The FDA has delayed decisions on Regenxbio’s Hunter syndrome gene therapy and rejected PTC Therapeutics’ Friedreich’s ataxia drug vatiquinone, requesting further well-controlled studies. Stealth BioTherapeutics resubmitted its ultra-rare Barth syndrome candidate after a prior rejection and disclosed regulatory challenges. These developments highlight ongoing regulatory complexities affecting rare disease and gene therapy pipelines, influencing clinical timelines and investor confidence.