Company Description
Sarepta Therapeutics, Inc. (NASDAQ: SRPT) is a biotechnology company in the pharmaceutical preparation manufacturing industry that focuses on precision genetic medicine for rare diseases. According to the company’s public statements, Sarepta is “on an urgent mission” to engineer genetic medicines for rare conditions that severely affect quality of life and shorten life expectancy. The company emphasizes leadership positions in Duchenne muscular dystrophy (Duchenne) and is building a portfolio of programs across muscle, central nervous system (CNS), and cardiac diseases.
Sarepta’s business centers on discovering, developing and commercializing genetic medicines, including RNA-targeted therapies and gene transfer therapies. The company reports that it uses proprietary RNA-targeted technology platforms to develop novel pharmaceutical products for a broad range of diseases and to address key unmet medical needs. It also notes that it uses third-party contractors to manufacture its product candidates, reflecting a model that relies on external manufacturing partners rather than fully in-house production.
Focus on Duchenne muscular dystrophy and gene therapy
Sarepta highlights a leadership position in Duchenne muscular dystrophy, a rare, progressive and ultimately fatal muscle-wasting disease. The company has developed ELEVIDYS (delandistrogene moxeparvovec-rokl), described as a single-dose, adeno-associated virus (AAV)-based gene transfer therapy administered by intravenous infusion. ELEVIDYS is designed to address the underlying genetic cause of Duchenne—mutations in the DMD gene that result in lack of dystrophin protein—by delivering a transgene that codes for targeted production of ELEVIDYS micro-dystrophin in skeletal muscle.
The prescribing information described in company communications states that ELEVIDYS is indicated for the treatment of ambulatory patients 4 years of age and older with Duchenne muscular dystrophy who have a confirmed mutation in the DMD gene. The label includes a boxed warning for acute serious liver injury and acute liver failure, and the company has communicated that the non-ambulatory indication has been removed from the Indications and Usage section. Sarepta has also described regulatory interactions with the U.S. Food and Drug Administration (FDA) regarding safety labeling and immunosuppression regimens for certain patient groups.
PMO exon-skipping therapies and Duchenne franchise
Beyond gene therapy, Sarepta has developed a franchise of phosphorodiamidate morpholino oligomer (PMO) exon-skipping therapies for Duchenne. Company disclosures reference PMO therapies such as EXONDYS 51, VYONDYS 53 and AMONDYS 45 and describe them as treatments for ultra-rare subsets of Duchenne patients with specific exon-skipping amenable mutations. Sarepta reports multi-year clinical and real-world experience with these therapies, including their use in hundreds of patients worldwide over extended periods.
The company completed a global Phase 3 randomized, double-blind, placebo-controlled study called ESSENCE, evaluating the efficacy and safety of AMONDYS 45 (casimersen) and VYONDYS 53 (golodirsen). Sarepta states that while ESSENCE did not achieve statistical significance on its primary endpoint, numerical trends favored treatment and were described as clinically meaningful when certain COVID-19–impacted data were excluded. The company has indicated its intention to discuss with FDA a path to traditional approval for these exon-skipping therapies based on ESSENCE results and multi-year real-world evidence.
siRNA platform and pipeline in neurodegenerative and pulmonary diseases
Sarepta is also advancing a next-generation small interfering RNA (siRNA) platform. Public communications describe this platform as focused on chronically administered therapies for neurodegenerative and pulmonary diseases. The company lists investigational siRNA treatments targeting:
- Facioscapulohumeral muscular dystrophy (FSHD) – SRP-1001
- Myotonic dystrophy type 1 (DM1) – SRP-1003 (formerly ARO-DM1)
- Spinocerebellar ataxia type 2 (SCA2)
- Idiopathic pulmonary fibrosis (IPF)
- Huntington’s disease (HD) – SRP-1005 (formerly ARO-HTT)
Sarepta has disclosed progress in early-stage clinical studies for SRP-1003 in DM1, including multiple ascending dose cohorts, and has announced the submission of a clinical trial application for SRP-1005 in Huntington’s disease. The company describes SRP-1005 as a subcutaneously dosed siRNA therapy intended to target the deep brain and knock down the protein that causes Huntington’s disease, using a transferrin receptor protein 1 (TfR1)–based approach designed for delivery to the central nervous system.
The company also notes preclinical programs for spinocerebellar ataxia type 1 (SCA1) and spinocerebellar ataxia type 3 (SCA3), and an exclusive collaboration with Arrowhead Pharmaceuticals to develop therapies for skeletal muscle diseases, with plans to pursue up to six discovery targets in muscle or CNS disorders.
Regulatory interactions and clinical development
Sarepta’s disclosures show frequent interaction with regulators. For Duchenne, the company has described ongoing discussions with FDA around ELEVIDYS safety labeling, boxed warnings, and immunosuppression protocols, including enhanced regimens using sirolimus in the ENDEAVOR (Study 9001-103) program for non-ambulant individuals. ENDEAVOR is characterized as an open-label Phase 1b study assessing expression and safety of ELEVIDYS across multiple cohorts of male patients with Duchenne, with primary endpoints focused on micro-dystrophin expression and secondary functional outcomes.
In limb girdle muscular dystrophy (LGMD), Sarepta has reported that FDA placed a clinical hold on investigational gene therapy trials for several LGMD subtypes (SRP-9003, SRP-9004, SRP-6004, SRP-9005). The company has also noted that it previously paused some of these LGMD programs as part of a strategic restructuring and pipeline prioritization process. Sarepta has indicated an intention to discuss with FDA a potential pathway to submit a Biologics License Application for SRP-9003 after the clinical hold is lifted.
