costs, timelines and commercial risk—like watering roots directly rather than spraying the whole plant.

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

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TARRYTOWN, N.Y., May 22, 2026 (GLOBE NEWSWIRE) -- Regeneron Pharmaceuticals, Inc. (NASDAQ: REGN) today announced the European Medicines Agency (EMA) has accepted for review under Accelerated Assessment the Marketing Authorization Application (MAA) for Otarmeni™ (lunsotogene parvec), an in vivo adeno-associated virus vector-based gene therapy for the treatment of biallelic OTOF variant-associated hearing loss. Otarmeni, formerly known as DB-OTO, previously received Orphan Designation from the EMA. If approved, Otarmeni will be the first gene therapy for OTOF-related hearing loss in the European Union (EU).

The MAA is supported by data from the pivotal CHORD clinical trial, in which 24 participants (aged between 10 months to 16 years) received a single dose of Otarmeni via intracochlear infusion, either unilaterally (in one ear; n=10) or bilaterally (in both ears; n=14). An earlier cut of results from the CHORD trial (n=20) also supported the U.S. Food and Drug Administration’s recent accelerated approval of Otarmeni in April 2026. Regulatory submissions are planned in additional markets, including Japan.

OTOF-related hearing loss is an ultra-rare condition, affecting approximately 46 newborn children per year in the EU. Though all structures within the ear are intact, variants in the OTOF gene cause a lack of a functional otoferlin protein, which is critical for communication between the sensory cells of the inner ear and the auditory nerve. Historically, genetic OTOF-related hearing loss was considered permanent and managed with life-long use of devices. While these devices can amplify sound to improve hearing for individuals with a range of hearing loss, they do not currently restore the full spectrum of sound.

Otarmeni is approved in the U.S. Outside of the U.S., the safety and efficacy of Otarmeni have not been fully evaluated.

About the CHORD Trial
The CHORD trial is an ongoing, registrational Phase 1/2 multicenter, open-label trial to evaluate the safety, tolerability and efficacy of Otarmeni in infants, children and adolescents with OTOF-related hearing loss. The trial is currently enrolling children and adults across sites in the U.S., United Kingdom, Spain, Germany and Japan.

CHORD is being conducted in two parts. In the initial dose-escalation cohort (Part A), participants receive a single intracochlear infusion of Otarmeni in one ear. In the expansion cohort (Part B), participants receive Otarmeni in both ears at the selected dose from Part A.

Hearing improvements were assessed by average pure tone audiometry (PTA) and auditory brainstem response (ABR). PTA is the gold standard measurement of hearing sensitivity and is measured through behavioral responses to sound (e.g., turning head towards sound) that is emitted at different intensity levels and measured in decibels (dB). ABR complements these behavioral responses, serving as an objective measure of synchronized neural response, to sound. At baseline, all participants had profound hearing loss (behavioral PTA), and no electrophysiological (ABR) responses at maximum sound levels.

About Otarmeni™ (lunsotogene parvec)
Otarmeni is an in vivo dual adeno-associated virus serotype 1 (AAV1) vector-based gene therapy designed to restore durable, physiological hearing to individuals by delivering a working copy of the OTOF gene through a modified, non-pathogenic virus that is delivered via an infusion into the cochlea under general anesthesia (similar to the procedure used for cochlear implantation). In this gene therapy, the newly introduced OTOF gene is under the control of a proprietary cell-specific Myo15 promoter, which is intended to restrict expression only to hair cells that normally express the otoferlin protein.

Otarmeni is currently approved in the U.S. for the treatment of pediatric and adult patients with severe-to-profound and profound sensorineural hearing loss (any frequency >90 decibel hearing level [dB HL]) associated with molecularly confirmed biallelic variants in the OTOF gene, preserved outer hair cell function, and no prior cochlear implant in the same ear.

IMPORTANT SAFETY INFORMATION FOR U.S. PATIENTS

What is the most important information to know about OTARMENI?

Before receiving OTARMENI:

  • it is recommended to receive age-appropriate vaccinations, at least 1 month before the first corticosteroid dose and at least 1 month after the last corticosteroid dose.
  • consult with your healthcare provider and surgeon regarding vaccination status against meningitis, since meningitis is a known risk of inner ear surgery.
  • pregnancy status should be verified (if you are sexually active and able to become pregnant).

