The brief
- Regeneron has $10B+ annual revenue, spanning monoclonal antibodies (Eylea, Dupixent), RNA therapeutics, and gene therapies.
- Otarmeni is the first FDA-approved gene therapy for inherited deafness, delivering OTOF gene to inner ear hair cells.
- In trials, 80% showed improved hearing; 42% achieved normal hearing levels.
Technical approach
Engineered virus delivers functional OTOF gene
AAV carries OTOF DNA to inner ear hair cells, which produce otoferlin protein needed for sound transmission.
One cochlear infusion under anesthesia
Single procedure like cochlear implant surgery. No repeated doses or systemic toxicity observed in trials.
Otoferlin enables sound transmission
OTOF mutations cause congenital deafness. Gene delivery restores hair cell function and sound perception.

