Givinostat

(Duvyzat®)

Givinostat

Drug updated on 12/11/2024

Dosage FormOral (suspension; 8.86 mg/mL)
Drug ClassHistone deacetylase (HDAC) inhibitors
Ongoing and
Completed Studies
ClinicalTrials.gov

Indication

  • Indicated for the treatment of Duchenne muscular dystrophy (DMD) in patients 6 years of age and older.

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Summary
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  • This summary is based on the review of one randomized controlled trial. [1]
  • In ambulant boys with Duchenne muscular dystrophy, the givinostat group showed a significantly smaller decline in the four-stair climb assessment compared to the placebo group, with a geometric least squares mean ratio of 0.86 (95% confidence interval (CI) 0.745-0.989, p=0.035).
  • The study focused on male children aged 6 years or older with Duchenne muscular dystrophy, specifically targeting those stratified by baseline vastus lateralis fat fraction (VLFF) between 5% and 30% (Group A), where the primary endpoint demonstrated statistical significance favoring givinostat.
  • The most common adverse events in the givinostat group were diarrhea (36%) and vomiting (29%), compared to 18% and 13%, respectively, in the placebo group. No treatment-related deaths were reported.
  • The dose of givinostat was reduced following an interim safety analysis, and an ongoing extension study is evaluating the long-term safety and efficacy of the drug.
  • The study focused on ambulant boys aged at least 6 years with a genetically confirmed diagnosis of Duchenne muscular dystrophy who had been on systemic corticosteroids for at least 6 months. Participants were stratified by baseline VLFF, with the primary analysis showing a statistically significant difference favoring givinostat in group A (VLFF >5% but ≤30%). There were no specific findings for other subgroups beyond this stratification.

Product Monograph / Prescribing Information

Document TitleYearSource
Duvyzat (givinostat) Prescribing Information.2024ITF Therapeutics, LLC., Concord, MA

Randomized Controlled Trials