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Organogenesis Completes Rolling Submission of Biologics License Application for ReNu®

(Moderate)
(Positive)
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Organogenesis (Nasdaq: ORGO) completed a rolling Biologics License Application (BLA) submission to the FDA for ReNu, a cryopreserved amniotic suspension allograft for symptomatic knee osteoarthritis (OA).

The company began rolling submission in December 2025 and finished with clinical and CMC modules on April 28, 2026. Knee OA affects an estimated 31.1 million Americans, projected to reach 34.4 million by 2027.

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Positive

  • Completed rolling BLA submission to FDA for ReNu
  • Submission includes both clinical and CMC modules
  • Addresses large U.S. patient base: 31.1M current, 34.4M projected by 2027

Negative

  • Regulatory outcome uncertain; approval depends on FDA review
  • No approval or commercial timing announced with submission completion

News Market Reaction – ORGO

-4.17%
-4.17% Session close to close

In the Apr 29 session, ORGO declined 4.17%, reflecting a moderate negative market reaction.

Data tracked by StockTitan Argus on the day of publication.

Market Context

This announcement marks completion of the rolling BLA submission for ReNu, a cryopreserved amniotic ...
Analysis

This announcement marks completion of the rolling BLA submission for ReNu, a cryopreserved amniotic suspension allograft targeting symptomatic knee osteoarthritis, a condition affecting nearly 31.1 million Americans and projected to reach 34.4 million by 2027. It builds on prior FDA engagement confirming the rolling BLA path. Recent history shows ORGO balancing solid 2025 financial performance with a lower 2026 revenue outlook. Investors may watch FDA review progress and future updates on ReNu’s regulatory status and commercialization plans.

Key Figures

DFU trial size: 170 patients Knee OA prevalence: 31.1 million Americans Knee OA 2027 projection: 34.4 million Americans +5 more
8 metrics
DFU trial size 170 patients PuraPly AM randomized controlled DFU trial primary endpoint
Knee OA prevalence 31.1 million Americans Estimated current knee osteoarthritis patient population in U.S.
Knee OA 2027 projection 34.4 million Americans Projected U.S. knee osteoarthritis population by 2027
2025 net product revenue $563.0M Full-year 2025 net product revenue
Q4 2025 net product revenue $225.1M Fourth quarter 2025 net product revenue
2025 net income $37.0M Full-year 2025 net income
2025 adjusted EBITDA $98.1M Full-year 2025 adjusted EBITDA
Cash balance $94.3M Cash as of Dec 31, 2025; no outstanding debt

Historical Context

5 past events · Latest: Apr 06 (Positive)
Pattern 5 events
Date Event Sentiment 24h Move Catalyst
Apr 06 Clinical trial data Positive +0.9% PuraPly AM trial met primary endpoint in DFU with statistically significant closure.
Apr 06 Regulatory update Positive +0.9% FDA Type B meeting confirmed ReNu program suitability for rolling BLA by end 2025.
Apr 06 Earnings date set Neutral +0.0% Announcement of Q1 2026 earnings release and conference call on May 7, 2026.
Feb 26 Earnings results Negative -13.2% Record 2025 results paired with 2026 revenue guidance of $350M–$420M, below 2025.
Feb 19 Earnings date set Neutral +0.3% Notice of Q4 and FY 2025 earnings release and related conference call timing.

24h Move is the share-price change in the day after each event; other market factors may also have contributed.

Pattern Detected

Recent news—clinical, regulatory, and earnings-related—has generally seen price reactions align with the underlying news sentiment.

Recent Company History

Over the past few months, ORGO reported positive clinical data for PuraPly AM in a 170-patient DFU trial and outlined an FDA-supported rolling BLA plan for ReNu. It also posted record 2025 results with net product revenue of $563.0M but guided to lower 2026 revenue of $350M–$420M, which coincided with a notable share decline of -13.24%. Today’s completion of the ReNu BLA rolling submission builds directly on the prior FDA meeting and BLA plan.

