Mirum and Incyte Announce Phase 2 Results for Zilurgisertib
Mirum Pharmaceuticals (MIRM) and Incyte (INCY) announced Phase 2 results from Cohort 1 of the Progress study evaluating zilurgisertib, an investigational oral activin receptor-like kinase 2 inhibitor, in adolescents and adults with fibrodysplasia ossificans progressiva. Results were shared in a late-breaking rapid-fire presentation at ENDO 2026, the Endocrine Society's annual meeting. Key efficacy findings included: Fewer patients receiving zilurgisertib developed new HO lesions at Week 24, with an 81% reduction versus placebo. 99.9% reduction in total volume of new HO lesions in patients receiving zilurgisertib versus placebo at Week 24. Reduction in total existing HO lesion volume compared with an increase observed in placebo-treated patients at Week 24. Among patients receiving zilurgisertib, no new HO lesions were observed and total HO lesion volume continued to decrease from Week 24 to Week 48. Among patients who crossed over from placebo to zilurgisertib, no new HO lesions were observed and total HO lesion volume decreased from Week 24 to Week 48.
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- Clinical Trial Results: Mirum and Incyte's Phase II PROGRESS study of zilurgisertib showed that only 3.1% of patients developed new lesions compared to 16.7% in the placebo group, achieving an 81% reduction, indicating the drug's potential in treating this ultra-rare disease.
- Sustained Efficacy: In the open-label extension phase, no new lesions were observed among patients continuing zilurgisertib treatment at 48 weeks, with total lesion volume continuing to decline, demonstrating the drug's long-term efficacy and safety, addressing the urgent need for effective treatments.
- FDA Priority Review: Following positive clinical data, the FDA has accepted the NDA for zilurgisertib and granted Priority Review status, with a decision expected by September 26, 2026, which will expedite the drug's market entry to meet the demand for new therapies.
- Market Performance: Year-to-date, shares of Mirum and Incyte have risen by 28.5% and 1%, respectively, against a 1.4% decline in the biotech sector, reflecting investor optimism regarding their clinical advancements and enhancing their competitive position in the market.
- Clinical Trial Results: Mirum Pharmaceuticals and Incyte have reported positive pivotal Phase 2 data for their oral FOP candidate, zilurgisertib, with results from Cohort 1 of the PROGRESS study showing consistent treatment effects on disease activity and durability through Week 48, indicating the drug's therapeutic potential.
- Safety Assessment: During the open-label extension, no new HO lesions were observed in patients continuing zilurgisertib treatment or in placebo patients who crossed over to active treatment at week 24, demonstrating the drug's safety and efficacy in long-term use.
- FDA Review Progress: The U.S. Food and Drug Administration (FDA) has accepted the New Drug Application for zilurgisertib and granted Priority Review, with a target action date set for September 26, 2026, laying the groundwork for the drug's market launch.
- Market Outlook: Incyte's Chief Medical Officer Steven Stein stated that the findings represent an important milestone for the zilurgisertib program, further strengthening the clinical evidence supporting its potential as a treatment for FOP, signaling future market opportunities in the rare disease sector.
- Clinical Trial Results: Mirum and Incyte presented positive results from the PROGRESS study at the 2026 ENDO meeting, showing that Zilurgisertib reduced new heterotopic ossification (HO) lesions by 81% in patients aged 12 and older over 24 weeks, indicating significant efficacy.
- Efficacy Metrics: Patients treated with Zilurgisertib experienced a 99.9% reduction in the total volume of new HO lesions at week 24, suggesting the drug's high potential in managing Fibrodysplasia Ossificans Progressiva (FOP) and possibly transforming treatment outcomes for patients.
- Safety Assessment: Zilurgisertib was generally well tolerated during the 24-week placebo-controlled period, with no new HO lesions observed, and total HO lesion volume continued to decrease from week 24 to week 48, indicating potential long-term benefits.
- Market Outlook: With approximately 300 patients in the U.S. and 900 worldwide affected by FOP, Mirum's NDA for Zilurgisertib is expected to be decided by the FDA in September 2026, which could present significant market opportunities for the company.
- Clinical Trial Results: At the ENDO 2026 conference, Mirum and Incyte presented results from Cohort 1 of the PROGRESS study, showing an 81% reduction in new heterotopic ossification lesions in patients treated with zilurgisertib, indicating significant efficacy in treating FOP.
- FDA Priority Review: The U.S. FDA has accepted the New Drug Application for zilurgisertib and granted Priority Review, with a decision expected by September 26, 2026, which could provide urgently needed treatment options for FOP patients and potentially reshape the market landscape.
- Patient Data Analysis: During the 24-week double-blind period, patients receiving zilurgisertib had significantly fewer new lesions compared to the placebo group, and no new lesions were observed during the 48-week open-label extension, demonstrating sustained treatment effects and enhancing the drug's market potential.
- Safety Assessment: The study indicated that zilurgisertib was well-tolerated during the 24-week controlled period, with most adverse events being mild or moderate and no treatment discontinuations, paving the way for future commercialization and boosting investor confidence.
- Clinical Trial Results: At ENDO 2026, Mirum and Incyte presented data showing that zilurgisertib significantly reduced new HO lesions by 81% in FOP patients over 24 weeks, indicating its potential as a new treatment option for this rare disease.
- FDA Priority Review: The U.S. FDA has accepted the New Drug Application for zilurgisertib and granted it Priority Review, with a target action date of September 26, 2026, which could expedite its market entry to address urgent patient needs in the FOP community.
- Study Design and Findings: The PROGRESS study's first cohort included 63 patients, revealing significant reductions in HO lesion volume during the 24-week double-blind period, with no new lesions observed during the open-label extension, suggesting sustained efficacy.
- Safety Profile: Zilurgisertib demonstrated good tolerability during the 24-week study, with most adverse events being mild or moderate, and no treatment discontinuations, highlighting its safety and feasibility for clinical use.









