How does Cemdisiran's efficacy and dosing schedule compare to existing treatments and pipeline competitors in the MG space?
Efficacy & Dosing vs the Landscape
Cemdisiranâs Phaseâ3 readâout showed aâŻ2.3âpoint placeboâadjusted lift in the MGâADL score, a magnitude that sits comfortably within the efficacy band of the current standardâofâcare biologics (eculizumab, efgartigimod, rozanolixizumab and the peptide zilucoplan, which typically deliver 1.5â3.0 points). The differentiator is the onceâeveryâ90âdays subâcutaneous (SC) injection, versus eculizumabâs biâweekly IV infusion, efgartigimodâs monthly IV, rozanolixizumabâs weekly SC, and zilucoplanâs daily SC. This threeâmonth dosing cadence could translate into lower administration costs, better patient compliance, and a compelling value narrative for payorsâespecially in a disease area where chronic, frequent injections are a compliance hurdle.
Trading Implications
Regeneron (REGN) is already trading at a premium relative to peers because of its robust pipeline and strong cash position. The positive Phaseâ3 data adds a âhighâmargin, lowâfrequencyâ asset to its portfolio, which should tighten the valuation spread with competitors (e.g., Rocheâs tirzepatideâstyle pricing pressure on eculizumab). Expect shortâterm upside as analysts upgrade the MG franchise and potentially raise the 12âmonth price target (historical MG announcements have spurred 8â12% moves). However, keep an eye on pipeline crowdingâif Rozanolixizumab or other FcRn blockers secure FDA approval in the next 6â12âŻmonths, market expectations may already be priced in, limiting upside. A prudent entry point would be on a pullback to the 200âday moving average or after a modest profitâtake from the initial rally, with a 6âmonth price objective of ~âŻ$90â$95 (ââŻ15% above current levels), assuming no major adverse safety signals emerge.