Astellas Thins Pipeline, Halts AT132

By: Editorial Team

April 27, 2026


  • Company: Astellas Pharma
  • Actions: Halt AT132, drop ASP5502/ASP1570
  • Cost: 16.4B yen (~$103M) impairment
  • Replacement: ASP2957 (Phase 1/2)
  • Next steps: Dyno capsid partnership

What happened?

Astellas Pharma announced on 27 April 2026 it halted development of AT132 (resamirigene bilparvovec) gene therapy for X-linked myotubular myopathy (XLMTM) and terminated Phase 1 trials of ASP5502 (STING inhibitor for Sjögren’s) and ASP1570 (cancer candidate). The moves incur a 16.4 billion yen (~$103M) impairment.

Why does it matter?

AT132’s history of safety issues (4 patient deaths from liver failure, FDA hold) prompted the pivot to ASP2957, which uses a muscle-specific AAV capsid enabling 100-fold lower dosing with reduced liver targeting. Reflects Astellas’ focus on promising assets amid pipeline prioritisation.

Who’s behind it?

AT132 originated from 2019’s $3B Audentes acquisition. ASP2957 licensed from Kate Therapeutics (2023, later Novartis-acquired). CEO Naoki Okamura emphasised resource allocation to high-potential programmes.

How was it achieved?

Preclinical data favoured ASP2957’s superior muscle tropism. AT132 long-term follow-up continues for enrolled patients. Terminations of ASP5502/ASP1570 were business decisions, not safety-related.

What’s next?

Advance ASP2957 in Phase 1/2 enrolment; leverage recent $15M Dyno Therapeutics deal for optimised muscle AAVs. Continue ASPIRO trial data readouts.

What are people saying?

Naoki Okamura, CEO: “ASP2957 enables clinical study… 100-fold lower than AT132… focus on ASP2957 development.” Astellas spokesperson: “Impairment not due to safety… complete 5-year follow-up.”

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