The following serious side effects may occur with the surgery required to administer OTARMENI:

  • Vertigo, ringing in ear(s), cerebral spinal fluid leak, partial facial paralysis or weakness, change in taste, meningitis, wound infection, serious infection of the bone behind the ear (mastoiditis), numbness around the ear, blood or fluid collection at surgical site, and inflammation of the inner ear.

The most common side effects that may occur with OTARMENI include middle ear infection, vomiting, nausea, dizziness, procedural pain, walking disturbance, and rapid involuntary eye movements.

Other clinically significant side effects, each occurring in 1 person in the clinical study, included temporary balance disorder, abnormal otoacoustic emissions, and wound separation.

Because small quantities of OTARMENI may be present in bodily fluids/waste, any materials that may be contaminated should be placed in a sealable bag and disposed of into regular trash for the first two weeks following administration of OTARMENI. Practice proper hand hygiene, such as hand washing, when coming into direct contact with bodily fluids/waste.

Talk to your healthcare provider for medical advice or any questions about side effects. You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch, or call 1-800-FDA-1088. You may also report side effects to Regeneron Pharmaceuticals at 1‑866‑500‑GENE (1‑866‑500‑4363).

Please see accompanying full Prescribing Information.

About Regeneron
Regeneron (NASDAQ: REGN) is a leading biotechnology company that invents, develops and commercializes life-transforming medicines for people with serious diseases. Founded and led by physician-scientists, our unique ability to repeatedly and consistently translate science into medicine has led to numerous approved treatments and product candidates in development, most of which were homegrown in our laboratories. Our medicines and pipeline are designed to help patients with eye diseases, allergic and inflammatory diseases, cancer, cardiovascular and metabolic diseases, neurological diseases, hematologic conditions, infectious diseases, and rare diseases.

Regeneron pushes the boundaries of scientific discovery and accelerates drug development using our proprietary technologies, such as VelociSuite®, which produces optimized fully human antibodies and new classes of bispecific antibodies. We are shaping the next frontier of medicine with data-powered insights from the Regeneron Genetics Center® and pioneering genetic medicine platforms, enabling us to identify innovative targets and complementary approaches to potentially treat or cure diseases.

For more information, please visit www.Regeneron.com or follow Regeneron on LinkedIn, Instagram, Facebook or X.

