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Defitelio: how long were the pivotal tox studies?

defibrotide · Fragmented DNA oligonucleotides
Longest pivotal study
13 weeks
“or vehicle was administered as a 2-hour intravenous infusion at a rate of 2.5 mL/kg/hour four times daily for 13 consecutive weeks.”
✓ VerifiedFDA pharmacology/toxicology review, p. 137Source ↗
Pivotal GLP studies
Rat continuous IV infusion for 9 weeks; dog IV infusion of 2 h every 6 hours, 4 times daily, for 13 weeks
“Rats were given defibrotide by continuous iv infusion for 9 weeks. Dogs were given defibrotide by i.v. infusion of 2 h duration every 6 hours 4 times daily for 13 weeks.”
✓ VerifiedEMA assessment report, p. 20Source ↗
Route in tox
Intravenous infusion
“To support the current application, single-dose and repeat-dose toxicity studies were performed in rats and dogs with intravenous infusion.”
✓ VerifiedEMA assessment report, p. 24Source ↗

Same question, other oligonucleotides

Amvuttra

vutrisiran · TTR (siRNA)
40 weeks

Cyfendus

anthrax vaccine adsorbed, adjuvanted · TLR9 (CpG 7909 adjuvant)
4 (adult rat repeat-dose study, full human dose on SD 1, 15, 29)

Dawnzera

donidalorsen · Prekallikrein / KLKB1 (ASO)
39 weeks

Givlaari

givosiran · ALAS1 (siRNA)
39 weeks

Heplisav-B

hepatitis B vaccine (recombinant), adjuvanted · TLR9 (CpG 1018 adjuvant)
8 (rat and cynomolgus monkey, weekly SC CpG 1018 alone)

Izervay

avacincaptad pegol · C5 (aptamer)
39 weeks

Kynamro

mipomersen · APOB (ASO)
52 weeks

Leqvio

inclisiran · PCSK9 (siRNA)
40 weeks

Macugen

pegaptanib · VEGF-165 (aptamer)
39 weeks

Onpattro

patisiran · TTR (siRNA)
39 weeks

Oxlumo

lumasiran · HAO1 (siRNA)
36 weeks

Qalsody

tofersen · SOD1 (ASO)
39 weeks

Qfitlia

fitusiran · Antithrombin / SERPINC1 (siRNA)
39 weeks

Redemplo

plozasiran · APOC3 (siRNA)
37 weeks

Rivfloza

nedosiran · LDHA (siRNA)
39 weeks

Rytelo

imetelstat · Telomerase (oligo)
39 weeks

Spinraza

nusinersen · SMN2 (ASO)
53 weeks

Tegsedi

inotersen · TTR (ASO)
39 weeks

Viltepso

viltolarsen · DMD exon 53 (PMO)
39 weeks

Vitravene

fomivirsen · CMV IE2 mRNA (ASO)
13 weeks

Wainua

eplontersen · TTR (ASO)
39 weeks

Waylivra

volanesorsen · APOC3 (ASO)
39 weeks

Summary across all 28 oligonucleotides →