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August 12, 2021Drug SafetyOpen Access

Clinical Trial and Postmarketing Safety of Onasemnogene Abeparvovec Therapy

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Why the study?

To comprehensively describe the safety data for intravenous onasemnogene abeparvovec across preclinical studies, clinical studies, and postmarketing sources.

What is the safety profile of intravenous onasemnogene abeparvovec in patients with spinal muscular atrophy?

Population

102 patients in clinical trials, 665 postmarketing adverse event cases, and preclinical animal models

Authors

JMJerry R. MendellNationwide Children's Hospital
Eugenio Mercuri
Eugenio MercuriUniversity of Siena
RFRichard S. FinkelHeart Failure / Cardiomyopathy

Discussion

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Implication

Initial safety data for onasemnogene abeparvovec now available; leaves open long-term risk assessment in spinal muscular atrophy.

Structured PICO

What is the safety profile of intravenous onasemnogene abeparvovec in patients with spinal muscular atrophy?

P
Population
Patients with spinal muscular atrophy (clinical trials n=102, postmarketing n=665 adverse event cases) and preclinical models (neonatal mice, juvenile or neonatal cynomolgus nonhuman primates).
I
Intervention
Intravenous onasemnogene abeparvovec
O
Outcome
Safety (assessed through adverse event monitoring, vital-sign and cardiac assessments, laboratory evaluations, physical examinations, and concomitant medication use)safety

Intravenous onasemnogene abeparvovec therapy is associated with manageable safety risks, including hepatotoxicity that resolves with prednisolone, transient thrombocytopenia, and thrombotic microangiopathy.

Cite This Study

Mendell et al. (2021) studied this question.

synapsesocial.com/papers/6a952cde2fdd6c151ff22846https://doi.org/10.1007/s40264-021-01107-6
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Also Consider

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  1. 1Diagnosis and management of spinal muscular atrophy: Part 2: Pulmonary and acute care; medications, supplements and immunizations; other organ systems; and ethics2017 · 703 citations
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  4. 4Hepatotoxicity following administration of onasemnogene abeparvovec (AVXS-101) for the treatment of spinal muscular atrophy2020 · 318 citations
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