Drug updated on 12/11/2024
Dosage Form | Injection (intravenous; 250 mg/5 mL [50 mg/mL]) |
Drug Class | Antisense oligonucleotides |
Ongoing and Completed Studies | ClinicalTrials.gov |
Indication
- Indicated for the treatment of Duchenne muscular dystrophy (DMD) in patients who have a confirmed mutation of the DMD gene that is amenable to exon 53 skipping.
Latest News
Summary
- This summary is based on the review of three randomized controlled trial(s). [1-3]
- Time to Stand from Supine (TTSTAND): Viltolarsen-treated patients demonstrated stabilization of TTSTAND over 109 weeks, with significant slowing of motor function decline over the 192-week term extension (LTE) study compared to the historical control group, which experienced decline. In the 24-week trial, TTSTAND improved in the viltolarsen group (-0.19 s) compared to controls (0.66 s).
- Time to Run/Walk 10 Meters and 6-Minute Walk Test (6MWT): The 24-week trial showed improved walking speed in viltolarsen-treated participants (0.23 m/s) versus controls (-0.04 m/s). Viltolarsen-treated participants also improved their 6MWT distance (+28.9 m) compared to a decline in controls (-65.3 m).
- Motor Function Stabilization: Viltolarsen treatment resulted in motor function stabilization, with significant differences from historical controls at several time points, supporting long-term benefits in slowing disease progression in boys with Duchenne muscular dystrophy (DMD) amenable to exon 53 skipping.
- Viltolarsen was well tolerated across all studies, with most treatment-emergent adverse events being mild or moderate, and no serious adverse events, deaths, or discontinuations reported. In the 192-week LTE and 24-week trials, there were no treatment-related serious adverse events, no participants discontinued due to adverse effects, and no dose reductions or interruptions were required.
- All studies included boys aged 4 to <10 years with Duchenne muscular dystrophy (DMD) amenable to exon 53 skipping, demonstrating significant drug-induced dystrophin production (mean de novo dystrophin levels: 5.7%–5.9% of normal) across both low-dose and high-dose cohorts in the 24-week trial.
Product Monograph / Prescribing Information
Document Title | Year | Source |
---|---|---|
Viltepso (viltolarsen) Prescribing Information. | 2021 | NS Pharma, Inc., Paramus, NJ |
Randomized Controlled Trials
Document Title | Sex Distribution | Year | Source |
---|---|---|---|
Efficacy and Safety of Viltolarsen in Boys With Duchenne Muscular Dystrophy: Results From the Phase 2, Open-Label, 4-Year Extension Study | 16Subjects F: 0% M: 100% | 2023 | Journal of Neuromuscular Diseases |
Long-Term Functional Efficacy and Safety of Viltolarsen in Patients with Duchenne Muscular Dystrophy | 16Subjects F: 0% M: 100% | 2022 | Journal of Neuromuscular Diseases |
Safety, Tolerability, and Efficacy of Viltolarsen in Boys With Duchenne Muscular Dystrophy Amenable to Exon 53 Skipping: A Phase 2 Randomized Clinical Trial | 16Subjects F: 0% M: 100% | 2020 | JAMA Neurology |
Sex Distribution:
F:0%
M:100%
16Subjects
Year:
2023
Source:Journal of Neuromuscular Diseases
Document Title
Sex Distribution:
F:0%
M:100%
16Subjects
Year:
2022
Source:Journal of Neuromuscular Diseases
Sex Distribution:
F:0%
M:100%
16Subjects
Year:
2020
Source:JAMA Neurology