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Takeda wins FDA nod for new polycythemia vera drug

Takeda Pharmaceutical Company Limited (TAK) reports that the U.S. FDA has approved MIMRYLO (rusfertide) for the treatment of erythrocytosis in adults with polycythemia vera, a chronic blood cancer.

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Rhea-AI Filing Summary

Takeda Pharmaceutical Company Limited (TAK) reports that the U.S. FDA has approved MIMRYLO (rusfertide) for the treatment of erythrocytosis in adults with polycythemia vera, a chronic blood cancer. MIMRYLO is a first-in-class subcutaneous hepcidin mimetic designed to regulate iron distribution and reduce excess red blood cell production to maintain hematocrit control, the primary treatment goal in PV.

The approval is based on the global Phase 3 VERIFY study in 293 patients, where 76.9% of patients achieved clinical response during Weeks 20–32 and the drug met all efficacy endpoints, including hematocrit control, reduced phlebotomy need and improved fatigue, with a generally favorable safety profile. Common adverse reactions included injection site reactions (56%) and anemia (16%). The company states that this U.S. approval does not change its consolidated financial forecast for the fiscal year ending March 31, 2027, and highlights MIMRYLO as part of three new medicines expected to support future growth.

Positive

  • FDA approval of MIMRYLO as a first-in-class therapy for erythrocytosis in adults with polycythemia vera provides Takeda with a new U.S. oncology product, supported by Phase 3 data showing 76.9% clinical response, and is cited by management as part of three new medicines expected to drive future growth.

Negative

  • None.
Clinical response rate in VERIFY 76.9% Proportion of patients achieving clinical response during Weeks 20–32 in the Phase 3 VERIFY study
VERIFY study enrollment 293 patients Global randomized Phase 3 VERIFY study in polycythemia vera
PV prevalence in the U.S. 90,000 people Estimated number of people in the U.S. affected by polycythemia vera
Patients with uncontrolled hematocrit on current care 78% Estimated share of PV patients with uncontrolled hematocrit under current standard of care
Risk increase with uncontrolled hematocrit 4 times higher Risk of cardiovascular death or major cardiovascular events in PV patients with uncontrolled hematocrit
Injection site reactions with MIMRYLO 56% Most common adverse reaction (>15%) in MIMRYLO-treated patients
Anemia with MIMRYLO 16% Frequency of anemia as an adverse reaction (>15%) in MIMRYLO-treated patients
Forecast period unaffected Fiscal year ending March 31, 2027 (FY2026) Takeda states the approval does not change its consolidated financial forecast for this period
hepcidin mimetic medical
"MIMRYLO is a first-in-class hepcidin mimetic designed to regulate iron"
A hepcidin mimetic is a drug designed to act like hepcidin, the body’s natural hormone that controls how much iron is absorbed and released into the bloodstream. Think of hepcidin as a thermostat for iron: a mimetic can lower excessive iron flow or correct abnormal iron handling. Investors care because these drugs target diseases linked to iron imbalance and can affect patient outcomes, market size, regulatory risk and reimbursement prospects.
erythrocytosis medical
"for the treatment of erythrocytosis in adults with polycythemia vera"
Erythrocytosis is an increase in the number or concentration of red blood cells in the bloodstream, which makes blood thicker—similar to syrup becoming more viscous than water. For investors, it matters because it can be a side effect or safety signal in drug development, a reason for regulatory scrutiny, or a factor that affects clinical trial outcomes and potential market approval, liability, or sales for healthcare companies.
hematocrit control medical
"Maintaining controlled hematocrit levels below 45% is the primary treatment goal"
thrombotic events medical
"has the potential to result in life-threatening thrombotic events, including stroke"
Thrombotic events are episodes where blood clots form inside vessels and block blood flow, like a sudden traffic jam in a body’s circulation. For investors, these events matter because they affect a drug or device’s safety profile, can trigger regulatory scrutiny, lead to costly liability or recalls, and influence sales and stock value if treatments are delayed, restricted, or require additional warnings.
phlebotomy medical
"standard of care, including phlebotomy and cytoreductive therapies"
Phlebotomy is the medical procedure of drawing blood from a vein, usually for tests, donation, or to relieve excess blood in certain conditions. For investors, it matters because the volume, cost and regulation of blood draws drive revenue and operational demand at clinics, labs and hospitals—think of it like a routine sampling system that provides the raw material for diagnostics and treatments, so changes affect service demand and margins.
Phase 3 VERIFY study medical
"The approval was supported by data from the global randomized Phase 3 VERIFY study"

FAQ

What did Takeda (TAK) announce regarding MIMRYLO (rusfertide)?

