Rare Genetic & MetabolicOrphan cornerData as of 2026-09-04
Cystic Fibrosis sits in the orphan corner of the map: 4 developers, none of them large, with a median market cap of $605M against a $1.20B universe median.
A thin field of small caps usually means a narrow addressable population, so the whole field can be repriced by one readout or one financing.
KRYS alone accounts for 88% of the $12.5B of market capitalisation competing here, so this is a leader plus a tail rather than a level race.
$3.1B of allocated capital sits in Cystic Fibrosis, 66th of 299 indications, and 2 of the 4 companies are pure plays that trade on this indication alone.
| Ticker | Company | Lead asset | Phase | Trials | Market cap | Pure play | Indications | Next catalyst |
|---|---|---|---|---|---|---|---|---|
| FDMT | 4D Molecular Therapeutics | 4D-710 | Phase 2 | 1 | $768M | No | 4 | 30 Sep 2026 |
| ARCT | Arcturus Therapeutics Holdings | ARCT-032 | Phase 2 | 1 | $442M | Yes | 1 | 30 Sep 2026 |
| SION | Sionna Therapeutics | SION-719 | Phase 2 | 4 | $305M | Yes | 1 | No dated event |
| KRYS | Krystal Biotech | KB407 | Phase 1 | 1 | $11.0B | No | 5 | 31 Dec 2026 |
Sorted by phase, then by market capitalisation. Ticker links open the company profile. KRYS holds 88% of the $12.5B competing in this indication.
A thin field of small caps. Few competitors, none of them large.
Rare Genetic & Metabolic holds $103B of the map's capital, 15.3% of the total, spread across 32 indications and 48 companies. 10 of those indications have more than one company competing.
See every Rare Genetic & Metabolic indication on the map4D Molecular Therapeutics (FDMT, 4D-710, Phase 2); Arcturus Therapeutics Holdings (ARCT, ARCT-032, Phase 2); Sionna Therapeutics (SION, SION-719, Phase 2); Krystal Biotech (KRYS, KB407, Phase 1). Those are the 4 US-listed developers in the $100M to $20B market cap band with a clinical-stage programme in Cystic Fibrosis.
Of the 4 clinical-stage programmes in Cystic Fibrosis, 0 are in Phase 3 or filed, 3 are in mid-stage development and 1 is in early-stage development.
KRYS is the largest developer in Cystic Fibrosis, holding 88% of the $12.5B of market capitalisation competing in the indication. The median competitor is worth $605M.
The next dated catalyst in Cystic Fibrosis is FDMT on 30 Sep 2026. 3 dated events across the field fall in the next 12 months.
Allocated capital divides each company’s market capitalisation evenly across the indications it is running clinical programmes in, so every dollar of the universe is counted exactly once. Total market capitalisation competing counts a company in each of its indications and therefore sums to more than the universe.
Third-party market size estimates are not used anywhere on this page. Approved incumbents are excluded from competitor counts, and companies above $20B are outside the universe by construction.
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