Key Takeaways AGIO says the FDA missed its Dec. 7 deadline for a Pyrukynd thalassemia sNDA decision.The sNDA remains under FDA review but no additional efficacy or safety data have been requested.Pyrukynd is already approved for treating hemolytic anemia in adults with PK deficiency.Agios Pharmaceuticals (AGIO) announced that the FDA has not yet given its decision related to the company’s supplemental new drug application (sNDA) seeking approval for its only marketed drug, Pyrukynd (mitapivat), for treating ...

Core Viewpoint - Agios Pharmaceuticals Inc. experienced a significant stock decline following the release of Phase 3 trial results for mitapivat in treating sickle cell disease, despite meeting its primary endpoint of hemoglobin response [1][10]. Trial Results - The RISE UP Phase 3 trial met its primary endpoint, showing a statistically significant improvement in hemoglobin response with 40.6% of patients in the mitapivat arm achieving this response compared to 2.9% in the placebo arm [2][3]. - Mitapivat also demonstrated a reduction in the annualized rate of sickle cell pain crises (SCPCs), with rates of 2.62 in the mitapivat arm versus 3.05 in the placebo arm, although this did not achieve statistical significance [3][4]. - Statistically significant improvements were observed in two key secondary endpoints: average change in hemoglobin concentration and levels of indirect bilirubin from baseline [4][6]. Safety and Efficacy - The safety profile of mitapivat in this trial was consistent with previous studies, with an average change in hemoglobin concentration of 7.69 g/L in the mitapivat arm compared to 0.26 g/L in the placebo arm, indicating a statistically significant improvement [6]. - The average change in indirect bilirubin was -16.03 µmol/L in the mitapivat arm versus 0.88 µmol/L in the placebo arm, also showing a statistically significant improvement [7]. Future Plans - Agios plans to submit a marketing application for mitapivat in the U.S. for sickle cell disease after a pre-supplemental New Drug Application meeting with the FDA in early 2026 [8]. - The company is also focused on other commercial and pipeline milestones, including the potential U.S. approval of Pyrukynd (mitapivat) for thalassemia, expected in December 2025 [8][9]. Stock Performance - Following the trial results, Agios Pharmaceuticals' stock fell by 49.00%, trading at $23.20, near its 52-week low of $23.41 [10].

Core Insights - Agios Pharmaceuticals reported a GAAP EPS of -$1.78 for Q3 2025, surpassing estimates by $0.12 [1] - The company achieved revenue of $12.88 million, reflecting a year-over-year increase of 43.8% [1] Company Overview - Agios Pharmaceuticals is focused on drug development, leveraging scientific expertise in cell biology and therapeutic research [1] - The company aims to innovate through unique mechanisms of action and first-in-class therapies, targeting the biotechnology sector [1] Financial Performance - The reported EPS of -$1.78 indicates a loss, but it is an improvement over analyst expectations [1] - Revenue growth of 43.8% year-over-year highlights the company's strong performance in the market [1]

Core Viewpoint - Shares of Agios Pharmaceuticals (AGIO) fell 11% after the FDA extended the review timeline for the supplemental new drug application (sNDA) for Pyrukynd in thalassemia by three months, with a new decision date set for December 7, 2025 [1][7]. Company Developments - The sNDA for Pyrukynd is based on data from two phase III studies, ENERGIZE and ENERGIZE-T, aiming for approval in treating non-transfusion-dependent and transfusion-dependent thalassemia in adults [2]. - Agios submitted a proposed Risk Evaluation and Mitigation Strategy (REMS) to address liver injury risks, which led to the three-month extension of the review timeline [3]. - The FDA had previously expected a decision on September 7, 2025, and the delay may impact the commercial launch timeline, which was initially anticipated before the end of 2025 [8]. Financial Performance - Year-to-date, Agios shares have increased by 10%, outperforming the industry average rise of 4.1% [4]. - Pyrukynd generated sales of $21.2 million in the first half of 2025, marking a 26% year-over-year increase [9]. Ongoing Research - Agios is also conducting late-stage studies, ACTIVATE-Kids and ACTIVATE-KidsT, to evaluate Pyrukynd for treating PK deficiency in pediatric patients [10].