Pharma Patent Cliffby readouts.io
Late-stage pipeline · Other areas

Late-stage other-area biotechs

$19.4B of 2025 other-area blockbuster sales lose US exclusivity by 2037, led by Trikafta, Ultomiris, Prolia. These 29 public biotechs have 53 other-area treatments in Phase 3 or filed with the FDA, 26 of them already filed.

Who is losing other-area revenue

2025 sales each company reports from tracked other-area treatments losing US exclusivity by 2037. Big pharma has spent $70.4B on 10 other-area acquisitions since 2023. See the deals →

29 biotechs with late-stage other-area treatments

Ocugen OCGN

Gene therapy platform racing three orphan BLAs by 2028; OCU400 Phase 3 readout first proof point, contingent on sustaining $100M

  • OCU400 FiledRetinitis Pigmentosa · Nuclear hormone receptor gene therapy
  • OCU410 FiledGeographic Atrophy · Nuclear hormone receptor gene therapy
  • OCU410ST FiledStargardt Disease · ABCA4 gene replacement therapy
Read the thesis on Readouts →

Prime Medicine PRME

PM359 prime editing therapy for a fatal pediatric immune disease races a BLA filing against a going-concern clock, with survival contingent on capital raising

  • CF (PASSIGE) FiledCystic Fibrosis · prime editing in vivo gene correction
  • PM577 FiledWilson'S Disease · prime editing in vivo gene correction
  • PM647 FiledAlpha-1 Antitrypsin Deficiency · prime editing in vivo gene correction
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Opus Genetics IRD

Gene therapy for blinding retinal disease hits FDA-aligned endpoint in every patient; Phase 3 bet now hinges on whether a small randomized trial replicates it

  • RYZUMVI FiledPresbyopia · alpha-adrenergic antagonist
  • RYZUMVI FiledLow-Light Visual Disturbances · alpha-adrenergic antagonist
  • APX3330 Phase 3Diabetic Retinopathy · selective Ref-1 redox inhibitor
  • OPGx-LCA5 Phase 3Leber Congenital Amaurosis · AAV gene therapy
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BridgeBio Pharma BBIO

Four late-stage programs approaching simultaneous approval decisions; encaleret's May 2027 PDUFA with clean Phase 3 data is the first test of whether BridgeBio can convert its pipeline into a multi-franchise rare-disease company

  • Encaleret FiledAutosomal Dominant Hypocalcemia Type 1 · calcium-sensing receptor antagonist (calcilytic)
  • Infigratinib FiledAchondroplasia · FGFR3 inhibitor
  • Encaleret Phase 3Chronic Hypoparathyroidism · calcium-sensing receptor antagonist (calcilytic)
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Travere Therapeutics TVTX

FILSPARI's dual-indication launch drives 71% revenue growth, but scaling into FSGS and defending against emerging IgAN entrants is the proof point

  • FILSPARI FiledFocal Segmental Glomerulosclerosis · Dual endothelin and angiotensin II receptor antagonist
  • sparsentan FiledIga Nephropathy · Dual endothelin and angiotensin II receptor antagonist
  • pegtibatinase Phase 3Classical Homocystinuria · Engineered enzyme replacement therapy
Read the thesis on Readouts →

MeiraGTx Holdings MGTX

Gene therapy platform with three shots on goal, but AAV2-hAQP1's pivotal readout is the fulcrum: Phase 2 data either opens a clear BLA path or leaves bota-vec's contested filing carrying the entire near-term case

  • AAV-hAQP1 FiledRadiation-Induced Xerostomia · AAV-delivered aquaporin-1 gene therapy
  • bota-vec FiledX-Linked Retinitis Pigmentosa · AAV-delivered RPGR gene therapy
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Rocket Pharmaceuticals RCKT

Gene therapy platform with one approval, FDA-aligned Danon pivotal underway, and a PKP2 design update as the next make-or-break gate

  • KRESLADI FiledSevere Leukocyte Adhesion Deficiency-I · lentiviral hematopoietic stem cell gene therapy
  • RP-L102 FiledFanconi Anemia · lentiviral hematopoietic stem cell gene therapy
Read the thesis on Readouts →

Ironwood Pharmaceuticals IRWD

LINZESS profits fund a GLP-2 SBS bet; apraglutide Phase 3 readout decides whether Ironwood is a royalty story or a pipeline company

  • LINZESS FiledFunctional Constipation · guanylate cyclase-C agonist
  • apraglutide Phase 3Short Bowel Syndrome · GLP-2 receptor agonist
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Nuvectis Pharma NVCT

Ciprocopan approved in China, now racing to U.S. IND before China-only data proves insufficient for Western regulators

  • NXP100 FiledParoxysmal Nocturnal Hemoglobinuria (Pnh) · complement Factor B inhibitor
  • NXP100 Phase 3Immunoglobulin A Nephropathy (Igan) · complement Factor B inhibitor
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Ocular Therapeutix OCUL

First agent to beat aflibercept head-to-head in wet AMD, now racing an NDA filing against a runway that stops short of full commercialization

