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PDUFAPDUFA Decision

Olezarsen FCS NDA PDUFA

IONS·olezarsen·Familial Chylomicronemia·
current best date
DEC 19
2026
EXACT8 months
Takeaway

FDA decision deadline for olezarsen in familial chylomicronemia syndrome (FCS) — an ultra-rare lipid disorder where patients have triglycerides >880 mg/dL and high pancreatitis risk. Olezarsen would be Ionis’s first wholly-owned U.S. commercial product. Same indication: Arrowhead’s plozasiran (Phase 3 readout Q1 2027).

What’s at stake

market · comparables · base rate · prior moves
Market opportunity
company filings
Peer comparables
1 readout
ClinicalTrials.gov
Stage base rate
~91%
BIO Industry Analysis 2023 (2011–2020)
Avg prior-readout move
historical price reactions
Drug
oligonucleotide
olezarsen
INN
MoAApoCIII antisense oligonucleotide

Olezarsen is a monthly subcutaneous antisense oligonucleotide (ASO) developed by Ionis that suppresses hepatic production of apolipoprotein C-III (ApoC-III) — a protein that inhibits triglyceride clearance enzymes — to treat familial chylomicronemia syndrome (FCS). FCS is an ultra-rare inherited disorder in which genetic inability to clear dietary fat causes triglyceride levels exceeding 2,000 mg/dL and recurrent life-threatening pancreatitis attacks; there is currently only one approved therapy, which has limited uptake due to platelet toxicity. An NDA has been filed with a PDUFA date of December 2026; approval would make olezarsen Ionis's first wholly-owned commercial product in the United States.

Indication
Cardio-Renal
Familial Chylomicronemia
MeSH · D006949

No primer in glossary yet.

Source signal

This event was extracted from a primary disclosure. The full chain of citations is in the disclosure trail below.

Glossary · what this readout is measuring
2 terms detected in the takeaway
  • NDAregulatory
    New Drug Application

    FDA submission for approval of a small-molecule drug. Triggers the PDUFA clock.

  • PDUFAregulatory
    Prescription 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

4 peers in Cardio-Renal · ranked by indication + modality match
DrugCompanyModalityMechanismPhaseNext catalyst
plozasiranARWRsiRNAAPOC3-targeting RNAiCONFERENCE · May 26
AMVUTTRAvutrisiranALNYsiRNATTR-targeting RNAiPDUFA · Dec 26
XPHOZAHtenapanorARDXsmall moleculeNHE3 inhibitorCMC · Jul 26
VERVE-102VERVgene therapyLNP-delivered base editor targeting PCSK9INTERIM · Nov 26

Prior IONS reactions to PDUFA events

2 historical events · base rate, not prediction
Median 1W move
+6.7%
Median 1M move
-1.0%
Positive outcomes
1/ 2
50%
Negative outcomes
1/ 2
50%
DateHeadlineOutcome1W1M6M
Mar 2025olezarsen — PDUFA — Approvedpositive+40.1%+24.6%+43.1%
Dec 2024olezarsen — PDUFA — CRL Issuednegative-26.7%-26.7%-20.3%

Historical IONS stock reaction to past PDUFA catalysts. Past performance is not a forecast — base rates anchor expectations, not outcomes. Positive rate 50%.

Disclosure trail

1 observation · sorted by confidence
  1. Mar 22, 2026·1mo agopinned · highest confidence
    HIGH confFDA
    top claim
    DEC 192026
    EXACT
    PDUFA action date for olezarsen NDA (familial chylomicronemia syndrome): December 19, 2026.

    contextFDA PDUFA Action Date Calendar — public notice.

    conf 99%via fda calendar

MethodologyEvery catalyst date is anchored to a primary source. Disclosures with confidence ≥ 0.85 auto-publish; the rest are reviewed by a human within 24 hours. We never interpret data — we organize public information.

Disclaimer·BioSight aggregates publicly available data (SEC EDGAR, ClinicalTrials.gov, FDA, company press releases) and is provided as is for informational purposes only. Nothing here is investment, financial, legal, tax, or medical advice, or an offer to buy or sell any security. We make no warranty as to accuracy, completeness, or timeliness; dates and filings may contain errors or be superseded without notice; past events do not predict future outcomes. To the maximum extent permitted by law, BioSight, its operators, contributors, and affiliates disclaim all liability for any loss or damage arising from use of or reliance on this site. You are solely responsible for your own investment decisions — consult a licensed professional before acting on any information.

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