Key Terms

biologics license application, food and drug administration, fda, amniotic suspension allograft, +2 more
6 terms
biologics license application regulatory
"announced the completion of a rolling Biologics License Application (BLA) submission"
A biologics license application is a formal request submitted to regulatory authorities seeking approval to market a new biological medicine, such as vaccines or treatments made from living organisms. It is a comprehensive review process that evaluates the safety, effectiveness, and manufacturing quality of the product. For investors, receiving approval signals that a biological therapy can be sold to the public, potentially leading to revenue growth and market success.
food and drug administration regulatory
"submission to the Food and Drug Administration (FDA) for ReNu®"
A government agency that reviews and regulates medicines, medical devices, food safety, and related products to ensure they are safe and effective for public use. Investors watch its actions like a referee’s calls: approvals, warnings, inspections or recalls can directly affect a product’s ability to reach the market, a company’s sales and costs, and overall business risk and valuation.
fda regulatory
"productive discussions with the FDA during the review process."
The FDA is the U.S. federal agency that evaluates and approves medical drugs, devices, biological therapies and certain foods; think of it as the gatekeeper that decides whether a medical product is safe and effective for patients. For investors, FDA decisions determine whether a company can sell a product, affect expected revenue and introduce regulatory risk, so approvals, rejections or safety warnings can quickly move a company's valuation and stock price.
amniotic suspension allograft medical
"ReNu®, a cryopreserved, amniotic suspension allograft developed for the management"
A biologic product made by processing the amniotic membrane and fluid from donated placentas into a cell- and tissue-rich liquid that clinicians inject or apply to help tissue healing and reduce inflammation. Think of it as a concentrated, natural 'healing soup' that supplies growth factors and structural proteins to injured tissues. Investors care because clinical results, regulatory approval, supply controls and reimbursement determine commercial potential and risks.
knee osteoarthritis medical
"developed for the management of symptomatic knee osteoarthritis (OA)."
A degenerative condition in which the cushioning tissue in the knee joint gradually wears away, causing pain, stiffness and reduced mobility. For investors it matters because it creates steady demand for medicines, medical devices, surgeries and rehabilitation services, influences healthcare costs and reimbursement decisions, and drives clinical trials and regulatory reviews—similar to how a worn-out shock absorber creates a predictable need for repairs or replacements.
degenerative joint disease medical
"Knee OA is a degenerative joint disease that is estimated to affect nearly"
Degenerative joint disease is a chronic condition where the cushioning and smooth surfaces in a joint break down over time, similar to a door hinge wearing and becoming stiff and noisy. It matters to investors because it drives demand for medical treatments, surgeries, devices and long-term care, affecting revenue and costs across drugmakers, device makers, hospitals and insurers; trends in prevalence and new therapies can change market opportunities and risks.

AI-generated analysis. How Rhea-AI works. Not financial advice.

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If approved, ReNu® will revolutionize treatment options for millions of patients with knee OA pain

CANTON, Mass., April 28, 2026 (GLOBE NEWSWIRE) -- Organogenesis Holdings Inc. (Nasdaq: ORGO), a leading regenerative medicine company focused on the development, manufacture and commercialization of product solutions for the Advanced Wound Care and Surgical and Sports Medicine markets, today announced the completion of a rolling Biologics License Application (BLA) submission to the Food and Drug Administration (FDA) for ReNu®, a cryopreserved, amniotic suspension allograft developed for the management of symptomatic knee osteoarthritis (OA).

“We are pleased to complete the BLA submission for ReNu®, which represents a significant milestone in our drive to bring a new regenerative therapy to knee OA patients,” said Patrick Bilbo, Chief Operating Officer of Organogenesis. “We are confident in the progress of our regulatory engagement and look forward to continuing our productive discussions with the FDA during the review process.”

Organogenesis initiated the rolling BLA submission in December 2025 with non-clinical modules and has now completed the application with the submission of the clinical and chemistry, manufacturing, and controls (CMC) modules.

Knee OA is a degenerative joint disease that is estimated to affect nearly 31.1 million Americans and projected to grow to 34.4 million Americans by 2027. It is ranked among the most common causes of disability and poor quality of life, generally characterized by pain and functionality deficits. End stage management of the disease in these patients is typically a total knee replacement when all other treatment options are exhausted.

About ReNu®
ReNu is a cryopreserved, amniotic suspension allograft developed for the management of symptomatic knee osteoarthritis. ReNu consists of amniotic fluid cells and micronized amniotic membrane and contains cellular, growth factor, and extracellular matrix components. ReNu has been studied in three large RCTs consisting of more than 1,300 patients and received FDA RMAT designation for Knee OA in 2021. ReNu was previously marketed under Section 361 of the Public Health Service Act and was commercially available for approximately six years.

