Capricor falls 13% as FDA sets Deramiocel adcom date
Capricor Therapeutics stock declined 13% as the FDA scheduled an advisory committee meeting for July 29, 2026, to review the BLA for Deramiocel in DMD. The application is supported by five-year HOPE-2 OLE data and Phase 3 HOPE-3 results showing benefits in skeletal and cardiac function.

*this image is generated using AI for illustrative purposes only.
Capricor Therapeutics Inc. (NASDAQ: CAPR) stock fell 13% on Friday following the announcement that the U.S. Food and Drug Administration (FDA) will convene an advisory committee meeting to review its Biologics License Application (BLA) for Deramiocel. The FDA's Cellular, Tissue, and Gene Therapies Advisory Committee (CTGTAC) is scheduled to meet on July 29, 2026. This regulatory step precedes the PDUFA target action date of August 22, 2026. The BLA seeks approval of Deramiocel, an investigational cell therapy for the treatment of Duchenne Muscular Dystrophy (DMD), supported by data from the HOPE-2 and HOPE-3 clinical trials.
The market decline reflects investor reaction to the additional regulatory hurdle. This occurs as the FDA reconsiders multiple cell and gene therapy applications, a trend noted following the tenure of Dr. Vinay Prasad. Recent industry activity includes Replimune Group Inc. aligning with the FDA on a path forward for its melanoma therapy BLA, and Regenxbio Inc. gaining clarity on potential accelerated approval for Navsunli.
Clinical Data Supporting the BLA
The application is backed by positive five-year data from the HOPE-2 Open-Label Extension (OLE) study, demonstrating durable skeletal and cardiac muscle benefits. These findings were presented at the Parent Project Muscular Dystrophy (PPMD) 2026 Annual Conference. Additionally, the BLA includes results from the HOPE-3 Phase 3 trial, a multicenter, randomized, double-blind, placebo-controlled study enrolling 106 patients with DMD.
Five-Year HOPE-2 OLE Results
In the HOPE-2 OLE study, patients receiving Deramiocel experienced a mean total-score decline of less than 5 points on the Performance of the Upper Limb (PUL 2.0) scale over five years. By comparison, a cohort-matched external comparator of standard-of-care DMD patients showed a modeled decline of roughly 2.4 points per year, projecting to approximately 12 points over five years. A separate natural-history analysis reported a decline of approximately 8.1 points over three years in non-ambulant patients.
Cardiac function, measured by left ventricular ejection fraction (LVEF) on cardiac MRI, remained stable over the five-year period. This contrasts with a modeled decline of approximately 3.2% per year observed in a propensity-matched external cardiac comparator. Deramiocel maintained a favorable safety profile, consistent with over 800 intravenous infusions administered to date across the clinical development program.
HOPE-3 Phase 3 Results
The HOPE-3 Phase 3 trial met its primary endpoint (PUL 2.0, p=0.03) and key secondary cardiac endpoint (LVEF, p=0.04), along with all other Type I error-controlled secondary endpoints. These results align with the durable skeletal and cardiac muscle benefits observed in the HOPE-2 OLE study.
| Metric | HOPE-2 OLE / Deramiocel | External Comparator |
|---|---|---|
| PUL 2.0 Decline | < 5 points over 5 years | |
| LVEF Change | Stable over 5 years | ~3.2% decline per year |
| Safety | No new safety signals | N/A |
Linda Marbán, Ph.D., CEO of Capricor, stated that the combined data represent the totality of clinical evidence for Deramiocel, showing durable, statistically significant benefit to both skeletal and cardiac muscle function. The July 29, 2026, advisory committee meeting will be available for live streaming.
What specific concerns might the FDA panel raise regarding the durability of Deramiocel's effects compared to the external comparators?
How will the outcome of the July 2026 advisory committee meeting influence investor sentiment for other cell and gene therapy companies facing similar scrutiny?
If the advisory committee issues a negative recommendation, what alternative regulatory pathways or strategic options could Capricor pursue?

























