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Mimrylo Snags FDA Approval for First-of-Its-Kind Polycythemia Vera Treatment

In a 293-patient trial, 76.9% of treated patients needed no phlebotomy over 32 weeks, compared with 32.9% on placebo.

  • On Friday, the Food and Drug Administration approved Mimrylo, a new weekly injectable treatment for polycythemia vera, a rare blood cancer causing excessive red blood cell production.
  • Polycythemia vera affects an estimated 90,000 people in the United States, with the primary treatment goal being keeping hematocrit below 45 percent, often requiring frequent therapeutic phlebotomy that can drive iron deficiency and fatigue.
  • In the 293-patient VERIFY trial, 76.9 percent of patients taking Mimrylo required no phlebotomy over a 32-week period, compared to 32.9 percent of those receiving placebo.
  • Takeda will sell Mimrylo for about $4,200 per vial, or around $218,000 annually, holding exclusive global rights after paying Protagonist Therapeutics $300 million upfront for development.
  • Common side effects include injection site reactions and anemia, though Tanya Wroblewski, director of the FDA's Division of Nonmalignant Hematology, said the drug "offers a new, first-in-class option that has the potential to meaningfully reduce patient burden.
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STAT broke the news in Boston, United States on Sunday, August 30, 2026.
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