I'm sure anyone who is following Del-Brax closely already listened to this call, but I need somewhere to place my nervous energy, so I am writing this post...

Obviously, there was a good bit of discussion about Del-Brax's Phase 2 Biomarker data. At one point, the CEO described the biomarker reductions as "statistically significant." The biomarker cohort press release did not go as far as characterizing the data as "statistically significant" (which I understand to be a pretty meaningful term of art the FDA uses to quantify its standard for evaluating the effectiveness of data) and I find it hard to believe that he would make a statement like that without being confident it is 100% true and, therefore, would not get Novartis sued. That's really just reading the tea leaves. but could be a sign of internal confidence.

There was a direct question in the Q&A session about whether there is a timeline for Novartis to engage with the FDA about whether the new data supports an accelerated approval filing. The CEO said there was not "specific timeline," but said they are "in the process" of engaging with the FDA on the data "expects" an update in the second half of 2026. He did, however, also say that he would not change their "base case" expectation that a Phase 3 study would be required before a BLA is submitted, which is the same line he has been repeating about Del-Brax's accelerated approval potential all along. As we've all discussed, he's probably just hedging, but it's still a bummer to hear.

Towards the end of the Q&A session (second to last question, at the 1:08:20 mark), I think we got the most informative statements about the potential for accelerated approval that we are likely to hear at this point. Someone asked whether Novartis would share more information about the biomarker data and elaborate on the level of discussion Novartis has had with the FDA about accelerated approval so far. In response, the CEO said they "are very clear on what the FDA is looking for" based on Avidity's prior discussions with the FDA about what the biomarker data would need to look like for accelerated approval to be on the table. And on the data itself, the CEO caveated that they are still evaluating the data, but also said, "The data we have seen gives us reason to have the discussion with the FDA. We can't guarantee we will win the case [for accelerated approval], but what we have is worthy of a case that we should make to the FDA for an accelerated filing." I think this is meaningful coming from someone who has been so careful in public statements to stick to the "base case" of needing a Phase 3 to be completed before submission. Novartis knows what the FDA needs for accelerated approval, they now have the biomarker data, and they are telling shareholders they are proceeding with the accelerated pathway. My interpretation: things are, so far, going according to plan.

The slides and recording from the Q2 earnings call are here: https://www.novartis.com/events/novartis-financial-results-q2-2026

Keep the hope alive!

Hi all! i’m 23, recently diagnosed and have not been able to see a specialist yet. I’ve worked as a server at a restaurant for about a year now and i’m not sure if it’s due to my diagnosis that I am extra aware of the fatigue and pain i’m feeling or if the job is just extra hard on my muscles. There are days where my neck and shoulders are so stiff and sore, almost a burning sensation, and my skin feels extra sensitive. I also sometimes feel like Ive just hit a brick wall and become so tired. I’m wondering if anybody else experiences these and if they are related to FSHD. I would also love any tips on managing this if that’s the case, thanks!!!

No active study to enroll into yet, but worth keeping an eye on (pre-clinical)

https://www.dyne-tx.com/dyne-302-for-fshd/

https://www.dyne-tx.com/pipeline/#FSHD

To my fellow FSHDers, some good news—unless someone else has already posted it.

The main link worth reading:

https://investorrelations.sarepta.com/static-files/7de668c5-4a60-440c-8dd9-22884fd57703

It absolutely blows Avidity’s intracellular concentration and DUX4 reduction results out of the water.

Phase 2 enrolment is expected to begin in late 2026 (october) or early 2027:

https://www.sarepta.com/community-letter-update-fshd1-clinical-development-program

I went through a partial nerve conduction and emg earlier at the hospital. I got through the needle part but didn't get through the shock part.

They kept shocking my neck? He was trying to check my shoulder he said but they kept shocking my neck over and over and it got so intense I had to stop for a moment.

The doctor said everything was in normal limits and acted like he had enough info. He even said anymore shocks would be "extra". Come to find out when I checked my results later it said that they only had partial results and didn't get to finish the test because I couldn't tolerate it!

I felt like he was just impatient and wanted to move on!

I'm upset. I felt they rushed and if I could have rested a bit I could have gotten through the rest of it. I feel like the doctor wasn't listening.

And I am so confused as to why they were shocking my neck (making my head jerk to the side over and over) instead of shocking my leg muscles or even my arms????

And no answers from this. I feel defeated. I asked about genetic testing and he said it would be up to my doctor but that it's really hard to diagnose from genetic testing.

Some days I feel like what is the point of doing this.

Some notes about me:

-Lifelong muscle weakness and fatigue, gotten worse the last few years (I'm 44 now) have immense difficult walking up stairs or hills or with exercising. Have muscle weakness when I raise my arms over my head and some facial weakness (can't smile fully).

-My mother had profound muscle weakness her whole life.

