Viltolarsen

(Viltepso®)

Viltolarsen

Drug updated on 12/11/2024

Dosage FormInjection (intravenous; 250 mg/5 mL [50 mg/mL])
Drug ClassAntisense 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.

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Summary
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  • 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 TitleYearSource
Viltepso (viltolarsen) Prescribing Information.2021NS Pharma, Inc., Paramus, NJ

Randomized Controlled Trials


Sex Distribution:

F:0%
M:100%
16Subjects

Year:

2023

Source:Journal of Neuromuscular Diseases


Sex Distribution:

F:0%
M:100%
16Subjects

Year:

2022

Source:Journal of Neuromuscular Diseases