Capital structure and financing activities
Sarepta’s SEC filings and press releases describe multiple financing transactions involving convertible senior notes and equity. The company has entered into privately negotiated exchange agreements with holders of its 1.25% Convertible Senior Notes due 2027, exchanging portions of this debt for new 4.875% Convertible Senior Notes due 2030, shares of common stock, and cash. These exchanges are documented in Form 8-K filings and related press releases and are structured as unregistered offerings under exemptions from the Securities Act of 1933.
The company has also disclosed a privately negotiated subscription agreement for a private placement of common stock with a financial intermediary, as well as the possibility of issuing additional shares in lieu of certain advisory fees. These transactions are part of broader efforts described by Sarepta to refinance existing obligations, extend debt maturities, and adjust its capital structure.
Trading market and corporate status
According to its SEC filings, Sarepta’s common stock, with a par value of $0.0001 per share, trades on the NASDAQ Global Select Market under the symbol SRPT. The filings list the company’s principal location in Cambridge, Massachusetts, indicating that Sarepta operates from a biotechnology hub in the United States. Recent Form 8-K filings and ongoing news releases indicate that Sarepta remains an active public company, providing regular updates on financial results, clinical programs, regulatory developments and financing activities.
Business model and manufacturing approach
Based on its public descriptions, Sarepta’s business model is centered on the development and commercialization of genetic medicines for rare diseases. The company’s revenue base includes net product revenues from its Duchenne therapies, and it has referenced collaboration, contract manufacturing and royalty revenue related to ELEVIDYS in certain periods. Sarepta notes that it uses third-party contractors to manufacture product candidates, which reflects a reliance on external manufacturing capacity and specialized partners.
The company’s research and development strategy combines RNA-targeted platforms, including PMO exon-skipping and siRNA technologies, with AAV-based gene transfer approaches. Sarepta’s communications emphasize a focus on diseases of skeletal muscle, the central nervous system and the heart, and describe programs that span from preclinical research to late-stage clinical trials and marketed products.
Risk disclosures and investor communications
Sarepta’s press releases and SEC filings routinely include forward-looking statements and risk disclosures. The company cautions that actual results could differ materially from statements that are not historical facts and refers investors to its SEC filings for detailed descriptions of risks and uncertainties that could affect its business, results of operations and the trading price of its common stock. Sarepta also notes that it routinely posts information that may be important to investors in the “For Investors” section of its website, and encourages investors and potential investors to review these materials.
FAQs about Sarepta Therapeutics (SRPT)
- What does Sarepta Therapeutics do?
Sarepta Therapeutics is a biotechnology company focused on precision genetic medicine for rare diseases. It develops RNA-targeted therapies and gene transfer therapies, with a particular emphasis on Duchenne muscular dystrophy and programs in muscle, central nervous system and cardiac diseases. - What is ELEVIDYS?
ELEVIDYS (delandistrogene moxeparvovec-rokl) is a single-dose, AAV-based gene transfer therapy for intravenous infusion. It is designed to address the underlying genetic cause of Duchenne muscular dystrophy by delivering a transgene that codes for ELEVIDYS micro-dystrophin in skeletal muscle and is indicated for ambulatory patients 4 years and older with a confirmed mutation in the DMD gene. - What are Sarepta’s PMO therapies?
Sarepta has developed phosphorodiamidate morpholino oligomer (PMO) exon-skipping therapies for Duchenne muscular dystrophy, including EXONDYS 51, VYONDYS 53 and AMONDYS 45. These therapies target specific genetic mutations that are amenable to exon skipping and have been evaluated in clinical trials such as the ESSENCE study. - What is the ESSENCE study?
ESSENCE is a global Phase 3 randomized, double-blind, placebo-controlled study evaluating the efficacy and safety of AMONDYS 45 and VYONDYS 53 in patients with Duchenne muscular dystrophy amenable to exon 45 or 53 skipping. Sarepta reports that the study did not meet statistical significance on its primary endpoint but showed numerical trends favoring treatment and has been used to support discussions with FDA about traditional approval. - What is Sarepta’s siRNA platform?
Sarepta’s next-generation siRNA platform focuses on chronically administered therapies for neurodegenerative and pulmonary diseases. The platform includes investigational treatments for facioscapulohumeral muscular dystrophy (FSHD), myotonic dystrophy type 1 (DM1), spinocerebellar ataxia type 2 (SCA2), idiopathic pulmonary fibrosis (IPF) and Huntington’s disease, along with preclinical work in SCA1 and SCA3. - What is SRP-1005?
SRP-1005 (formerly ARO-HTT) is an investigational siRNA therapeutic for Huntington’s disease. Sarepta describes it as a subcutaneously dosed therapy intended to target the deep brain and knock down the huntingtin protein, using a transferrin receptor protein 1–based approach for delivery to the central nervous system. - How does Sarepta manufacture its therapies?
Sarepta states that it uses third-party contractors to manufacture its product candidates. This means that specialized external partners are engaged to produce clinical and commercial supplies rather than relying solely on internal manufacturing facilities. - On which exchange does SRPT trade?
According to Sarepta’s SEC filings, its common stock trades on the NASDAQ Global Select Market under the ticker symbol SRPT. - What regulatory challenges has Sarepta reported?
Sarepta has reported FDA safety labeling updates for ELEVIDYS, including a boxed warning for acute serious liver injury and acute liver failure and removal of the non-ambulatory indication from the label. The company has also disclosed an FDA clinical hold on certain limb girdle muscular dystrophy gene therapy trials and the revocation of a platform technology designation for its AAVrh74 platform. - Does Sarepta collaborate with other companies?
Yes. Sarepta has an exclusive collaboration with Arrowhead Pharmaceuticals to develop therapies for skeletal muscle diseases and has referenced milestone payments and co-development activities related to siRNA programs such as SRP-1003 and SRP-1005.