Capricor Therapeutics announces FDA alignment on HOPE-3 trial endpoints; plans BLA resubmission with anticipated data mid-Q4 2025.
Quiver AI Summary
Capricor Therapeutics announced a significant regulatory update regarding its Biologics License Application (BLA) for Deramiocel, an investigational cell therapy for Duchenne muscular dystrophy (DMD). Following a Type A meeting with the FDA after receiving a Complete Response Letter (CRL) in July 2025, the FDA agreed that the completed HOPE-3 pivotal trial will serve as an additional study, allowing Capricor to incorporate its data into the current BLA. The trial will maintain the primary efficacy endpoint of PUL v2.0 and propose left ventricular ejection fraction as a secondary endpoint for labeling consideration. Capricor plans to submit the trial results to strengthen its CRL response, aiming for approval that covers both cardiac and skeletal muscle function in DMD. The FDA has expressed its commitment to collaborating with Capricor, and the company remains optimistic about the potential approval of Deramiocel, which has shown meaningful benefits in earlier studies. A conference call is scheduled to discuss these developments further.
Potential Positives
- Capricor has received alignment on trial endpoints from the FDA for the HOPE-3 pivotal trial, providing clarity on the path toward potential approval for Deramiocel.
- The Company plans to submit data from the completed HOPE-3 trial with its complete response to the CRL, which could support a broader label encompassing both cardiac and skeletal muscle function in Duchenne Muscular Dystrophy.
- The FDA has indicated its commitment to collaborate with Capricor, signaling potential regulatory flexibility in the review of the HOPE-3 trial data.
- Capricor maintains a strong financial position to support the advancement of Deramiocel through regulatory review and towards potential launch.
Potential Negatives
- Capricor received a Complete Response Letter (CRL) from the FDA, indicating that their initial BLA submission was not approved, which can negatively impact investor confidence and market perception.
- The necessity to conduct the HOPE-3 trial as an "additional study" could indicate previous clinical data was insufficient, raising concerns about the robustness of their previous findings.
- Only topline data from the HOPE-3 trial is expected by mid-Q4 2025, causing a significant delay in potential approval and market entry of Deramiocel, which may affect the company's financial outlook.
FAQ
What is the HOPE-3 trial?
HOPE-3 is a Phase 3 clinical trial evaluating the safety and efficacy of Deramiocel for Duchenne muscular dystrophy (DMD).
When will the topline data from the HOPE-3 trial be available?
Topline data from the HOPE-3 trial is expected in mid-Q4 2025.
What did the FDA and Capricor agree on regarding the BLA submission?
They agreed that HOPE-3 data will be included in the current BLA for Deramiocel to support its approval.
What is Deramiocel?
Deramiocel is an investigational cell therapy for DMD, consisting of allogeneic cardiosphere-derived cells.
What is Duchenne muscular dystrophy (DMD)?
DMD is a severe genetic disorder causing progressive muscle degeneration, primarily affecting boys and leading to serious health complications.
Disclaimer: This is an AI-generated summary of a press release distributed by GlobeNewswire. The model used to summarize this release may make mistakes. See the full release here.
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Full Release
- FDA and Capricor aligned on endpoints for HOPE-3 pivotal trial
- HOPE-3 pivotal trial completed; topline data expected mid-Q4 2025 to support BLA resubmission
- Company preparing to resubmit CRL response under the current BLA
- Conference call and webcast scheduled for today at 8:30 a.m. ET
SAN DIEGO, Sept. 25, 2025 (GLOBE NEWSWIRE) -- Capricor Therapeutics (NASDAQ: CAPR), a biotechnology company developing transformative cell and exosome-based therapeutics for rare diseases, today announced a regulatory update for its Biologics License Application (BLA) for Deramiocel, the Company’s investigational cell therapy for the treatment of Duchenne muscular dystrophy (DMD). This update follows a recent Type A meeting with the U.S. Food and Drug Administration (FDA) after the receipt of a Complete Response Letter (CRL) in July 2025.
