FDA decision deadline on expanding AMVUTTRA into ATTR cardiomyopathy. Approval would place AMVUTTRA into the same indication as Pfizer’s tafamidis (Vyndaqel/Vyndamax) and BridgeBio’s acoramidis (Attruby).
What’s at stake
AMVUTTRA (vutrisiran) is a quarterly subcutaneous RNAi therapy developed by Alnylam that silences the TTR gene in liver cells, preventing production of the transthyretin protein that misfolds and deposits as amyloid in ATTR amyloidosis. In ATTR polyneuropathy, amyloid damages peripheral nerves; in ATTR cardiomyopathy, deposits in the heart muscle cause progressive heart failure. AMVUTTRA is approved for hereditary ATTR polyneuropathy and demonstrated a 28% relative reduction in a composite cardiovascular outcomes endpoint in Phase 3, supporting a pending cardiomyopathy label expansion with a December 2026 PDUFA.
No primer in glossary yet.
This event was extracted from a primary disclosure. The full chain of citations is in the disclosure trail below.
- PDUFAregulatoryPrescription Drug User Fee Act
The FDA's self-imposed review deadline for an NDA/BLA. Standard reviews are ~10 months from filing; priority reviews are ~6 months.
Competitive landscape
| Drug | Company | Modality | Mechanism | Phase | Next catalyst |
|---|---|---|---|---|---|
| plozasiran | ARWR | siRNA | APOC3-targeting RNAi | CONFERENCE · May 26 | |
| olezarsen | IONS | oligonucleotide | ApoCIII antisense oligonucleotide | PDUFA · Dec 26 | |
| VERVE-102 | VERV | gene therapy | LNP-delivered base editor targeting PCSK9 | INTERIM · Nov 26 | |
| XPHOZAHtenapanor | ARDX | small molecule | NHE3 inhibitor | CMC · Jul 26 |
Prior ALNY reactions to PDUFA events
| Date | Headline | Outcome | 1W | 1M | 6M |
|---|---|---|---|---|---|
| Apr 2025 | AMVUTTRA — PDUFA — Approved | positive | +42.0% | +27.4% | +28.7% |
Disclosure trail
- May 4, 2026·-5553m agopinned · highest confidenceHIGH conf10-QEXACTtop claimDEC 232026
“On April 18, 2026, the FDA granted Priority Review for the supplemental NDA for AMVUTTRA in ATTR-CM. The PDUFA action date is December 23, 2026.”
contextForm 10-Q, MD&A — Recent Developments.
conf 96%via llm