Forward-Looking Statements and Use of Digital Media
This press release includes forward-looking statements that involve risks and uncertainties relating to future events and the future performance of Regeneron Pharmaceuticals, Inc. (“Regeneron” or the “Company”), and actual events or results may differ materially from these forward-looking statements. Words such as “anticipate,” “expect,” “intend,” “plan,” “believe,” “seek,” “estimate,” variations of such words, and similar expressions are intended to identify such forward-looking statements, although not all forward-looking statements contain these identifying words. These statements concern, and these risks and uncertainties include, among others, the nature, timing, and possible success and therapeutic applications of products marketed or otherwise commercialized by Regeneron and/or its collaborators or licensees (collectively, “Regeneron’s Products”) and product candidates being developed by Regeneron and/or its collaborators or licensees (collectively, “Regeneron’s Product Candidates”) and research and clinical programs now underway or planned, including without limitation Otarmeni™ (lunsotogene), an in vivo adeno-associated virus vector-based gene therapy; the likelihood, timing, and scope of possible regulatory approval and commercial launch of Regeneron’s Product Candidates and new indications for Regeneron’s Products, such as Otarmeni for the treatment of biallelic OTOF variant-associated hearing loss in the European Union; uncertainty of the utilization, market acceptance, and/or commercial success of Regeneron’s Products and Regeneron’s Product Candidates and the impact of studies (whether conducted by Regeneron or others and whether mandated or voluntary), including the studies discussed or referenced in this press release, on any of the foregoing or any potential regulatory approval of Regeneron’s Products and Regeneron’s Product Candidates (such as Otarmeni); the ability of Regeneron’s collaborators, licensees, suppliers, or other third parties (as applicable) to perform manufacturing, filling, finishing, packaging, labeling, distribution, and other steps related to Regeneron’s Products and Regeneron’s Product Candidates; the ability of Regeneron to manage supply chains for multiple products and product candidates and risks associated with tariffs and other trade restrictions; safety issues resulting from the administration of Regeneron’s Products and Regeneron’s Product Candidates (such as Otarmeni) in patients, including serious complications or side effects in connection with the use of Regeneron’s Products and Regeneron’s Product Candidates in clinical trials; determinations by regulatory and administrative governmental authorities which may delay or restrict Regeneron’s ability to continue to develop or commercialize Regeneron’s Products and Regeneron’s Product Candidates; ongoing regulatory obligations and oversight impacting Regeneron’s Products, research and clinical programs, and business, including those relating to patient privacy; the availability and extent of reimbursement or copay assistance for Regeneron’s Products from third-party payors and other third parties, including private payor healthcare and insurance programs, health maintenance organizations, pharmacy benefit management companies, and government programs such as Medicare and Medicaid; coverage and reimbursement determinations by such payors and other third parties and new policies and procedures adopted by such payors and other third parties; changes to drug pricing regulations and requirements and Regeneron’s pricing strategy, including in connection with Regeneron’s April 2026 agreements with the U.S. government; other changes in laws, regulations, and policies affecting the healthcare industry; competing products and product candidates (including biosimilar products) that may be superior to, or more cost effective than, Regeneron’s Products and Regeneron’s Product Candidates; the extent to which the results from the research and development programs conducted by Regeneron and/or its collaborators or licensees may be replicated in other studies and/or lead to advancement of product candidates to clinical trials, therapeutic applications, or regulatory approval; unanticipated expenses; the costs of developing, producing, and selling products; the ability of Regeneron to meet any of its financial projections or guidance and changes to the assumptions underlying those projections or guidance; the potential for any license, collaboration, or supply agreement, including Regeneron’s agreements with Sanofi and Bayer (or their respective affiliated companies, as applicable), to be cancelled or terminated; the impact of public health outbreaks, epidemics, or pandemics on Regeneron's business; and risks associated with litigation and other proceedings and government investigations relating to the Company and/or its operations (including the pending civil proceedings initiated or joined by the U.S. Department of Justice and the U.S. Attorney's Office for the District of Massachusetts), risks associated with intellectual property of other parties and pending or future litigation relating thereto (including without limitation the patent litigation and other related proceedings relating to EYLEA® (aflibercept) Injection), the ultimate outcome of any such proceedings and investigations, and the impact any of the foregoing may have on Regeneron’s business, prospects, operating results, and financial condition. A more complete description of these and other material risks can be found in Regeneron’s filings with the U.S. Securities and Exchange Commission, including its Form 10-K for the year ended December 31, 2025 and its Form 10-Q for the quarterly period ended March 31, 2026. Any forward-looking statements are made based on management’s current beliefs and judgment, and the reader is cautioned not to rely on any forward-looking statements made by Regeneron. Regeneron does not undertake any obligation to update (publicly or otherwise) any forward-looking statement, including without limitation any financial projection or guidance, whether as a result of new information, future events, or otherwise.

Regeneron uses its media and investor relations website and social media outlets to publish important information about the Company, including information that may be deemed material to investors. Financial and other information about Regeneron is routinely posted and is accessible on Regeneron's media and investor relations website (https://investor.regeneron.com) and its LinkedIn page (https://www.linkedin.com/company/regeneron-pharmaceuticals).

  
Contacts:
 
  
Media Relations        
Tammy Allen
Tel: +1 914-306-2698
tammy.allen@regeneron.com
Investor Relations
Mark Hudson
Tel: +1 914-847-3482
mark.hudson@regeneron.com



FAQ

What is Otarmeni (lunsotogene parvec) being reviewed for by the EMA for REGN?

Otarmeni is being reviewed to treat biallelic OTOF variant-associated hearing loss. According to Regeneron, it is an in vivo adeno-associated virus vector-based gene therapy administered via intracochlear infusion, potentially addressing an ultra-rare genetic hearing condition.

How does the CHORD clinical trial support Otarmeni for Regeneron (REGN) investors?

The CHORD trial provides pivotal data for Otarmeni’s EMA filing and prior FDA approval. According to Regeneron, 24 children received a single intracochlear dose, with earlier results from 20 participants supporting U.S. accelerated approval in April 2026.

In which markets is Regeneron (REGN) planning additional Otarmeni regulatory submissions?

Regeneron plans Otarmeni regulatory submissions in additional markets, including Japan. According to Regeneron, Otarmeni already holds U.S. approval, while the EMA is reviewing its Marketing Authorization Application under Accelerated Assessment for the European Union.

Is Otarmeni already approved outside the United States for Regeneron (REGN)?

Otarmeni is currently approved only in the United States. According to Regeneron, outside the U.S., the safety and efficacy of Otarmeni have not been fully evaluated, and EMA and other regulatory reviews are still ongoing.