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REG-FDA approves Pharming’s Joenja® as first treatment for children with APDS in the U.S.

$PHARPress releaseSep 11, 2026, 1:59 PM ETRead the release

The FDA approved Pharming's supplemental New Drug Application for Joenja (leniolisib) at 40 mg and 50 mg twice-daily dosing for children aged 4 to 11 years weighing at least 27 kg with APDS, making it the first FDA-approved treatment for that pediatric population in the U.S. Approval was supported by a multinational, open-label, single-arm Phase III study showing reduced lymphadenopathy and increased naïve B cells over 12 weeks; all treatment-emergent adverse events were mild to moderate and no drug-related serious adverse events were observed. The newly approved doses are expected to reach eligible U.S.

Key figures

Drug Name
Joenja (leniolisib)
Phase Of Trial
Phase III
Pending snda
lower doses for patients aged 4 to 11 weighing 13 kg to less than 27 kg, submitted July 30
Trial design
multinational, open-label, single-arm Phase III in children aged 4 to 11; improvements in lymphadenopathy and naïve B cells over 12 weeks
Min weight kg
27
Prior approval
March 2023 for adult and pediatric patients 12 years and older
Apds prevalence
approximately 1 to 2 people per million worldwide
Approved dosing
40 mg and 50 mg twice-daily
Pediatric age range
4 to 11 years
Expected availability
October 2026
First fda approval for population
Yes

AI analysis

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    PHAR: REG-FDA approves Pharming’s Joenja® as first treatment for children with APDS in the U.S. — AI Analysis | Signal8