Takeda announced U.S. FDA approval of MIMRYLO (rusfertide) for the treatment of erythrocytosis in adults with polycythemia vera. MIMRYLO is a first-in-class hepcidin mimetic designed to regulate iron distribution and reduce excess red blood cell production to maintain hematocrit control.

What key efficacy results supported MIMRYLO’s approval for Takeda (TAK)?

Approval was supported by the Phase 3 VERIFY study in 293 PV patients, where 76.9% achieved clinical response during Weeks 20–32. MIMRYLO plus standard of care improved hematocrit control, reduced phlebotomy need and improved fatigue versus placebo plus standard of care.

Does the MIMRYLO FDA approval change Takeda (TAK)’s financial forecast?

Takeda states that this FDA approval of MIMRYLO for polycythemia vera does not result in any changes to its consolidated financial forecast for the fiscal year ending March 31, 2027 (FY2026).

What safety profile did MIMRYLO show in Takeda’s VERIFY trial?

MIMRYLO was reported as generally well-tolerated through 52 weeks in VERIFY. The most common adverse reactions (>15%) were injection site reactions (56%) and anemia (16%). Warnings include potential thrombocytosis, injection-site reactions and embryo-fetal toxicity.

How common is polycythemia vera, the indication for Takeda’s MIMRYLO?

Polycythemia vera affects approximately 90,000 people in the U.S. and is characterized by erythrocytosis, leading to elevated hematocrit and blood viscosity. An estimated 78% of patients still have uncontrolled hematocrit on current standard of care therapies.

What is the dosing and administration method for MIMRYLO from Takeda (TAK)?

MIMRYLO is described as a once-weekly, subcutaneous treatment. It mimics the action of hepcidin to regulate iron homeostasis and erythrocytosis, aiming to reduce excess red blood cell production and help patients maintain hematocrit control.

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

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FORM 6-K


U.S. SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549


Report of Foreign Private Issuer
Pursuant to Rule 13a-16 or 15d-16 of
the Securities Exchange Act of 1934
For the month of August 2026

 Commission File Number: 001-38757
TAKEDA PHARMACEUTICAL COMPANY LIMITED
(Translation of registrant’s name into English)

1-1, Nihonbashi-Honcho 2-Chome
Chuo-ku, Tokyo 103-8668
Japan
(Address of principal executive offices)


Indicate by check mark whether the registrant files or will file annual reports under cover Form 20-F or Form 40-F.
Form 20-F  ☒            Form 40-F  ☐
Indicate by check mark if the registrant is submitting the Form 6-K in paper as permitted by Regulation S-T Rule 101(b)(1):  ☐
Indicate by check mark if the registrant is submitting the Form 6-K in paper as permitted by Regulation S-T Rule 101(b)(7):  ☐



Information furnished on this form:
EXHIBIT
Exhibit
Number
1
Takeda Receives U.S. FDA Approval of MIMRYLO™ (rusfertide), Marking a Potential Shift in the Treatment Paradigm for Polycythemia Vera




SIGNATURES
Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned, thereunto duly authorized.
TAKEDA PHARMACEUTICAL COMPANY LIMITED
Date: August 28, 2026By:/s/ Norimasa Takeda
Norimasa Takeda
Chief Accounting Officer and Corporate Controller




Takeda Receives U.S. FDA Approval of MIMRYLO™ (rusfertide), Marking a Potential Shift in the Treatment Paradigm for Polycythemia Vera
MIMRYLO, a First-in-Class Medicine with a Unique Mechanism of Action, is Approved for the Treatment of Erythrocytosis in Adults with Polycythemia Vera (PV)
MIMRYLO Has Been Shown to Maintain Hematocrit Control, the Primary Treatment Goal in PV, as Well as Reduce Phlebotomy Burden and Improve Fatigue
Approval Supported by Phase 3 VERIFY Results Showing 76.9% of Patients Achieved Clinical Response During Weeks 20-32

OSAKA, Japan and CAMBRIDGE, Massachusetts, August 28, 2026 – Takeda (TSE:4502/NYSE:TAK) announced U.S. Food and Drug Administration (FDA) approval of the New Drug Application (NDA)* for MIMRYLOTM (rusfertide) for the treatment of erythrocytosis in adults with polycythemia vera (PV), a blood cancer.