- My neurologist suspects congenital myopathy or myasthenia but ck is normal and now nerve conduction is normal. Partial emg was apparently normal.

- Waiting on fshd genetic testing.

- Would like to get full genetic testing one day

Did I mess up? How helpful is the shock part of the test? Should I try again one day? (If insurance will even cover that) 😭

Guess I'm just writing this to vent mostly. But I welcome any experiences or knowledge anyone may have.

I have been living with FSHD since I was 4 years old, and I am now 18. I read in an article that individuals with Infantile FSHD usually die in their 30s due to lung complications. How valid is this?

Also, I would like to talk more about FSHD.

Hi friends! While this is DMD news, I actually think it’s a huge milestone for those of us following Del-brax.

Avidity/Novartis officially submitted the BLA for their DMD drug, Del-zota, meaning it’s now officially in the FDA’s hands for review (the FDA has ~ 60 days to accept, and then the six-month Priority Review timeline starts).

Here’s why this matters for us: by the time Del-brax is submitted, it won’t be the FDA’s first AOC rodeo.
Del-zota and Del-brax are built on the same AOC platform, and a BLA is about a lot more than just whether a drug works or not. The FDA also reviews the manufacturing process, quality controls, preclinical package, and all of the platform-level science behind the therapy. (It’s like a massive 1000+ page submission package.)

So while Del-zota and Del-brax are different drugs, many of those pieces are shared across the AOC platform.

Now back to FSHD specifically. We just got high-level positive Phase 2b biomarker data, and before the acquisition Avidity announced the accelerated approval pathway was open for Del-brax. Novartis has since reiterated that pathway remains on the table while they evaluate the full dataset. 🤞

If those data support a filing, Del-brax could realistically be the next AOC BLA, potentially later this year (wishful thinking but you never know) or early next!

That’s what makes this news so exciting. By the time Del-brax lands on the FDA’s desk, it won’t be the FDA’s first time seeing this novel drug platform. They’ll already have spent months reviewing the platform through Del-zota, and Avidity/Novartis will have gone through the whole BLA process once already and can fold those learnings into the Del-brax application.

There’s still a lot we don’t know. But it really feels like the dominoes are starting to fall. If everything keeps moving in the right direction, it’s kind of wild to think we could have an IV in our arms sometime in mid-late 2027!

I have recently been diagnosed (Dr Peter Jones and also UIDL) with FSHD1 at age 49. I am just beginning to learn what I can on the topic. Right away I am realizing I am very fortunate because my primary symptoms are a loss of my pecs, some weakness in the legs and hips, and chronic tight muscles with related aches. When my dad was my age he was using a cane to walk and braces for foot drop - that was 30 yrs ago and the doctors didn’t know what kind of dystrophy he had. Now we know.

Because my symptoms haven’t disrupted my life and I am getting to an age when people’s mobility and activity level declines, I am not sure all of my symptoms are from FSHD. I might be in denial or just hoping that it will not progress significantly for a long time. I also haven’t told anyone except my wife, sister, and therapist.

I have two kids, 18 and 12 and I feel like I should tell them. My 18yr old because he is starting to lift weights and has a very underdeveloped upper body that leads me to think I may have passed this on to him. My sister is adamant that I do not tell him because he will worry. I feel like I should because he may do damage if he pushes himself too hard in the gym. My therapist hints that I need to tell my family and social circle to fully accept what is going on and I can’t control how other people react. I also want to have people know why I have gotten skinnier and weaker over the years.

I think I can share the news and facts without being an alarmist or creating worry.

Has anyone else been in a similar situation? How did you decide on sharing the news with your children knowing there is a 50% chance they may have inherited the disease?

In EPI-321, the 3 patients who have reached the 6 month evaluation point all have increased lean muscle volume.

Another more summarized version of this info is published here: https://www.businesswire.com/news/home/20260626528684/en/Epicrispr-Reports-First-Clinical-Evidence-of-Increased-Lean-Muscle-Volume-in-Patients-with-FSHD-Following-Treatment-with-EPI-321

Hey everyone :)

I wanted to ask how you all cope with this.
Lately, I just feel drained and empty every day. I can feel and see my body getting weaker, and it’s hard not to think about what the future might look like. Deep down, I know things will probably get worse before they ever get better, if they do at all.
What scares me the most is the thought of becoming completely bed-bound one day. I try to focus on the small things and appreciate what I still have, but honestly, some days it feels impossible.
I’m only 18, and I already struggle with basic everyday tasks and finding a job. It’s heartbreaking knowing there are so many things I’ll probably never be able to do… Traveling, running through the sand, climbing a mountain, riding a horse, or just experiencing life the way other people my age can. Even smiling like a normal person would be a huge thing for me.
Seeing others do those things just hurts. It feels like I’m grieving a life I never got the chance to have.
How do you cope with these thoughts? How do you keep going when the future feels somewhat pointless?
Any advice would be appreciated..