The goal of the Type A meeting was to establish a path toward potential approval of Deramiocel for the treatment of DMD. Key outcomes included:
- The HOPE-3 clinical trial should serve as the “additional study” requested in the CRL.
- The HOPE-3 data can be submitted within the current BLA, maintaining PUL v2.0 as the primary efficacy endpoint and suggesting left ventricular ejection fraction (LVEF) as a key secondary endpoint, which Capricor intends to request for labeling consideration.
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Capricor plans to submit HOPE-3 data with its complete response to the CRL, with the goal of securing a label encompassing both cardiac and skeletal muscle function in DMD. In its meeting minutes, the FDA further emphasized its commitment, stating: “The FDA remains committed to collaborating with the applicant and will exercise further regulatory flexibility by reviewing data from the HOPE-3 trial.”
“We are encouraged by the outcome of our discussions with the FDA, which provided clarity on our regulatory strategy and reinforced the opportunity to deliver HOPE-3 data as the basis for approval, should it meet regulatory requirements,” said Linda Marbán, Ph.D., Capricor’s Chief Executive Officer. “The results from the HOPE-2 and HOPE-2-OLE studies have already demonstrated clinically meaningful and statistically significant benefits in both cardiac and skeletal muscle function, and HOPE-3 is designed to further validate these findings in an adequate and well-controlled study. With HOPE-3 completed and data expected later this year, we remain confident in our ability to advance Deramiocel toward potential approval. Above all, our mission remains unchanged: to bring this therapy to patients and families living with Duchenne as quickly as possible.”
Importantly, prior to issuance of the CRL, the majority of the BLA had undergone rigorous review with no significant deficiencies identified by the FDA during the mid-cycle review or pre-licensing inspections. All CMC items identified in the CRL have been addressed and communicated to the FDA. Capricor believes that the addition of HOPE-3 data will further strengthen the clinical package and support the broad potential of Deramiocel as a treatment for DMD.
The Company also maintains a strong financial position to support the advancement of Deramiocel through regulatory review and toward potential launch.
Conference Call and Webcast
To participate in the conference call, please dial 1-800-717-1738 (Domestic) or 1-646-307-1865 (International) and reference the conference ID: 96317. Participants may dial in using the numbers above to speak with an operator or click the Call Me ™ link for instant access. To participate via webcast, click here to access the live stream . A replay of the webcast will be available following the conclusion of the live broadcast and will be accessible on the Company’s website .
About Duchenne Muscular Dystrophy
Duchenne Muscular Dystrophy (DMD) is a severe, X-linked genetic disorder characterized by progressive muscle degeneration affecting the skeletal, respiratory, and cardiac muscles. It is caused by the absence of functional dystrophin, a key structural protein in muscle cells. DMD affects approximately 15,000 individuals in the United States, primarily boys. Over time, deterioration of the heart muscle leads to cardiomyopathy and heart failure, which is the leading cause of death in DMD. There is no cure, and treatment options remain limited.
About Deramiocel
Deramiocel (CAP-1002) consists of allogeneic cardiosphere-derived cells (CDCs), a rare population of cardiac cells that have been shown in preclinical and clinical studies to exert potent immunomodulatory and anti-fibrotic actions in the preservation of cardiac and skeletal muscle function in muscular dystrophies such as DMD. CDCs act by secreting extracellular vesicles known as exosomes, which target macrophages and alter their expression profile to adopt a healing rather than pro-inflammatory phenotype. CDCs have been investigated in more than 250 peer-reviewed scientific publications and administered to over 250 human subjects across multiple clinical trials.
Deramiocel has received Orphan Drug Designation for the treatment of Duchenne Muscular Dystrophy (DMD) from both the U.S. FDA and the European Medicines Agency (EMA). In addition, it has been granted Regenerative Medicine Advanced Therapy (RMAT) designation in the U.S., Advanced Therapy Medicinal Product (ATMP) designation in Europe, and Rare Pediatric Disease Designation from the FDA, which may qualify Capricor for a Priority Review Voucher upon approval.