MIMRYLO is a first-in-class hepcidin mimetic designed to regulate iron distribution in the body and red blood cell overproduction to control hematocrit levels, which is the ratio of red blood cells to the total amount of blood in the body. Maintaining controlled hematocrit levels below 45% is the primary treatment goal in PV.1

“For patients living with PV, uncontrolled hematocrit can have serious consequences, including an elevated risk of life-threatening thrombotic events," said Andrew T. Kuykendall, M.D., VERIFY lead investigator and Associate Member in the Department of Hematology at Moffitt Cancer Center. “Current treatments, such as phlebotomy, leave a significant gap for too many patients and can pose challenges to daily life and routines. The approval of MIMRYLO offers clinicians and patients a novel, first-in-class therapy that targets erythrocytosis, which drives excess red blood cell production in PV. The strength and consistency of the VERIFY data give me real confidence in MIMRYLO’s potential to advance how we treat PV in everyday practice and to maintain hematocrit control.”

Uncontrolled Hematocrit is a Challenge in the Treatment of PV
Affecting approximately 90,000 people in the U.S., PV is characterized by the overproduction of red blood cells (erythrocytosis), leading to elevated hematocrit which can increase blood viscosity, or thickness.2,3 This has the potential to result in life-threatening thrombotic events, including stroke, deep vein thrombosis and pulmonary embolism.4 Maintaining hematocrit levels consistently below 45% can prevent thrombotic events and alleviate burdensome symptoms, including severe fatigue, pruritus (itching), difficulty concentrating and night sweats.4 An estimated 78% of patients still experience uncontrolled hematocrit with current standard of care, including phlebotomy and cytoreductive therapies.5 Patients with PV experiencing uncontrolled hematocrit have a four times higher risk of cardiovascular death or major cardiovascular events.4

“People living with PV often experience complex and invisible symptoms, from extreme fatigue to the emotional strain of living with a chronic blood cancer,” said Kapila Viges, Chief Executive Officer, MPN Research Foundation. “At the same time, we know that every patient’s experience with PV is different, underscoring the need to continue to listen closely to the community to understand what matters most. There remains a need for treatments that better address these daily challenges. This meaningful approval reflects important progress and brings forward a new treatment option in a disease where patients have long needed innovation and more choices. We are encouraged by MIMRYLO’s potential to help patients meet their treatment goals.”





MIMRYLO is a First-In-Class Treatment Option for Adults with PV
The approval was supported by data from the global randomized Phase 3 VERIFY study (NCT05210790) that included 293 patients with PV, showing that MIMRYLO met all efficacy endpoints and demonstrated a favorable safety profile. In the study, patients receiving MIMRYLO plus current standard of care demonstrated a higher response rate compared to placebo plus current standard of care. This included hematocrit control, a reduction in the need for phlebotomy and improvement in fatigue as measured by PROMIS Fatigue Short Form 8a.

MIMRYLO was generally well-tolerated through 52 weeks of treatment in the VERIFY trial. The most common treatment-emergent adverse events in MIMRYLO-treated patients were injection site reactions and anemia. Learn more about the Phase 3 data results here.
“The approval of MIMRYLO underscores the strength of Takeda’s late-stage pipeline and our focus on developing genuinely differentiated therapies for patients who are urgently waiting for new options,” said Julie Kim, President and Chief Executive Officer, Takeda. “We are at an important inflection point as we prepare to deliver three new medicines, which have the potential to drive our future growth and are a reflection of our commitment to advancing innovation that doesn’t just add to the treatment landscape, but reshapes it. We are grateful to the patients, care partners, advocates and investigators who helped make this approval possible.”

The open-label extension of the VERIFY trial is ongoing and Takeda will share further findings at upcoming medical conferences. Takeda is working with regulators outside of the U.S. to potentially bring MIMRYLO to more patients worldwide.

This approval does not result in any changes to Takeda’s consolidated financial forecast for the fiscal year ending March 31, 2027 (FY2026).


IMPORTANT SAFETY INFORMATION

WARNINGS AND PRECAUTIONS
New or Worsening Thrombocytosis: MIMRYLO may increase platelet counts in patients with PV. Platelet counts generally plateaued on treatment by Week 8. After initiating MIMRYLO and during dose modifications, monitor CBC every 2 to 4 weeks or as clinically indicated. Platelet elevations associated with MIMRYLO may require cytoreductive therapy initiation, modification, or MIMRYLO dose modifications or discontinuation.
Injection-Site Reactions: Injection site reactions (including Grade 3 reactions) have been reported in patients treated with MIMRYLO. The most common injection site reactions reported were erythema, pruritus, pain, and swelling. Use ice, topical corticosteroid creams, antihistamines or analgesics, as needed, to treat injection site pain and swelling.
Embryo-Fetal Toxicity: Based on findings from animal reproduction studies, MIMRYLO may cause fetal harm when administered to a pregnant woman. Advise patients to stop taking MIMRYLO if they become pregnant.

