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Scholar Rock Holding Corp.: Q3 FY2026 earnings call

What management said about Q3 FY2026, from the documents filed with the SEC on 10 November 2026: press release. Guidance figures: 4 new, 2 kept. The quarter’s numbers.

Key takeaways

  • Net loss rose, per-share loss narrowed: The company reported a net loss of $107.2 million, including $17.9 million of stock-based compensation, against $102.2 million a year earlier. Net loss per share was $0.81, against $0.90. Source
  • First ISEMBYLD sales recorded: The company recorded net product revenue of $0.6 million from U.S. ISEMBYLD sales. No revenue was recorded a year earlier. Product shipped to the specialty network before quarter-end. Source
  • FDA approved ISEMBYLD in September: FDA approved ISEMBYLD on September 11, 2026, for adults and children two years and older receiving an SMN2-targeted treatment. The company calls it the first and only muscle-targeted SMA therapy. Source
  • Early demand across centers: Vials were shipped to the specialty network within one week of approval, and initial patients were infused in October 2026. Management cites the breadth of prescribing physicians and enrolling patients. Source
  • EU filing resubmitted, CHMP view H1 2027: The apitegromab MAA was resubmitted to the EMA in October 2026 and validated. The alternate fill-finish site is the one that supported the U.S. approval. Source
  • Cash fell to $413.6 million: Cash, cash equivalents and marketable securities were $413.6 million at September 30, 2026, down from $492.1 million at June 30, 2026. That prior figure included $62.8 million of net ATM proceeds. Source
  • Priority review voucher sale agreed: The company agreed in November 2026 to sell its Rare Pediatric Disease Priority Review Voucher for $205 million, with cash to be received at closing. Closing requires the HSR waiting period to expire. Source

“The third quarter was a defining period for Scholar Rock, marked by the FDA approval and U.S. launch of ISEMBYLD, the world’s first and only muscle-targeted therapy for children and adults living with SMA,”

David L. Hallal, Chairman and Chief Executive Officer of Scholar Rock

Guidance

AreaPeriodFigureAgainst last quarter
SRK-439 Phase 1 topline data Sourceyear end 2026by year end 2026Kept
SRK-439 data sharing Sourceearly 2027early 2027New
EU CHMP opinion on apitegromab Sourcefirst half of 2027first half of 2027New
ISEMBYLD-specific J-code Sourcefrom April 1, 2027April 1, 2027New
FSHD Phase 2 FORGE enrollment SourceFORGE trialapproximately 60 patientsKept
ISEMBYLD global access Sourcenot datedup to 50 countriesNew

What changed from last quarter

  • New: FDA approved ISEMBYLD on September 11, 2026. The prior release had described the BLA as on track for a September 30, 2026 PDUFA date. Source
  • New guidance: The company now gives a CHMP opinion timeline for the EU filing. The prior release said timeline guidance would follow alignment with the EMA. Source
  • Ended: The EU filing no longer uses the Catalent Indiana fill-finish facility. The prior release said the MAA included that facility. Source
  • New: A Japanese New Drug Application for apitegromab was submitted and accepted under priority review. The prior release did not report a Japan filing. Source
  • New: The company agreed to sell its Priority Review Voucher for $205 million, with cash to be received at closing. Source
  • New: The FDA granted Fast Track and Orphan Drug designations to apitegromab for FSHD in September 2026. Source
  • New: The company recorded its first ISEMBYLD product revenue, $0.6 million, in the quarter. The prior quarter had no revenue. Source
  • Guidance kept: SRK-439 topline timing is stated as year end 2026, against late 2026 in the prior release. Source
  • New: The company plans global access to ISEMBYLD in up to 50 countries, subject to regulatory approvals. The prior release did not state this plan. Source

Results and growth drivers

  • Net loss rose, per-share loss narrowed: The company reported a net loss of $107.2 million, including $17.9 million of stock-based compensation, against $102.2 million a year earlier. Net loss per share was $0.81, against $0.90. Source
  • First ISEMBYLD sales recorded: The company recorded net product revenue of $0.6 million from U.S. ISEMBYLD sales. No revenue was recorded a year earlier. Product shipped to the specialty network before quarter-end. Source
  • Nine-month net loss reported: For the nine months ended September 30, 2026, net loss was $322.6 million, or $2.48 per share, against $287.0 million, or $2.54 per share, a year earlier. Source

ISEMBYLD launch and early demand

  • FDA approved ISEMBYLD in September: FDA approved ISEMBYLD on September 11, 2026, for adults and children two years and older receiving an SMN2-targeted treatment. The company calls it the first and only muscle-targeted SMA therapy. Source
  • Early demand across centers: Vials were shipped to the specialty network within one week of approval, and initial patients were infused in October 2026. Management cites the breadth of prescribing physicians and enrolling patients. Source
  • Field team reaching payers: The U.S. team is in the field with physicians, SMA care teams, patients, and national and regional payers, as the launch proceeds. Source

“We are very encouraged by the early ISEMBYLD launch dynamics in the U.S., where the breadth of early demand across SMA treatment centers, physicians, and patients reinforces the significant unmet need in the SMA community.”

