Company Description
Scholar Rock Holding Corporation (NASDAQ: SRRK) is a late-stage biopharmaceutical company focused on discovering, developing, and ultimately commercializing medicines for serious neuromuscular and other severe diseases. The company is 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 a proprietary platform in myostatin biology and related protein growth factor pathways. Scholar Rock operates and manages its business as a single segment.
The company’s work centers on myostatin biology, a field focused on proteins that regulate muscle mass. Scholar Rock has developed a platform that generates novel monoclonal antibodies designed to modulate protein growth factors with high selectivity. According to company disclosures, this platform is used to create treatment candidates that target pro- and latent forms of growth factors in skeletal muscle, with the goal of improving motor function and muscle health in patients whose diseases are driven in part by impaired muscle mass and function.
Focus on spinal muscular atrophy (SMA)
A central focus for Scholar Rock is the development and planned commercialization of apitegromab, an investigational fully human monoclonal antibody for children and adults with SMA. SMA is described by the company as a rare, severe, genetic neuromuscular disease characterized by irreversible loss of motor neurons, atrophy of voluntary muscles of the limbs and trunk, and progressive muscle wasting that can diminish independence throughout life. Scholar Rock notes that motor function decline in SMA is influenced by both motor neuron health and muscle responsiveness, and that existing SMN-targeted treatments do not directly address muscle.
Apitegromab is designed to inhibit myostatin activation by selectively binding the pro- and latent forms of myostatin in skeletal muscle. Company materials state that it is the first and only muscle-targeted treatment candidate in SMA to demonstrate clinical success in a pivotal Phase 3 clinical trial and that it has shown statistically significant and clinically meaningful benefit in a Phase 3 study referred to as SAPPHIRE. Scholar Rock describes apitegromab as the world’s first and only muscle-targeted treatment candidate intended to improve motor function in patients with SMA.
Regulatory and development pathway for apitegromab
Scholar Rock has pursued regulatory pathways in both the United States and Europe for apitegromab. The company reports that the U.S. Food and Drug Administration (FDA) has granted apitegromab Fast Track, Orphan Drug, Rare Pediatric Disease, and Priority Review designations for SMA, recognizing the seriousness of the condition and the potential to address an unmet medical need. In Europe, the European Medicines Agency (EMA) has granted Priority Medicines (PRIME) and Orphan Medicinal Product designations, and a Marketing Authorisation Application (MAA) for apitegromab is under review.
The company has disclosed that it submitted a Biologics License Application (BLA) for apitegromab to the FDA and that the FDA issued a Complete Response Letter (CRL) related solely to observations at a third-party fill-finish facility, Catalent Indiana, LLC, which is owned by Novo Nordisk. Scholar Rock states that the CRL did not cite any issues with apitegromab’s efficacy or safety data or with the third-party drug substance manufacturer. Scholar Rock has held a Type A meeting with the FDA, has continued to work with Catalent Indiana on remediation activities, and has indicated that it intends to resubmit the BLA upon resolution of the manufacturing-related observations.
In parallel, the company is preparing for potential commercialization. Scholar Rock reports that U.S. and European customer-facing teams are in the field conducting SMA disease awareness and education initiatives, including education on unmet need and the importance of targeting muscle. The company has also reserved commercial capacity at a second U.S.-based fill-finish facility that manufactures FDA-approved products and has a history of regulatory inspections, with plans to support supply continuity and future commercial demand for apitegromab.
Pipeline beyond core SMA indication
While SMA is the lead indication, Scholar Rock describes a broader pipeline in neuromuscular and related diseases. The company’s pipeline includes programs in neuromuscular disease and obesity, immuno-oncology, fibrotic disease, and hematology, and it is advancing what it calls a world-leading anti-myostatin pipeline.
Within SMA, Scholar Rock is conducting the Phase 2 OPAL clinical trial evaluating apitegromab in infants and toddlers under two years of age who have received an SMN1-targeted gene therapy or are receiving an approved SMN2-targeted therapy. The company also continues the ONYX open-label extension study, which evaluates the long-term safety and efficacy of apitegromab in patients with SMA who previously participated in the TOPAZ and SAPPHIRE clinical programs.
