ISEMBYLD (apitegromab-mstn) injection

Spinal muscular atrophy · Adults and pediatric patients aged 2 years and older with spinal muscular atrophy who are currently receiving an SMN2-targeted treatment

SRRK · Scholar Rock

Regulatory designations

Full timeline

5 milestones

FDA approved ISEMBYLD for spinal muscular atrophy

FDA approved ISEMBYLD for adults and pediatric patients aged 2 years and older with spinal muscular atrophy who are currently receiving an SMN2-targeted treatment. It is the first FDA-approved SMA therapy that directly targets muscle loss. The approval also resulted in a Rare Pediatric Disease Priority Review Voucher for Scholar Rock.

FDA — Approval of ISEMBYLD for spinal muscular atrophy

Scholar Rock confirmed FDA acceptance of the resubmission

The accepted application included Catalent Indiana and a second U.S.-based fill-finish facility.

Scholar Rock — BLA acceptance and manufacturing update

Scholar Rock resubmitted the BLA

The resubmission added a second fill-finish facility and a standard safety update after alignment with FDA.

Scholar Rock — Apitegromab BLA resubmission

FDA issued a Complete Response Letter in the first review cycle

The CRL was solely related to observations at the third-party Catalent Indiana fill-finish facility and did not cite other approvability concerns.

Scholar Rock — Apitegromab Complete Response Letter

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Information for research purposes only · Dates can change · Last updated Sep 12, 2026