FDA Accepts Ultragenyx’s DTX401 Gene Therapy BLA, Grants Priority Review

RARE
February 23, 2026

Ultragenyx Pharmaceutical Inc. reported that the U.S. Food and Drug Administration has accepted its Biologics License Application for DTX401, an AAV8‑based gene therapy for Glycogen Storage Disease Type Ia (GSDIa). The agency also granted the application Priority Review, setting a PDUFA action date of August 23 2026, which shortens the review timeline for a first‑in‑class treatment for a rare metabolic disorder.

DTX401 delivers the missing glucose‑6‑phosphatase enzyme to liver cells via an AAV8 vector. A Phase 3 program involving 52 treated patients and up to six years of follow‑up demonstrated clinically meaningful reductions in daily cornstarch intake and improved glycemic control, supporting the safety, efficacy, and manufacturing quality of the product.

In the same period, Ultragenyx released its fourth‑quarter 2025 financial results. Revenue rose to $207 million, a 25% year‑over‑year increase, driven by strong demand for its core products Crysvita, Dojolvi, and Evkeeza. However, the company posted a net loss per share of $1.29, missing the consensus estimate of $1.20. For the full year 2025, total revenue reached $673 million, up 20% from the prior year, while the net loss widened to $575 million. Management guided 2026 revenue to $730 million–$760 million, below the consensus estimate of $802.7 million, and announced a 10% workforce reduction as part of a strategic restructuring plan aimed at achieving profitability by 2027.

CEO Emil D. Kakkis emphasized that the company is at a turning point, noting that “the year ahead marks an important turning point for the company, as we approach two potential product launches and a pivotal data readout that, together, could significantly accelerate our commercial revenue trajectory.” He added that the restructuring plan is intended to align resources with high‑impact opportunities and to strengthen the company’s position in rare disease therapeutics.

Investors responded positively to the regulatory milestone, while earlier concerns about the lower revenue guidance and workforce reduction tempered enthusiasm. The market reaction reflected the dual nature of the news: a breakthrough in the pipeline balanced against ongoing financial headwinds.

The FDA acceptance of DTX401’s BLA represents a significant step toward a curative therapy for GSDIa, but the company’s financial trajectory remains challenged by high operating costs and a need to achieve profitability. The combination of a regulatory milestone and a cautious financial outlook underscores the importance of monitoring Ultragenyx’s progress toward 2026 revenue targets and the eventual commercialization of DTX401.

The company’s strategic focus on rare disease therapeutics, coupled with the regulatory progress for DTX401, positions Ultragenyx to potentially capture a substantial market share if the therapy receives final approval. However, the need for continued cost discipline and the impact of the restructuring plan will be critical factors in determining the company’s long‑term financial health.

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