David L. Hallal, Chairman and Chief Executive Officer of Scholar Rock

Europe and Japan filings

  • EU filing resubmitted, CHMP view H1 2027: The apitegromab MAA was resubmitted to the EMA in October 2026 and validated. The alternate fill-finish site is the one that supported the U.S. approval. Source
  • Japan filing accepted under priority review: The Japanese New Drug Application was submitted to PMDA and accepted under priority review. PMDA typically targets a review cycle of about nine months for such applications. Source
  • SMA orphan designation granted: Apitegromab for the treatment of people living with SMA was granted an Orphan Drug Designation. The release does not give the country of the designation. Source

Pipeline: FSHD, SRK-439, subcutaneous

  • FSHD program gains fast-track status: The FDA granted Fast Track and Orphan Drug designations for apitegromab in FSHD in September 2026. The Phase 2 FORGE trial is enrolling and dosing. Source
  • SRK-439 healthy-volunteer study progressing: The Phase 1 study of SRK-439 in healthy volunteers is progressing well. Based on non-clinical data, SRK-439 is described as having potential to increase muscle mass. Source
  • Subcutaneous path under regulator discussion: After FDA approval, the company is engaging regulators on the development path for a high-concentration subcutaneous apitegromab, described as a small-volume, self- or caregiver-administered option. Source
  • OPAL infant study dosing ongoing: The Phase 2 OPAL study in infants and toddlers under two with SMA has well-advanced enrollment, and dosing is ongoing. Source

“we are building a foundation to redefine the treatment of neuromuscular disease globally and drive sustainable growth for years to come.”

David L. Hallal, Chairman and Chief Executive Officer of Scholar Rock

Costs and expense lines

  • R&D expense rose year on year: Research and development expense was $54.1 million, including $6.4 million of stock-based compensation, against $50.5 million a year earlier. The prior quarter reported $58.2 million. Source
  • SG&A expense lower than a year earlier: Selling, general and administrative expense was $52.5 million, including $11.5 million of stock-based compensation, against $53.1 million a year earlier. The prior quarter reported general and administrative expense of $50.7 million. Source
  • Pre-approval product costs sat in R&D: Cost of revenue was $8 thousand, immaterial for the quarter. Before the FDA approval, product costs were expensed as research and development expense. Source

Cash, PRV sale and balance sheet

  • Cash fell to $413.6 million: Cash, cash equivalents and marketable securities were $413.6 million at September 30, 2026, down from $492.1 million at June 30, 2026. That prior figure included $62.8 million of net ATM proceeds. Source
  • Priority review voucher sale agreed: The company agreed in November 2026 to sell its Rare Pediatric Disease Priority Review Voucher for $205 million, with cash to be received at closing. Closing requires the HSR waiting period to expire. Source
  • Long-term liabilities rose, equity fell: Long-term liabilities were $197.2 million at September 30, 2026, against $103.4 million at December 31, 2025. Stockholders' equity was $168.7 million, against $245.5 million at December 31, 2025. Source

Global expansion and platform

  • Plan to expand ISEMBYLD globally: The company plans to expand ISEMBYLD access globally, in up to 50 countries, subject to regulatory approvals. The release also names additional rare neuromuscular diseases for its anti-myostatin programs. Source
  • Proprietary antibody platform described: The company says its proprietary platform has developed novel monoclonal antibodies that modulate protein growth factors with high selectivity. Source
  • Financial position described as strengthened: Management described the company's financial position as strengthened, alongside the U.S. launch and progress in Europe and Japan. Source

Coming up, as management said on 10 November 2026

  • PRV sale closing pending: Closing is subject to customary conditions, including expiry of the HSR waiting period. Cash is to be received upon closing. Source
  • EU opinion expected in H1 2027: Following MAA validation, review is underway, with a CHMP opinion expected in the first half of 2027. Source
  • Japan priority review under way: The JNDA is under priority review, with PMDA typically targeting a review cycle of about nine months. Source

Figures management reported

FigureReported
ISEMBYLD net product revenue, U.S., Q3 2026 Source$0.6 million
Research and development expense, Q3 2026 Source$54.1 million
FDA approval, ISEMBYLD SourceSeptember 11, 2026
Japan NDA review, priority SourceAbout nine months target cycle
EMA CHMP opinion timing SourceFirst half of 2027
SRK-439 Phase 1 topline data SourceBy year end 2026
FORGE Phase 2 enrollment target (FSHD) SourceApproximately 60 patients
Priority Review Voucher sale Source$205 million
FSHD regulatory designations SourceFast Track and Orphan Drug

Risks management discussed

  • Operational: The EU filing replaces Catalent Indiana with an alternate fill-finish site, which the release identifies as the site used for the U.S. approval. Source
  • Regulatory: The development path for subcutaneous apitegromab is still under discussion with regulators, so the path is not yet set. Source
  • Financial: The PRV sale is subject to closing conditions, including expiry of the HSR waiting period, and had not closed at the release date. Source

Earlier plans management reported on

  • On track: Management said the European application is on track for a CHMP opinion in the first half of 2027. Source
  • Not stated: The MAA was resubmitted in October 2026 in alignment with EMA guidance, and the resubmission was then validated. Source
  • Not stated: After FDA approval, the company is engaging regulators on the development path for subcutaneous apitegromab. Source

Other quarters

Summarised with AI from the documents the company filed with the SEC. Every point is checked against the filing before it is shown: management’s own words word for word, figures against the line or table row they come from. A point that fails the check is left out. Source opens the filing at that line.