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Scholar Rock

Rare disease drugmaker · based in Cambridge, United States · ticker SRRK · scholarrock.com

Scholar Rock works on Facioscapulohumeral Muscular Dystrophy and Spinal Muscular Atrophy, 2 of the rare diseases we track. It has 3 active clinical trials, and 2 are looking for volunteers now. It also has 1 FDA-approved rare disease drug.

Scholar Rock is a Cambridge, Massachusetts biotech that spent roughly a decade chasing a target the rest of the industry had largely given up on, and in September 2026 became the first company to make it work. The company was built on research from Harvard Medical School and Boston Children's Hospital into the TGF-beta superfamily, a group of proteins that regulate how tissue grows and repairs itself.

Scholar Rock pipeline

Each row lists the diseases Scholar Rock is studying at that stage, from the ones closest to approval down to the earliest work.

Approved
Drugs the FDA has approved.
Phase 3
Large studies, usually the last step before a company asks the FDA for approval.
Phase 2
Mid-size studies that check whether a drug works and at what dose.

Scholar Rock clinical trials

These are Scholar Rock trials for the rare diseases we track, from ClinicalTrials.gov. Statuses there can lag behind company news, so confirm with the study team before you plan around one.

2 trials looking for volunteers now

Looking for volunteersPhase 2Recently updatedNCT07047144

A Study to Evaluate How Apitegromab Works in Subjects Who Are Less Than 2 Years Old and Have Spinal Muscular Atrophy

Tests Apitegromab, Nusinersen, Risdiplam

For Spinal Muscular Atrophy, SMA, Spinal Muscular Atrophy Type 2, Spinal Muscular Atrophy Type 3 and Neuromuscular Manifestations

This double-blind, Phase 2, multiple-dose study will be conducted to evaluate the PK/PD, efficacy, safety, and tolerability of apitegromab in subjects \<2 years old with 5q autosomal recessive SMA who have delayed motor milestones for their age attributed to SMA at the discretion of the Investigator or a Children's Hospital of Philadelphia Infant Test of Neuromuscular Disorders (CHOP-INTEND) score \<55.

Ages Up to 2 Years23 locations
View full study
Looking for volunteersPhase 2Recently updatedNCT07435129

Phase 2 Study Evaluating Apitegromab for the Treatment of FSHD

Tests Apitegromab, Placebo

For Facioscapulohumeral Muscular Dystrophy and FSHD

A randomized Phase 2 study to evaluate the efficacy and safety of apitegromab as a monotherapy in participant with FSHD

Ages 18 Years - 60 Years1 location
View full study

1 trial underway, not taking new volunteers

Underway, not taking new volunteersPhase 3Recently updatedNCT05626855

Long-Term Safety & Efficacy of Apitegromab in Patients With SMA Who Completed Previous Trials of Apitegromab

Tests Apitegromab

For Spinal Muscular Atrophy, Spinal Muscular Atrophy Type 3, Spinal Muscular Atrophy Type 2, SMA and Neuromuscular Diseases

The ONYX study is an Open-Label, Multicenter, Extension study that will evaluate the long-term safety and efficacy of Apitegromab in Patients with Type 2 and Type 3 SMA who have completed TOPAZ or SAPPHIRE.

Ages 2 Years+49 locations
View full study
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FDA-approved drugs from Scholar Rock

From the openFDA database. Tap a drug for side effects, dosing and help paying.

Isembyld apitegromab-mstn

For Spinal Muscular Atrophy. Approved Sep 11, 2026. Taken by intravenous route.

More about Scholar Rock

Its central insight is a matter of timing. Most of these growth factors are produced in an inactive precursor form and have to be switched on before they do anything, and Scholar Rock designs antibodies that grab the precursor rather than the finished protein.

Targeting the switch instead of the signal is what allows its drugs to hit one growth factor without disturbing its close relatives, which is where earlier attempts in this field ran aground. The company trades on Nasdaq under SRRK.

The proof is ISEMBYLD (apitegromab), approved by the FDA on September 11, 2026 for spinal muscular atrophy in adults and children 2 and older who are already receiving an SMN2-targeted treatment. It is the first muscle-targeted treatment for SMA and the company's first approved product.

Every SMA drug before it, Spinraza, Zolgensma and Evrysdi, worked on the genetic root of the disease by protecting motor neurons, and none of them addressed muscle that had already wasted away. Apitegromab blocks myostatin, the body's natural brake on muscle growth, which is why it is given alongside an existing SMN therapy rather than in place of one.

Keep reading about Scholar Rock

In the Phase 3 SAPPHIRE trial, patients aged 2 to 12 on the recommended dose gained motor function over a year while those on an SMN drug alone continued to lose it. Drug companies have been trying to drug myostatin since the early 2000s across muscular dystrophy, cachexia and age-related muscle loss, and the record until this approval was a long run of failures.

The same platform is aimed at several other areas. Apitegromab is also being studied in cardiometabolic disease, where preserving muscle during rapid weight loss on GLP-1 drugs is an open question, and the pipeline includes programs in immuno-oncology targeting TGF-beta 1 in solid tumors, plus earlier work in fibrosis and anemia.

For SMA families, the practical significance is narrower and clearer: after a decade in which every new option worked the same way, there is now a second mechanism to add on top.

Where Scholar Rock trials take place

The trials above run at 73 study sites in 9 countries. Tap a country to see its states, cities and hospitals.

United States
38▼
Italy
8▼
Belgium
6▼
France
4▼
Spain
4▼
United Kingdom
4▼
Germany
4▼
Poland
3▼
Netherlands
2▼

Rare diseases Scholar Rock works on

Each disease page lists every open trial, not only Scholar Rock's, plus approved treatments.

Facioscapulohumeral Muscular Dystrophy

Facioscapulohumeral Muscular Dystrophy (FSHD) is an inherited muscular dystrophy characterized by progressive weakness of the facial, shoulder, and upper arm muscles.

How common: About 1 in 20,000 people (MedlinePlus Genetics); one of the most common hereditary muscular dystrophies

Spinal Muscular Atrophy

Spinal muscular atrophy is an autosomal recessive genetic disorder affecting motor neurons in the spinal cord, causing progressive muscle weakness and atrophy.

How common: About 1 in 10,000 births; about 1 in 50 people of European or Asian ancestry are carriers of 1 copy of the gene change

Where to get support

Patient groups can explain a diagnosis, point you to specialists and tell you about trials before they open. Scholar Rock's own site is scholarrock.com, and our help paying for treatment page lists drugmaker programs and charity funds.

Questions about Scholar Rock