Avidity Biosciences, a pioneering biopharmaceutical company, has recently announced a significant milestone in its commitment to addressing rare genetic conditions. On July 23, 2025, the U.S. Food and Drug Administration (FDA) granted Breakthrough Therapy designation to its drug, delpacibart zotadirsen (known as del-zota), for the treatment of Duchenne muscular dystrophy (DMD) in patients who have specific genetic mutations suitable for exon 44 skipping. This designation is a critical step forward in the development of innovative therapies for DMD, a condition characterized by progressive muscle degeneration and strength loss due to the absence of dystrophin protein. The significance of this FDA status lies in its potential to accelerate the clinical development and review processes for del-zota, given its promising preliminary clinical evidence.
Del-zota is currently under evaluation in the Phase 2 EXPLORE44 Open-Label Extension trial after showing encouraging results in earlier trials. The treatment works by using phosphorodiamidate morpholino oligomers (PMOs) to skip exon 44 in the dystrophin gene, enabling the production of nearly full-length dystrophin. This targeted approach aims to restore muscle function and mitigate the debilitating effects of this rare disease, which primarily affects young boys and has a profound impact on their quality of life.
Dr. Steve Hughes, Chief Medical Officer at Avidity, expressed optimism regarding the Breakthrough Therapy designation, emphasizing that it highlights the FDA's recognition of del-zota's potential to transform DMD treatments. He stated, 'With the remarkable, consistent improvements we've seen in multiple biomarkers, including dystrophin, in the Phase 1/2 EXPLORE44 trial, we are committed to expediting the delivery of this therapy to patients who desperately need it.'
In the completed Phase 1/2 EXPLORE44 trial, del-zota demonstrated statistically significant outcomes, including effective exon skipping, increased dystrophin production, and decreased creatine kinase levels, indicating improved muscle health. Following these encouraging results, Avidity is preparing for a Biologics License Application (BLA) submission slated for the end of 2025, aiming to secure FDA approval for its use in treating DMD44.
The company's dedication to launching del-zota in the United States paves the way for additional neuromuscular treatments in its pipeline, including candidates for myotonic dystrophy type 1 (DM1) and facioscapulohumeral muscular dystrophy (FSHD).
Duchenne muscular dystrophy is a serious genetic disorder primarily affecting boys, manifesting through muscle weakness that escalates into significant mobility issues and, eventually, respiratory and cardiac complications. While existing treatment options exist, they often do not meet the high needs of patients, creating an urgent demand for innovative therapies like del-zota.
The Breakthrough Therapy designation is not only meant to hasten the drug's development but also signifies the FDA's recognition of its potential benefits over existing therapies for this life-altering condition.
In conclusion, Avidity Biosciences stands at the forefront of a revolution in RNA therapeutics, with delpacibart zotadirsen showcasing the power of antibody oligonucleotide conjugates (AOCs) in addressing previously untreatable patients suffering from DMD. As it moves forward with its clinical programs, Avidity will continue to advocate for patients while working diligently to bring del-zota and similar innovations to market, reflecting its vision of improving the lives of those affected by rare genetic diseases.
For more information on del-zota and Avidity's advancements, interested parties can visit
Avidity Biosciences' website.