Treatment FAQ

which of the following agents is indicated for the treatment of duchenne muscular dystrophy

by Prof. Eunice Labadie PhD Published 2 years ago Updated 2 years ago

Your doctor may recommend: Eteplirsen (Exondys 51), the first medication to be approved by the Food and Drug Administration specifically to treat Duchenne muscular dystrophy. It was approved conditionally in 2016 and will continue to be evaluated during an additional two years of use.

Full Answer

What are the treatment goals for Duchenne muscular dystrophy (DMD)?

The main goal in the treatment of Duchenne muscular dystrophy (DMD) is to maintain ambulation for as long as possible and to anticipate and manage the associated complications, such as joint contractures, scoliosis, cardiomyopathy, respiratory insufficiency, and weight gain. Cognitive and behavioral symptoms occur in about one third of patients ...

Does amondys 45 increase dystrophin levels in Duchenne muscular dystrophy?

Feb 25, 2021 · February 25, 2021. Today, the U.S. Food and Drug Administration granted approval for Amondys 45 (casimersen) injection for the treatment of Duchenne muscular dystrophy (DMD) in patients who have a ...

What is exon 45 skipping for Duchenne muscular dystrophy?

In this review, we discuss the therapies used in the treatment of patients with Duchenne muscular dystrophy since the first description of the disease. A short description is given of the various theories based on disease pathogenesis, which give …

What is the abbreviation for Duchenne muscular dystrophy?

Jul 22, 2016 · Muscle regeneration. Myostatin is a negative regulator of muscle mass. Inhibition or blockade of endogenous myostatin offers a potential means to compensate for the severe muscle wasting that is common in many types of muscular dystrophies including DMD.

What is the best treatment for Duchenne muscular dystrophy?

Corticosteroids: prednisone and deflazacort. Glucocorticoids, more precisely prednisone and deflazacort, are the main drug treatment for DMD. They have been used for over two decades and the benefits are well known now. They are the only medication that has been shown to increase muscular strength.

What are the FDA approved drugs for Duchenne muscular dystrophy DMD )?

The new drugs approved by the FDA for the treatment of Duchenne muscular dystrophy (DMD) are:Amondys 45 (casimersen)Viltepso (viltolarsen)Vyondys 53 (golodirsen)Exondys 51 (eteplirsen)Emflaza (deflazacort)Mar 11, 2021

Is there any treatment for muscular dystrophy?

Although there's no cure for any form of muscular dystrophy, treatment for some forms of the disease can help extend the time a person with the disease can remain mobile and help with heart and lung muscle strength. Trials of new therapies are ongoing.Feb 11, 2022

Is there gene therapy for Duchenne muscular dystrophy?

The gene therapy may also help reduce the leading cause of death in Duchenne patients: heart and respiratory diseases. Because the treatment targets both skeletal muscle and cardiac muscle, it could benefit cardiac and pulmonary functions in patients.Apr 28, 2021

What is the most common type of muscular dystrophy?

DMD is a rare genetic disorder characterized by progressive muscle deterioration and weakness. It is the most common type of muscular dystrophy. DMD is caused by mutations in the DMD gene that results in an absence of dystrophin, a protein found in muscle fiber.

How many babies have DMD?

The first symptoms are usually seen between three and five years of age and worsen over time. DMD occurs in approximately one out of every 3,600 male infants worldwide; in rare cases, it can affect females.

What mutation is able to skip exon 45?

All patients were male, between 7 and 20 years of age, and had a genetically confirmed mutation of the DMD gene that is amenable to exon 45 skipping. In the study, patients who received Amondys 45 showed a significantly greater increase in dystrophin protein levels from baseline to week 48 of treatment compared to those who received placebo.

What is Amondys 45?

Food and Drug Administration granted approval for Amondys 45 (casimersen) injection for the treatment of Duchenne muscular dystrophy (DMD) in patients who have a confirmed mutation of the DMD gene that is amenable to exon 45 skipping ( Exons are pieces of DNA that provide information for making proteins in a person’s genome). The agency approved Amondys 45 based on an increase in dystrophin (a protein that helps keep muscle cells intact) production in skeletal muscle observed in patients treated with the therapy. This is the first FDA-approved targeted treatment for patients with this type of mutation. Approximately 8% of patients with DMD have a mutation that is amenable to exon 45 skipping.

What is the FDA approved pathway for Amondys 45?

Amondys 45 was approved using the Accelerated Approval pathway, under which the FDA may approve drugs for serious conditions where there is unmet medical need and a drug is shown to have certain effects that are reasonably likely to predict a clinical benefit to patients.

Who is the FDA approving Sarepta?

The FDA is granting the approval to Sarepta Therapeutics, Inc. The FDA, an agency within the U.S. Department of Health and Human Services, protects the public health by assuring the safety, effectiveness, and security of human and veterinary drugs, vaccines and other biological products for human use, and medical devices.

Is Amondys 45 toxic?

Although kidney toxicity was not observed in the Amondys 45 clinical studies, kidney toxicity was observed in the nonclinical studies. Kidney toxicity, including potentially fatal glomerulonephritis, has been observed after administration of some antisense oligonucleotides.

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