Press Release: Neurogene Reports First Quarter 2026 Financial Results and Highlights Recent Updates

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Dosed 90% of participants in Embolden$(TM)$ registrational trial of NGN-401 for Rett syndrome; on track to complete dosing in the second quarter of 2026

NGN-401 has been generally well-tolerated, with no cases of HLH at the 1E15 vg dose; additional interim Phase 1/2 data expected mid-2026

Presentation at ASGCT Meeting highlighted therapeutic rationale for ICV delivery in CNS-targeted gene therapy, including NGN-401

Strong cash position provides runway through first quarter of 2028

NEW YORK--(BUSINESS WIRE)--May 12, 2026-- 

Neurogene Inc. (Nasdaq: NGNE), a clinical-stage company founded to bring life-changing genetic medicines to patients and families affected by rare neurological diseases, today announced first quarter 2026 financial results and highlighted recent corporate updates.

"The significant unmet need in Rett syndrome and strong interest among physicians and caregivers continue to drive momentum for NGN-401, with approximately 90% of participants dosed in the Embolden(TM) registrational trial," stated Rachel McMinn, Ph.D., Founder and Chief Executive Officer of Neurogene. "We continue to be encouraged that NGN-401 at the 1E15 vg dose has been generally well-tolerated. We are laser-focused on completing dosing in Embolden in the coming weeks and look forward to providing an update on this important clinical development milestone. In parallel, we are continuing to strengthen the organization and execute on early commercial-readiness activities to support a successful potential launch of NGN-401."

First Quarter 2026 and Recent Highlights

NGN-401 Gene Therapy for the Treatment of Rett Syndrome

   --  Announced today that 90% of participants have been dosed in the 
      Embolden registrational trial, and the Company is on track to complete 
      dosing in the second quarter of 2026 
 
   --  NGN-401 at the 1E15 vg dose has been generally well-tolerated, with no 
      cases of hemophagocytic lymphohistiocytosis (HLH) in the Phase 1/2 trial 
      or Embolden as of May 11, 2026 
 
   --  Presented on the therapeutic rationale for intracerebroventricular 
      (ICV) administration of central nervous system $(CNS)$-targeted gene 
      therapy, including NGN-401, at the American Society of Gene and Cell 
      Therapy (ASGCT) Annual Meeting 
 
          --  Presentation highlighted the biological need to deliver gene 
             therapy to the key regions of the brain underlying disease, 
             supported by preclinical data demonstrating broader CNS 
             biodistribution to brain regions central to Rett syndrome 
             pathophysiology, as compared with intrathecal lumbar (IT-L) 
             administration 
 
 

Additional Corporate Updates

   --  Strengthened the leadership team with the appointment of Christy Shafer 
      as Chief Commercial Officer and Christine Mikail, J.D., President and CFO 
      of Neurogene, to the Board of Directors 
 
          --  Ms. Shafer brings more than 20 years of industry experience 
             building and leading high-performing commercial organizations and 
             launching therapies for rare neurological diseases 
 
          --  Ms. Mikail brings to the Board deep expertise in strategic 
             transactions, capital formation, and corporate development, with a 
             track record of building and positioning companies for long-term 
             value creation 
 
 

Key Anticipated NGN-401 Milestones in 2026

   --  Complete dosing of participants in the Embolden registrational trial in 
      the second quarter of 2026 
 
   --  Present updated interim safety and efficacy data on the pediatric and 
      adolescent/adult cohorts from the Phase 1/2 trial, including at least 12 
      months of follow-up for all 10 participants, in mid-2026 
 
   --  Initiate Process Performance Qualification (PPQ) campaign in mid-2026 
 
 
   --  Continue early commercial-readiness activities 

Upcoming Events

   --  H.C. Wainwright 4th Annual BioConnect Investor Conference: Management 
      will participate in a fireside chat at 11:30 a.m. ET on May 19 and 
      participate in investor meetings 
 
   --  Goldman Sachs 47th Annual Global Healthcare Conference: Management will 
      participate in a fireside chat at 2:40 p.m. ET on June 8 and participate 
      in investor meetings 

First Quarter 2026 Financial Results

   --  Cash, Cash Equivalents and Short-Term Investments: Cash, cash 
      equivalents and short-term investments as of March 31, 2026 were $243.2 
      million and are expected to fund planned operations through the first 
      quarter of 2028. 
 