Beyond SMA, Scholar Rock is developing apitegromab for additional rare, severe, and debilitating neuromuscular diseases. The company has highlighted plans to study apitegromab in facioscapulohumeral muscular dystrophy (FSHD), a rare, progressive neuromuscular disease characterized by muscle atrophy and functional decline. An Investigational New Drug (IND) application for apitegromab in FSHD has been cleared, and Scholar Rock has outlined a Phase 2 randomized, double-blind, placebo-controlled trial called FORGE. The company has also reported completing a Phase 2 EMBRAZE study that demonstrated proof-of-concept for apitegromab’s ability to preserve lean mass during tirzepatide-induced weight loss.
SRK-439 and anti-myostatin pipeline
In addition to apitegromab, Scholar Rock is advancing SRK-439, described as a novel, investigational, subcutaneously administered myostatin inhibitor. SRK-439 is designed to bind pro- and latent myostatin with high affinity and selectivity, with no binding to GDF11 or Activin A, according to company statements. Based on preclinical data, Scholar Rock reports that SRK-439 has the potential to potently inhibit myostatin and increase muscle mass. A Phase 1 study in healthy volunteers is underway, with dosing in progress.
Scholar Rock is also developing a subcutaneous presentation of apitegromab intended to offer a small-volume, self- or caregiver-administered antibody suitable for an autoinjector. The company has completed a Phase 1 study of subcutaneous apitegromab in healthy volunteers and reported favorable bioavailability and a pharmacodynamic profile comparable to intravenous administration, with further development activities and regulatory engagements planned.
Scientific platform and approach
Scholar Rock emphasizes its proprietary platform for modulating protein growth factors, particularly members of the transforming growth factor beta (TGFβ) superfamily. The company states that its platform has produced monoclonal antibodies that modulate growth factors, including myostatin, with extraordinary selectivity. By targeting pro- and latent forms of these proteins in specific tissues such as skeletal muscle, Scholar Rock aims to enable treatment approaches that differ fundamentally from therapies that act more broadly or at different points in disease pathways.
The company notes that its name, Scholar Rock, is derived from the visual resemblance of a scholar rock to protein structures, underscoring its focus on protein biology. Through its anti-myostatin program and related research, Scholar Rock seeks to create new possibilities for patients with rare, severe, and debilitating neuromuscular diseases and other serious conditions in which signaling by protein growth factors plays a fundamental role.
Capital markets and corporate profile
Scholar Rock Holding Corporation is incorporated in Delaware and its common stock, with a par value of $0.001 per share, trades on The Nasdaq Global Select Market under the symbol SRRK, as disclosed in its SEC filings. The company has used at-the-market offering programs, including an Open Market Sale Agreement with Jefferies LLC, to issue additional shares of common stock under a shelf registration statement. Scholar Rock has also adopted a 2022 Inducement Equity Plan, used exclusively for equity awards to individuals who were not previously employees or who are rejoining after a period of non-employment, as an inducement material to entering into employment, in accordance with Nasdaq Listing Rule 5635(c)(4).
Scholar Rock communicates with investors through SEC filings, press releases, investor presentations, conference call transcripts, and webcasts, and has highlighted that information posted on its website and social media channels may be considered material. The company has reported that it had significant cash, cash equivalents, and marketable securities and has stated that its cash resources are expected to fund operations into 2027, reflecting its status as a late-stage biopharmaceutical company with ongoing clinical and regulatory activities.
Business model and segment structure
According to public descriptions, Scholar Rock operates and manages its business as a single segment. Its activities span research and development, clinical trials, regulatory engagement, and preparation for potential commercialization of its product candidates. Revenue generation is expected to depend on the successful approval and commercialization of its investigational therapies, including apitegromab and future candidates emerging from its anti-myostatin and growth factor modulation platform.
Overall, Scholar Rock represents a biotechnology company focused on neuromuscular diseases and related areas where muscle mass and function are central to disease burden. By concentrating on myostatin and other growth factor pathways, the company seeks to address unmet needs in SMA and other rare, severe, and debilitating neuromuscular conditions through targeted monoclonal antibody therapies.