  • AXPAXLI FiledWet Age-Related Macular Degeneration · anti-VEGF sustained-release intravitreal implant
  • AXPAXLI Phase 3Non-Proliferative Diabetic Retinopathy · anti-VEGF sustained-release intravitreal implant
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Palvella Therapeutics PVLA

Phase 3 win and rolling NDA filed for a topical rapamycin with no approved rival; approval in H1 2027 is the single gate

  • QTORIN rapamycin FiledMicrocystic Lymphatic Malformations · mTOR inhibitor
  • QTORIN rapamycin Phase 3Cutaneous Venous Malformations · mTOR inhibitor
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Belite Bio BLTE

First-ever STGD1 therapy filing at FDA with a clean Phase 3 win; approval in February 2027 is the single make-or-break event

  • Tinlarebant FiledStargardt Disease · RBP4 inhibitor
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ProQR Therapeutics PRQR

Axiomer platform's first clinical validation in hand; biliary atresia Phase 2 interim data will determine whether NTCP modulation translates from biomarker to disease benefit

  • AX-0811 FiledCholestatic Liver Disease · NTCP modulator
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Spruce Biosciences SPRB

Single-asset BLA filing for a fatal childhood brain disease with no approved treatment; FDA alignment confirmed, but accelerated approval path is the bet

  • TA-ERT FiledMucopolysaccharidosis Type Iiib · Enzyme replacement therapy
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Talphera TLPH

Nafamostat racing a Q4 2026 cash cliff: NEPHRO CRRT readout must deliver before the money runs out

  • Niyad FiledExtracorporeal Circuit Anticoagulation In Continuous Renal Replacement Therapy · Regional citrate anticoagulation device
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Ascendis Pharma A/S ASND

YUVIWEL approved and generating revenue, but a 20% BioMarin royalty burden tests whether achondroplasia economics support the combination therapy ambition

  • TransCon CNP + TransCon hGH Combination Therapy Phase 3Achondroplasia
  • SKYTROFA Phase 3Idiopathic Short Stature · long-acting growth hormone
  • SKYTROFA Phase 3Shox Deficiency · long-acting growth hormone
  • SKYTROFA Phase 3Turner Syndrome · long-acting growth hormone
  • SKYTROFA Phase 3Small For Gestational Age · long-acting growth hormone
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Kodiak Sciences KOD

Five Phase 3 wins and a BLA on deck, but going-concern cash burns past the approval decision unless Kodiak raises capital

  • KSI-501 Phase 3Wet Age-Related Macular Degeneration · TIE-2/VEGF bispecific antibody
  • KSI-101 Phase 3Macular Edema Secondary To Inflammation · IL-6/VEGF bispecific antibody
  • Tarcocimab Phase 3Diabetic Retinopathy · TIE-2 agonist monoclonal antibody
Read the thesis on Readouts →

Ultragenyx Pharmaceutical RARE

FAYUVI becomes Ultragenyx’s second approved gene therapy; Aspire failure still weighs on growth

  • DTX301 Phase 3Ornithine Transcarbamylase Deficiency · AAV8-mediated gene therapy delivering OTC
  • UX143 Phase 3Osteogenesis Imperfecta · Anti-sclerostin monoclonal antibody
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Annexon ANNX

GBS complement inhibitor heads to FDA with striking Phase 3 data; approval verdict determines whether Annexon becomes a commercial company

  • vonaprument Phase 3Geographic Atrophy · C1q inhibitor / classical complement cascade inhibitor
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MediWound MDWD

EscharEx Phase III interim data arrives as cash runs to Q2 2027, making the readout a survival event, not just a scientific one

  • EscharEx Phase 3Venous Leg Ulcers · Enzymatic debriding agent
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Pliant Therapeutics PLRX

Post-bexotegrast pivot bets on ICI-refractory solid tumors; Phase 1b efficacy data will determine if PLN-101095 is real or a single-arm footnote

  • Bexotegrast Phase 3Idiopathic Pulmonary Fibrosis · Dual αvβ6/αvβ1 integrin inhibitor
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Protara Therapeutics TARA

TARA-002 pursues approval in pediatric LMs and NMIBC; BLA submission and registrational trial data will determine whether multi-indication value materializes

  • IV Choline Chloride Phase 3Choline Deficiency · phospholipid substrate replacement therapy
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Sagimet Biosciences SGMT

Pivoted FASN inhibitor carries Phase 3 acne data and $258M into a US trial; success or failure hinges on replicating Ascletis results in a Western population

  • Denifanstat Phase 3Moderate-To-Severe Acne Vulgaris · FASN inhibitor
Read the thesis on Readouts →

Filed treatments are listed first. This shows where late-stage treatments are being developed, not which companies will be acquired. Other covers eye, kidney, liver, blood, bone, growth and rare metabolic diseases. Pipeline data and summaries from Readouts as of 29 September 2026; companies already acquired are left out.

Other areas: Oncology · Immunology · Cardiometabolic · Vaccine · Infectious disease · Neuroscience