   --  Research & Development (R&D) Expenses: R&D expenses were $25.2 million 
      for the three months ended March 31, 2026, compared to $17.8 million for 
      the three months ended March 31, 2025. The increase in R&D expenses for 
      the three months ended March 31, 2026 was primarily driven by an increase 
      in Rett syndrome clinical trial costs of NGN-401, chemistry, 
      manufacturing and controls $(CMC)$ costs to support NGN-401 and 
      employee-related expenses due to an increase in R&D headcount. The 
      increase was partially offset by decreases in spending on the CLN5 Batten 
      disease program and early discovery. 
 
   --  General & Administrative (G&A) Expenses: G&A expenses were $8.2 million 
      for the three months ended March 31, 2026 and the three months ended 
      March 31, 2025. Higher costs related to corporate and pre-commercial 
      activities, along with increased employee-related expenses and 
      professional fees, were offset by a decrease in non-cash stock-based 
      compensation expense. 
 
   --  Net Loss: Net loss was $30.9 million for the three months ended March 
      31, 2026, compared to $22.6 million for the three months ended March 31, 
      2025. 

About Neurogene

Neurogene $(NGNE)$ is a clinical-stage biotechnology company focused on developing life-changing genetic medicines for people and their families impacted by devastating neurological diseases. The Company is using a biology-first approach paired with optimized delivery to develop purpose-built genetic medicines, including programs powered by its novel and proprietary EXACT(TM) transgene regulation technology. Neurogene is advancing its lead gene therapy program, NGN-401, as a potential best-in-class, one-time treatment for Rett syndrome. For more information, visit neurogene.com or follow on LinkedIn.

About NGN-401

NGN-401 is an investigational AAV9 gene therapy in late-stage clinical development as a potential best-in-class, one-time treatment for Rett syndrome. It is the only clinical candidate to deliver the full-length human MECP2 gene and includes Neurogene's EXACT(TM) transgene regulation technology, which is designed to deliver consistent, tightly controlled MeCP2 protein expression on a cell-by-cell basis. NGN-401 is delivered through intracerebroventricular administration to achieve the broadest targeting directly to the brain and nervous system based on nonclinical biodistribution data. NGN-401 is being evaluated in the Embolden(TM) registrational clinical trial. Interim data from the Phase 1/2 trial (as of October 30, 2025) have shown that participants experienced multidomain, durable gains with continued skill acquisition observed over time, and NGN-401 at the 1E15 vg dose has been generally well-tolerated. NGN-401 has received Breakthrough Therapy, Regenerative Medicine Advanced Therapy, Fast Track, Orphan Drug and Rare Pediatric Disease designations and selection for the START Pilot Program from the U.S. Food and Drug Administration, Advanced Therapy Medicinal Product, Orphan and Priority Medicines designations from the European Medicines Agency and Innovative Licensing and Application Pathway designation from the United Kingdom Medicines and Healthcare products Regulatory Agency.

Cautionary Note Regarding Forward-Looking Statements

Statements in this press release are made as of the date of this press release. Neurogene does not undertake any obligation to make any updates to these statements to reflect events that occur or circumstances that arise after the date of this press release, except as may be required under applicable U.S. securities law.

Statements in this press release which are not historical in nature are intended to be, and hereby are identified as, forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995. These statements may discuss goals, intentions and expectations as to future plans, trends, events, results of operations or financial condition, or otherwise, based on current expectations and beliefs of the management of Neurogene, as well as assumptions made by, and information currently available to, management of Neurogene, including, but not limited to, statements regarding: the therapeutic potential and utility, efficacy and clinical benefits of NGN-401; the safety and tolerability profile of NGN-401; the applicability of reported interim results from the NGN-401 Phase 1/2 clinical trial to other participants or potential participants, including adolescent or adult patients; the potential for NGN-401 to be a best-in-class gene therapy for Rett syndrome; trial designs and clinical development plans for the Company's Embolden registrational clinical trial of NGN-401 for Rett syndrome, including timing of anticipated dosing and completion of participant dosing in the Company's clinical trial and the expected timeline of its PPQ activities for its CMC requirements; the response rate, expected durability and deepening of clinical data results from our NGN-401 clinical trial; the potential for future approval for commercialization of NGN-401 as a treatment for Rett syndrome; commercial launch readiness for NGN-401; expected timing for release of additional data from the Company's Phase 1/2 clinical trial of NGN-401; the potential for success of the Embolden registrational clinical trial of NGN-401 for Rett syndrome; the clinical benefit of delivering

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May 12, 2026 16:05 ET (20:05 GMT)

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