About Organogenesis Holdings Inc. 

Organogenesis Holdings Inc. is a leading regenerative medicine company focused on the development, manufacture, and commercialization of solutions for the advanced wound care and surgical and sports medicine markets. Organogenesis offers a comprehensive portfolio of innovative regenerative products to address patient needs across the continuum of care. For more information, visit www.organogenesis.com.  

Forward-Looking Statements
This release contains forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995. These forward-looking statements relate to expectations or forecasts of future events. Forward-looking statements may be identified by the use of words such as “planned,” “intend,” “seek,” “anticipate,” “believe,” “expect,” “confident,” “estimate,” “potential” and other similar expressions that predict or indicate future events or trends or that are not statements of historical matters, including statements regarding the anticipated impact ReNu, if approved, will have on treatment options. These statements concern, and these risks and uncertainties include, among others: the risks and uncertainties inherent in clinical development; determinations by regulatory and administrative governmental authorities which may delay or restrict our ability to develop or commercialize ReNu; the likelihood and timing of possible regulatory approval and commercial launch of ReNu; the FDA may conclude the data we submit for ReNu is not sufficient for BLA approval; the FDA may require additional evidence for ReNu before we can get a BLA approved, which we may not be able to obtain; that other clinical trials of ReNu may produce different results; ongoing regulatory obligations and oversight impacting ReNu; unforeseen safety issues resulting from the administration of ReNu in patients; competing products and product candidates that may be superior to our products and product candidates; uncertainty of market acceptance and commercial success of ReNu and the impact of studies (whether conducted by us or others and whether mandated or voluntary) on the commercial success of ReNu; our ability to manufacture and manage supply components for ReNu; the availability and extent of reimbursement of ReNu from third-party payers, including private payer healthcare and insurance programs and government programs such as Medicare and Medicaid; coverage and reimbursement determinations by such payers, including local coverage determinations by Medicare Part A/B Medicare Administrative Contractors; new policies and procedures adopted by such payers; unanticipated expenses; the costs of developing, producing, and selling ReNu; our ability to meet our sales or other financial projections or guidance and changes to the assumptions underlying those projections or guidance;  and other risks and uncertainties described in the Company's filings with the Securities and Exchange Commission, including Item 1A (Risk Factors) of the Company's Form 10-K for the year ended December 31, 2025 and its subsequently filed periodic reports. You are cautioned not to place undue reliance upon any forward-looking statements, which speak only as of the date made. Although it may voluntarily do so from time to time, the Company undertakes no commitment to update or revise the forward-looking statements, whether as a result of new information, future events or otherwise, except as required by applicable securities laws. 



Investor Inquiries: ICR Healthcare Mike Piccinino, CFA OrganoIR@westwicke.com
Press and Media Inquiries: Organogenesis Communications@organo.com

FAQ

What did Organogenesis (ORGO) announce about ReNu on April 28, 2026?

They completed a rolling BLA submission to the FDA for ReNu, finishing clinical and CMC modules. According to the company, the submission began in December 2025 and concluded with the final modules filed on April 28, 2026.

What is ReNu and what condition does ReNu target (ORGO)?

ReNu is a cryopreserved amniotic suspension allograft intended to manage symptomatic knee osteoarthritis. According to the company, it is developed as a regenerative therapy for pain and function deficits in knee OA patients.

Does completion of the rolling BLA mean ReNu is FDA approved for ORGO?

No, completion of the rolling BLA does not equal FDA approval; it starts the formal review process. According to the company, the FDA review will follow submission of clinical and CMC modules and any outcome will be determined by the agency.

When did Organogenesis begin the rolling BLA submission for ReNu (ORGO)?

They began the rolling BLA submission in December 2025 with non-clinical modules. According to the company, the process started with non-clinical filings and concluded with clinical and CMC modules on April 28, 2026.

How many U.S. patients could ReNu potentially address if approved (ORGO)?

ReNu targets knee osteoarthritis affecting an estimated 31.1 million Americans today. According to the company, knee OA is projected to affect about 34.4 million Americans by 2027, underscoring the potential patient population size.