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Phase 2 Data from Spinal Muscular Atrophy Program Presented at the 20th International Annual Congress of the World Muscle Society
"We have now demonstrated, in two independent studies, that treatment with RG7800 shifts SMN2 splicing toward the production of full length SMN mRNA. Most importantly, in the MOONFISH trial we also observed relevant increases in SMN protein levels in whole blood in patients with SMA," said
MOONFISH is a Phase 2 randomized, double-blind, placebo-controlled study investigating the safety, tolerability, pharmacokinetics and pharmacodynamics of RG7800 with a target enrollment of approximately 64 adult and pediatric patients with SMA. Results from the first cohort that included 13 adult and adolescent SMA patients demonstrated that SMN protein can be increased with RG7800, providing proof of mechanism for oral small molecule SMN2 splicing modifiers. Up to three-fold increases in the ratio of full length SMN2 mRNA to SMN2Δ7 mRNA and up to two-fold increases in SMN protein were observed versus baseline, as measured in whole blood. RG7800 was well tolerated over 12 weeks at a dose of 10 mg once daily.
RG7800 is an orally available small molecule being investigated for its ability to selectively modify the alternative splicing of the SMN2 gene, which is present both in healthy individuals and SMA patients, towards the production of full length mRNA. Preclinical studies in animal models of SMA demonstrated an increase in functional full length SMN protein levels with significant efficacy benefits on survival and motor function. In a Phase 1 clinical study in healthy volunteers, a dose-dependent effect on SMN2 alternative splicing was observed. Dosing in the Phase 2 MOONFISH trial was suspended in
The SMA program was initially developed by
About Spinal Muscular Atrophy (SMA)
Spinal Muscular Atrophy (SMA) is a genetic neuromuscular disorder that is the leading genetic cause of mortality in infants and toddlers caused by a missing or defective survival of motor neuron 1 (SMN1) gene, which results in reduced levels of SMN protein. The homologous SMN2 gene is predominantly spliced to a shortened mRNA, and only produces small amounts of functional SMN protein. Insufficient levels of SMN protein are responsible for the loss of motor neurons within the spinal cord leading to muscle atrophy and death in infants and toddlers in its most severe form. It is estimated that this devastating disease affects 1 in every 11,000 children born. There are no marketed therapies for SMA.
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