ADVERSE REACTIONS
The most common (>15%) adverse reactions were injection site reactions (56%) and anemia (16%).






USE IN SPECIFIC POPULATIONS
Lactation: Because of the potential for serious adverse reactions in the breastfed child, including impaired iron absorption, advise patients not to breastfeed during treatment with MIMRYLO and for 30 days after the final treatment.
Females and Males of Reproductive Potential
oPregnancy Testing: Prior to initiating MIMRYLO, pregnancy testing is recommended for females of reproductive potential.
oContraception: Advise female patients of reproductive potential to use effective contraception during treatment with MIMRYLO and for at least 30 days after the final dose of MIMRYLO.

To report SUSPECTED ADVERSE REACTIONS, contact Takeda Pharmaceuticals at 1-844-662-8532 or the FDA at 1-800-FDA-1088 or www.fda.gov/medwatch.

Please see MIMRYLO (rusfertide) full Prescribing Information.

About MIMRYLO™
MIMRYLO™ is a first-in-class subcutaneous treatment that mimics the action of hepcidin, a natural hormone that regulates iron homeostasis and erythrocytosis. By targeting the underlying mechanism of iron dysregulation in polycythemia vera, MIMRYLO aims to reduce excess red blood cell production and help patients maintain hematocrit control. MIMRYLO is administered once weekly via subcutaneous injection and has been generally well-tolerated in clinical trials to date. Protagonist discovered MIMRYLO and led its development through Phase 3. Takeda now has exclusive global development and commercialization rights for MIMRYLO. 

About VERIFY
The Phase 3 VERIFY study (NCT05210790) is an ongoing, three-part, global, randomized, placebo-controlled study evaluating MIMRYLO in 293 patients with polycythemia vera over a 156-week period, with treatment extension for participants who are continuing to derive benefit from MIMRYLO beyond the 156-week treatment period. The study is evaluating the efficacy and safety of once-weekly, subcutaneously self-administered MIMRYLO in patients with uncontrolled hematocrit who are phlebotomy-dependent despite current standard of care treatment, which could include phlebotomy, hydroxyurea, interferon and/or ruxolitinib.

The primary endpoint of the study was the proportion of patients achieving a response during Weeks 20-32, which was defined as the absence of “phlebotomy eligibility.” To meet phlebotomy eligibility, patients in the study were required to have: confirmed hematocrit ≥45% that was ≥3% higher than their baseline hematocrit value, or hematocrit ≥48%. Key secondary endpoints evaluated at Week 32 included mean number of phlebotomies, proportion of patients maintaining hematocrit <45%, mean change in fatigue score as measured by PROMIS Fatigue Short Form 8a and total symptom burden as measured by Myelofibrosis Symptom Assessment Form (MFSAF) Version 4.0.

All patients have completed their participation in the randomized, placebo-controlled portion of the study evaluating the efficacy and safety of MIMRYLO plus current standard of care versus placebo plus current standard of care and are now in the open-label portions of the study.






About Polycythemia Vera (PV)
Polycythemia vera (PV) is a chronic blood cancer characterized by the overproduction of red blood cells (erythrocytosis), which increases blood viscosity, or thickness, and can result in life threatening thrombotic events such as stroke, deep vein thrombosis and pulmonary embolism. Hematocrit is the ratio of red blood cells to the total amount of blood in the body. Achieving and maintaining controlled hematocrit levels of less than 45% is the primary treatment goal in PV to prevent thrombotic events and alleviate burdensome symptoms, including severe fatigue, difficulty in concentrating, night sweats and pruritus.

About Takeda
Takeda is focused on creating better health for people and a brighter future for the world. We aim to discover and deliver life-transforming treatments in our core therapeutic and business areas, including gastrointestinal and inflammation, rare diseases, plasma-derived therapies, oncology, neuroscience and vaccines. Together with our partners, we aim to improve the patient experience and advance a new frontier of treatment options through our dynamic and diverse pipeline. As a leading values-based, R&D-driven biopharmaceutical company headquartered in Japan, we are guided by our commitment to patients, our people and the planet. Our employees in approximately 80 countries and regions are driven by our purpose and are grounded in the values that have defined us for more than two centuries. For more information, visit www.takeda.com.