About the HOPE-3 Phase 3 Trial
HOPE-3 is a Phase 3, multi-center, randomized, double-blind, placebo-controlled clinical trial consisting of two cohorts evaluating the safety and efficacy of Deramiocel in participants with DMD. Non-ambulatory and ambulatory boys who meet eligibility criteria are randomly assigned to receive either Deramiocel or placebo every 3 months for a total of four doses during the first 12 months of the trial. A total of 105 eligible subjects have been enrolled in the dual-cohort trial. For more information, please visit ClinicalTrials.gov ( NCT05126758 ).
About Capricor Therapeutics
Capricor Therapeutics (NASDAQ: CAPR) is a biotechnology company dedicated to advancing transformative cell and exosome-based therapeutics to redefine the treatment landscape for rare diseases. At the forefront of our innovation is our lead product candidate, Deramiocel, an allogeneic cardiac-derived cell therapy. Extensive preclinical and clinical studies have shown Deramiocel to exert potent immunomodulatory and anti-fibrotic actions in the preservation of cardiac and skeletal muscle function in muscular dystrophies such as DMD. Deramiocel is currently in late-stage development for the treatment of Duchenne Muscular Dystrophy. Capricor is also harnessing the power of its exosome technology, using its proprietary StealthX™ platform in preclinical development focused on the areas of vaccinology, targeted delivery of oligonucleotides, proteins, and small-molecule therapeutics with potential to treat and prevent a diverse array of diseases. At Capricor, we are committed to pushing the boundaries of possibility and forging a path toward transformative treatments for those in need. For more information, visit capricor.com , and follow Capricor on Facebook , Instagram and Twitter .
Cautionary Note Regarding Forward-Looking Statements
Statements in this press release regarding the efficacy, safety, and intended utilization of Capricor’s product candidates; the initiation, conduct, size, timing and results of clinical trials; the pace of enrollment of clinical trials; plans regarding regulatory filings, future research and clinical trials; regulatory developments involving products, including future interactions with regulatory authorities and the ability to obtain regulatory approvals or otherwise bring products to market; manufacturing capabilities; dates for regulatory meetings; the potential that required regulatory inspections may be delayed or not be successful which would delay or prevent product approval; the ability to achieve product milestones and to receive milestone payments from commercial partners; and any other statements about Capricor’s management team’s future expectations, beliefs, goals, plans or prospects constitute forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995. Any statements that are not statements of historical fact (including statements containing the words “believes,” “plans,” “could,” “anticipates,” “expects,” “estimates,” “should,” “target,” “will,” “would” and similar expressions) should also be considered to be forward-looking statements. There are a number of important factors that could cause actual results or events to differ materially from those indicated by such forward-looking statements. More information about these and other risks that may impact Capricor’s business is set forth in Capricor’s Annual Report on Form 10-K for the year ended December 31, 2024, as filed with the Securities and Exchange Commission on March 26, 2025, and in our Quarterly Report on Form 10-Q for the quarter ended June 30, 2025, as filed with the Securities and Exchange Commission on August 11, 2025. All forward-looking statements in this press release are based on information available to Capricor as of the date hereof, and Capricor assumes no obligation to update these forward-looking statements.
Capricor has entered into an agreement for the exclusive commercialization and distribution of Deramiocel for DMD in the United States and Japan with Nippon Shinyaku Co., Ltd. (U.S. subsidiary: NS Pharma, Inc.), subject to regulatory approval. Deramiocel and the StealthX™ vaccine are investigational candidates and have not been approved for commercial use in any indication.
For more information, please contact:
Capricor Media Contact:
Raquel Cona
KCSA Strategic Communications
[email protected]
212.896.1204
Capricor Company Contact:
AJ Bergmann, Chief Financial Officer
[email protected]
858.727.1755