Request an invite

Qalsody: how long were the pivotal tox studies?

tofersen · SOD1 (ASO)
Longest pivotal study
39 weeks
“Repeat IT dosing with 0, 4, 12, and 35 mg tofersen every 2 weeks for a 9-month period resulted in uncoordinated leg movement and transient impairments of patellar and foot-grip reflexes in HDM and HDF.”
✓ VerifiedFDA integrated review, p. 180Source ↗
Pivotal GLP studies
Monkey IT Q2W 13-week and 9-month; mouse SC 12- and 26-week; rat single-dose IT; full genetox and DART
“Nonclinical toxicity studies submitted to the NDA consisted of single dose (rat) and repeat dose (mouse and monkey) general toxicity studies, as well a complete battery of genetic toxicology and reproductive and developmental toxicology studies.”
✓ VerifiedFDA integrated review, p. 84Source ↗
Route in tox
Intrathecal bolus (monkey, rat; clinical route); subcutaneous (mouse, rabbit) for systemic exposure
“SC administration of 0, 6, 30, and 150 mg/kg tofersen every other week for 26 weeks in male and female CD1 mice resulted in dose-dependent reductions in platelet counts in males (up to 20%) and in HDF (13%).”
✓ VerifiedFDA integrated review, p. 180Source ↗

Same question, other oligonucleotides

Amvuttra

vutrisiran · TTR (siRNA)
40 weeks

Dawnzera

donidalorsen · Prekallikrein / KLKB1 (ASO)
39 weeks

Givlaari

givosiran · ALAS1 (siRNA)
39 weeks

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

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

Wainua

eplontersen · TTR (ASO)
39 weeks

Waylivra

volanesorsen · APOC3 (ASO)
39 weeks

Summary across all 24 oligonucleotides →