Sarepta Therapeutics
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Sarepta Therapeutics (SRPT) investor relations material

Sarepta Therapeutics TD Cowen 46th Annual Health Care Conference summary

Complete event summary combining all related documents: earnings call transcript, report, and slide presentation.
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TD Cowen 46th Annual Health Care Conference summary3 Mar, 2026

Commercial and financial outlook

  • 2026 net product revenue is projected at $1.2–$1.4 billion, with PMO revenue consensus at $900 million and ELEVIDYS revenue expected between $300–$500 million, depending on run rates and potential label expansion.

  • Revenue guidance is based on current start forms and a six-month turnaround time, with a conservative approach factoring in possible cancellations and seasonal illness.

  • Salesforce expansion is underway, doubling the number of reps, with contract reps focusing on peripheral sites and patient finding.

  • Q1 is expected to be slightly down due to anticipated cancellations and sickness, with a 15% decrease factored into guidance.

  • Margins for PMO products have remained stable, and price competition is not expected to be a major factor due to the small patient population.

Product development and clinical updates

  • Three-year EMBARK data for ELEVIDYS has been well received by physicians, showing consistent efficacy and safety with real-world experience.

  • New referral sites are emerging post-EMBARK data, indicating growing adoption.

  • Cohort 8 sirolimus pretreatment study in nonambulant patients is progressing, with five sites in the process of opening and the primary endpoint focused on ALI rate, defined by GGT levels.

  • Top-line data for Cohort 8 is expected by year-end, with a goal to reduce ALI risk by at least 30%.

  • The pathway to restoring the non-ambulant indication in the label is not yet defined and will depend on forthcoming data and agency discussions.

Pipeline and research initiatives

  • Arrowhead assets for DM1 and FSHD are on track for interim data in Q1, focusing on dose response curves and muscle concentration using the TRiM siRNA platform.

  • Dosing regimens include single doses with biopsies at 30 and 90 days; full top-line data for all cohorts is expected by year-end.

  • Pivotal trial starts for FSHD and DM1 are gated by commercial manufacturing readiness, likely pushing next trials into 2027.

  • Ongoing assay validation work is expected to resolve without further delays, with higher dose cohort data forthcoming.

  • Early-stage work on 3rd generation PPMOs using the TRiM platform is underway, with potential updates in 2027.

What initiatives will boost ELEVIDYS start form run rate?
What ALI reduction and path restores non-ambulant label?
What PK dose response is needed for DM1/FSHD?
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Frequently asked questions

Sarepta Therapeutics Inc. is a biopharmaceutical company focused on developing genetic medicines for the treatment of rare diseases. The company specializes in RNA-targeted therapies, gene therapy, and gene editing technologies to address neuromuscular and other genetic disorders. The company is headquartered in Cambridge, Massachusetts, and its shares are listed on the NASDAQ.

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