Novartis' Zolgensma (onasemnogene abeparvovec) Receives MHLW's Approval for Spinal Muscular Atrophy
Shots:
- The approval is based on P-I START- START long-term follow-up- P-III STR1VE-US- P-III SPR1NT and P-I/II STRONG (intrathecal). START and STR1VE-US assess Zolgensma (one-time- IV infusion) in symptomatic SMA Type 1 patients aged <6mos. with one/two copies of the SMN2 backup gene- or two copies of the SMN2 backup gene respectively
- The P-III SPR1NT study assess Zolgensma in pre-symptomatic patients aged <6wks. at age of dosing- genetically defined by bi-allelic deletion of SMN1 with 2/3 copies of SMN2. The studies demonstrated clinically benefit in symptomatic and pre-symptomatic SMA- including prolonged event-free survival and achievement of motor milestones unseen in the natural history of the disease
- Zolgensma is a one-time gene therapy targeting the genetic root cause of the disease by replacing the function of the missing/ nonworking SMN1 gene with its expected MHLW’s reimbursement by the end H1’20
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