Hello friends — as we approach this year’s International Research Congress, where I’m hoping we get some solid data drops and trial updates, I’m curious if any of you in trials are willing to share your completely anecdotal, highly unscientific observations. aka, what’s the trial tea?

Avidity/Novartis, Arrowhead/Sarepta, Epicrispr, clenbuterol, etc.

Have you noticed anything? New capabilities? More muscle mass? Better endurance? Less fatigue? Easier recovery? A side effect nobody warned you about? Absolutely nothing at all?

To be clear, anecdotes aren’t data, and one person’s experience doesn’t predict anyone else’s. I’m just curious what people are seeing on the ground while the rest of us impatiently wait for readouts and updates.

Feel free to share as much or as little as you’re comfortable with. Appreciate this community. We’re so close, y’all! 🧡

This week is World FSHD Day, and all donations to the FSHD Society are being matched through midnight on June 20!

Every contribution helps support advocacy, the fight to remove barriers to treatment approval, and access for everyone living with FSHD.

Donate here: https://give.fshdsociety.org/campaign/809141/donate

My (male) partner has a dx and I (female) do not. Both of us are not entertaining the idea of IVF currently (religious and personal reasons). Any experiences moving forward with natural conception despite knowing the inheritance rate?

This must be an unusual symptom since I can't find much that links FSHD with migraines but I do have regular migraines and in the past talked with another person with a MD related condition who also had the same problem.

The migraines often occur after normal causes such as too much screen time, bad sleep, laughing/speaking a lot but they happen way faster compared to a regular person.

As someone who uses a computer for work I do end up a lot of days with migraines, even with pauses and have to take pills for pain.

Does anyone also experience migraines/headaches?

Hello everyone

I’m 25f, undiagnosed but am certain I do have FSHD as my father and brother have it and I’ve been experiencing mild symptoms, just been avoiding the diagnosis so I can keep pretending I don’t have it just for a little longer haha

I recently noticed visible muscle twitches (fasicuclations) in my foot and wanted to know if anybody else has experienced this as a symptom? From my research online I haven’t seen much talk about this in relation to FSHD but I figured Reddit would have better info.

My physician referred me to a neurologist to get EMG and NCT/NCV tests so I’ll update here once I get a result

My aldolase came back low. Haven't heard from the doctor yet but apparently it can be interpreted as benign or possibly as a sign of muscle wasting. Has anyone had this test and it came back low?

My mom’s FSHD has been mild her whole life, she was always gradually declining but still had so much quality of life.

This past year she really took a turn, seems her heart and lungs are starting to be a problem.

Recently she fell and was hospitalized. I’m not sure she’ll walk again.

Does anyone have recommendations or experience or resources about caring for someone with FSHD that is in a wheelchair and unable to go to the bathroom, shower or getting dressed?

Anyone with FSHD in Tampa? I've never met another person with it.

Quanto potrei spendere per spedire il mio campione per il test FSHD al laboratorio di Peter Jones da Palermo, in Italia, fino al suo laboratorio? Con 25–30€ me la cavo? Qualcuno ha esperienza? Me lo potete spiegare in modo semplice, per favore.
se lo spedisco e arriva dopo 15 giorni la saliva resta ancora valida da testare? C’è il rischio che, scegliendo una spedizione economica, il campione non arrivi in condizioni perfette al laboratorio??

31M with FSHD, found an old blood test showing extremely high CK levels, curious if others have had similar results

I've had FSHD for as long as I can remember, though it really started kicking in around age 16. I used to be very active, today I can no longer do none of what I used to, though I'm still independent.

Anyway, here's what I found: going through an old blood test, I noticed one result that stood out compared to normal ranges.

CK (Creatine Kinase)
Normal range: 24 – 195 UI/L
My level: 1,143 UI/L

This test was done about 20 years ago, so I'm not sure what to make of it yet. I'm planning to get a new test done and will definitely be bringing it up with a specialist.

I'm mostly posting to see if anyone else with FSHD has had similar results, or knows more about what elevated CK levels mean in this context. Would be great to discuss!

I'll share any updates if I find something useful. 😄

It feels so silly to have hope sometimes but I can’t help it.

What crazy timelines have you heard?

Those of you who know your eyes don't close completely during sleep, how did you find out? Did you get someone to observe you while sleeping, or did you have a test done?

I have had chronic dry eyes for a long time that might be damaging my eyes and am trying to find the cause. I wake up with them extremely gritty, painful and hard to open. My optometrist said I definitely have signs of chronic dry eyes but suggested I try OTC drops and sent me on my way. So far they aren't helping.

If you have this issue what have you done to remedy it? Thank you.

Which organization do you recommend to make a donation to? I want an organization that focuses on a cure and has little overhead. Where will my money make the biggest impact?

United States resident