Takeda Important Notice
For the purposes of this notice, “press release” means this document, any oral presentation, any question and answer session and any written or oral material discussed or distributed by Takeda Pharmaceutical Company Limited (“Takeda”) regarding this release. This press release (including any oral briefing and any question-and-answer in connection with it) is not intended to, and does not constitute, represent or form part of any offer, invitation or solicitation of any offer to purchase, otherwise acquire, subscribe for, exchange, sell or otherwise dispose of, any securities or the solicitation of any vote or approval in any jurisdiction. No shares or other securities are being offered to the public by means of this press release. No offering of securities shall be made in the United States except pursuant to registration under the U.S. Securities Act of 1933, as amended, or an exemption therefrom. This press release is being given (together with any further information which may be provided to the recipient) on the condition that it is for use by the recipient for information purposes only (and not for the evaluation of any investment, acquisition, disposal or any other transaction). Any failure to comply with these restrictions may constitute a violation of applicable securities laws.

The companies in which Takeda directly and indirectly owns investments are separate entities. In this press release, “Takeda” is sometimes used for convenience where references are made to Takeda and its subsidiaries in general. Likewise, the words “we”, “us” and “our” are also used to refer to subsidiaries in general or to those who work for them. These expressions are also used where no useful purpose is served by identifying the particular company or companies.

Takeda Forward-Looking Statements
This press release and any materials distributed in connection with this press release may contain forward-looking statements, beliefs or opinions regarding Takeda’s future business, future position and results of operations, including estimates, forecasts, targets and plans for Takeda. Without limitation, forward-looking statements often include words such as “targets”, “plans”, “believes”, “hopes”, “continues”, “expects”, “aims”, “intends”, “ensures”, “will”, “may”, “should”, “would”, “could”, “anticipates”, “estimates”, “projects”, “forecasts”, “outlook” or similar expressions or the negative thereof. These forward-looking statements are based on assumptions about many important factors, including the following, which could cause actual results to differ materially from those expressed or implied by the forward-looking statements: the economic circumstances surrounding Takeda’s global business, including general economic conditions in Japan and the United States and with respect to international trade relations; competitive pressures and developments; changes to applicable laws and regulations, including drug pricing, tax, tariff and other trade-related rules; challenges inherent in new product development, including uncertainty of clinical success and decisions of regulatory authorities and the timing thereof; uncertainty of commercial success for new and existing products; manufacturing difficulties or delays; fluctuations in interest and currency exchange rates; claims or concerns regarding the safety or efficacy of marketed products or product candidates; the impact of health crises, like the novel coronavirus pandemic; the success of our environmental sustainability efforts, in enabling us to reduce our greenhouse gas emissions or meet our other




environmental goals; the extent to which our efforts to increase efficiency, productivity or cost-savings, such as the integration of digital technologies, including artificial intelligence, in our business or other initiatives to restructure our operations will lead to the expected benefits; and other factors identified in Takeda’s most recent Annual Report on Form 20-F and Takeda’s other reports filed with the U.S. Securities and Exchange Commission, available on Takeda’s website at: https://www.takeda.com/investors/sec-filings-and-security-reports/ or at https://www.sec.gov/. Takeda does not undertake to update any of the forward-looking statements contained in this press release or any other forward-looking statements it may make, except as required by law or stock exchange rule. Past performance is not an indicator of future results and the results or statements of Takeda in this press release may not be indicative of, and are not an estimate, forecast, guarantee or projection of Takeda’s future results.

Takeda Medical Information
This press release contains information about products that may not be available in all countries, or may be available under different trademarks, for different indications, in different dosages or in different strengths. Nothing contained herein should be considered a solicitation, promotion or advertisement for any prescription drugs including the ones under development.

Contacts:
Investor Relations
Christopher O’Reilly
takeda.ir.contact@takeda.com

Japanese Media
Tsuyoshi Tada
toiawase_kouhou@takeda.co.jp

U.S. and International Media
Lauren Sherman
lauren.leedberg@takeda.com

*Takeda and Protagonist Announce U.S. Food and Drug Administration Accepts New Drug Application and Grants Priority Review for Rusfertide as a Potential First-in-Class Therapy for Polycythemia Vera

References
1.Barbui T, et al. Philadelphia chromosome-negative classical myeloproliferative neoplasms: revised management recommendations from European LeukemiaNet. Leukemia 2018; 32(5), 1057-1069.
2.Vachhani PJ. Estimated prevalence of polycythemia vera in the United States (2025-2030): SEER analysis with modeled reporting delay. J Clin Oncol. 2026;44(suppl 16):e18589.
3.Lu X, Chang R. Polycythemia Vera. [Updated 2023 Apr 24]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK557660/
4.Marchioli R, et al. Cardiovascular events and intensity of treatment in polycythemia vera. N Engl J Med 2013;368:22-33.
5.Verstovsek S, et al. Real-world treatments and thrombotic events in polycythemia vera patients in the USA. Ann Hematol 2023;102:571-581.