Cell Therapy for Pediatric Spinal Muscular Atrophy OK’d

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FDA has approved an AveXis BLA for Zolgensma (onasemnogene abeparvovec-xioi), the first gene therapy approved to treat children less than two years of age with spinal muscular atrophy (SMA), a severe form of SMA and a leading genetic cause of infant mortality.

 

FDA says that the rare genetic disease is caused by a mutation in the survival motor neuron gene. The gene encodes the survival motor neuron (SMN) protein, which is found throughout the body and critical for the maintenance and function of motor neurons. “Motor neurons in the brain and spinal cord control muscle movement throughout the body,” an agency release says. “If there is not enough functional SMN protein, then the motor neurons die, leading to debilitating and often fatal muscle weakness.”

 

Zolgensma is an adeno-associated virus vector-based therapy that targets the cause of SMA. “The vector delivers a fully functional copy of human SMN gene into the target motor neuron cells,” FDA says. “A one-time intravenous administration of Zolgensma results in expression of the SMN protein in a child's motor neurons, which improves muscle movement and function, and survival of a child with SMA. Dosing is determined based on the weight of the patient.”

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