FDA Approves Spinraza for Spinal Muscular Atrophy

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FDA has approved Biogen’s Spinraza (nusinersen) for treating children and adults with spinal muscular atrophy (SMA). Spinraza, the first drug indicated for this condition, is an injection administered into the fluid surrounding the spinal cord, FDA said in an announcement.

The agency said it worked closely with Biogen and Ionis Pharmaceuticals, which developed the drug, during development to help design and implement the analysis upon which the approval was based. Spinraza’s efficacy was demonstrated in a clinical trial of 121 patients with infantile-onset SMA who were diagnosed before six months of age and who were less than seven months at the time of their first dose. The trial reportedly assessed the percentage of patients with improvement in motor milestones such as head control, sitting, ability to kick in supine position, rolling, crawling, standing, and walking. Some 40% of patients treated with Spinraza achieved improvement in motor milestones as defined in the study, while none of the control patients did.

FDA says that the most common side effects in clinical trial participants were upper respiratory infection, lower respiratory infection, and constipation. The drug’s labeling includes Warnings and Precautions for low blood platelet count and kidney toxicity.

The drug’s application was granted fast track designation, priority review, and orphan drug designation. The sponsor is being given a rare pediatric disease priority review voucher that can be redeemed in the future for priority review of a different product’s marketing application.

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