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  • ||||||||||  Elevidys (delandistrogene moxeparvovec) / Sarepta Therap, Roche
    Journal, Gene therapy:  Development of capsid- and genome-modified optimized AAVrh74 vectors for muscle gene therapy. (Pubmed Central) -  Dec 4, 2023   
    Not yet recruiting --> Recruiting The use of the first generation of two different AAV serotype vectors (AAV9 and AAVrh74) in four separate clinical trials failed to be effective in patients with Duchenne muscular dystrophy, although some efficacy was observed in a subset of patients with AAVrh74 vectors leading to US Food and Drug Administration approval (Elevidys)...Here, we report that capsid- and genome-modified optimized AAVrh74 vectors are significantly more efficient in transducing primary human skeletal muscle cells in
  • ||||||||||  Immunomonitoring requirements in AAV based gene therapy clinical trials: where do we stand? () -  Oct 15, 2023 - Abstract #ESGCT2023ESGCT_1057;    
    Promising results have been obtained with several rAAV products as illustrated by six drugs currently approved (Luxturna, Zolgensma, Roctavian, Hemgenix, Upstaza and Elevidys) in Europe and USA...Finally, we will describe the general work?flow to implement clinical immune monitoring, in line with Good Clinical Laboratory Practices (GCLP) and other regulatory guidelines. Beyond the method validation itself, other steps, such as definition of responsibilities, personnel training or data and material traceability have to be implemented and controlled by the immunology laboratory to assess safety and efficacy endpoints, while ensuring the quality and integrity of the data.
  • ||||||||||  Idefirix (imlifidase) / Hansa Biopharma, Sarepta Therap
    IgG depletion with imlifidase ? a potential way to increase the eligible patient population for AAV based gene therapies () -  Oct 15, 2023 - Abstract #ESGCT2023ESGCT_1051;    
    All in all, antibody depletion with imlifidase could be a solution for patients excluded from participation in gene therapy clinical trials because of pre?formed immunogenicity towards the AAV vector. The therapeutic potential of imlifidase as pre?treatment to gene therapy is currently being evaluated for AAV based gene therapies in collaboration with Sarepta Therapeutics, Genethon and AskBio.*EU/EEA, UK and Switzerland
  • ||||||||||  Exondys 51 (eteplirsen) / Sarepta Therap
    Cas12 DNA editing restores dystrophin expression and muscle function in mouse model of Duchenne muscular dystrophy and demonstrates high editing efficiency in NHPs () -  Oct 15, 2023 - Abstract #ESGCT2023ESGCT_930;    
    Here, we generated a novel humanized DMD mouse model harboring human DMD exon51, which exhibited highly similar phenotypes in patients with DMD...In addition, no in vivo toxicities were observed, including nerve, liver, and kidney injury, in the humanized DMD mice and WT NHPs. Unlike antisense?oligonucleotide?based exon skipping therapy administering throughout a patient's lifetime or AAV gene replacement therapy expressing micro?dystrophins for partial dystrophin functionality, our innovative CRISPR?based hfCas12Max?mediated single?cut approach modifying genomic DNA offers a promising, long?lasting, and "one?and?done" new treatment modality that targets the underlying cause of DMD.
  • ||||||||||  Elevidys (delandistrogene moxeparvovec-rokl) / Sarepta Therap
    T?cell response to SRP?9001 dystrophin transgene in a patient treated with delandistrogene moxeparvovec: A case of immune?mediated myositis () -  Oct 15, 2023 - Abstract #ESGCT2023ESGCT_337;    
    P1
    We hypothesize that this combination of factors led to the lack of SRP?9001 protein immunologic tolerance and subsequent IMM in this patient.These results are consistent with findings from clinical trials of other investigational micro?dystrophin GTs, which show that patients with deletions in regions of the DMD gene overlapping those expressed in a given micro?dystrophin may be at an increased risk of a myositis event following GT. Work is currently underway to better understand these risk factors and to find ways to safely administer delandistrogene moxeparvovec to patients with potentially higher?risk DMD mutations.
  • ||||||||||  Review, Journal:  Advances in Dystrophinopathy Diagnosis and Therapy. (Pubmed Central) -  Oct 4, 2023   
    Other antisense oligonucleotide drugs in the pipeline include casimersen for exon 45, suvodirsen for exon 51, and golodirsen for exon 53 skipping. Advances in the diagnosis and therapy of dystrophinopathies offer new perspectives for their early discovery and care.
  • ||||||||||  Exondys 51 (eteplirsen) / Sarepta Therap
    Review, Journal:  The Regulatory Repercussions of Approving Muscular Dystrophy Medications on the Basis of Limited Evidence. (Pubmed Central) -  Sep 20, 2023   
    Despite recent legislative and regulatory changes to the FDA's accelerated approval pathway, the history of eteplirsen and similar drugs points to the need for additional reforms to better balance evidence generation with patient safety and access to promising medications. Lawmakers and regulators should take further action to limit excessive spending on unproven therapies and ensure that drug sponsors conduct robust and timely confirmatory trials after receiving accelerated approval.
  • ||||||||||  Elevidys (delandistrogene moxeparvovec) / Sarepta Therap, Roche
    Review, Journal, Gene therapy:  Paving the way for future gene therapies: A case study of scientific spillover from delandistrogene moxeparvovec. (Pubmed Central) -  Sep 8, 2023   
    This impact is even more profound in rare diseases, where developing therapies in isolation may not be possible. This review describes some instances of scientific spillover in healthcare, and specifically gene therapy, using delandistrogene moxeparvovec (SRP-9001), a gene therapy recently approved by the US Food and Drug Administration for the treatment of ambulatory pediatric patients aged 4-5 years with Duchenne muscular dystrophy with a confirmed mutation in the DMD gene, as a case study.
  • ||||||||||  Vyondys 53 (golodirsen) / Sarepta Therap, Amondys 45 (casimersen) / Sarepta Therap
    Enrollment change, Trial completion date, Trial termination, Trial primary completion date:  An Extension Study to Evaluate Casimersen or Golodirsen in Patients With Duchenne Muscular Dystrophy (clinicaltrials.gov) -  Aug 21, 2023   
    P3,  N=171, Terminated, 
    N=260 --> 171 | Trial completion date: Aug 2026 --> Jul 2023 | Active, not recruiting --> Terminated | Trial primary completion date: Aug 2026 --> Jul 2023; Participants were either transitioned to a post-trial access program or another Sarepta study, or they declined further treatment. There were no safety concerns with this study.
  • ||||||||||  Elevidys (delandistrogene moxeparvovec) / Sarepta Therap, Roche
    Review, Journal:  Delandistrogene Moxeparvovec: First Approval. (Pubmed Central) -  Aug 11, 2023   
    Delandistrogene moxeparvovec is undergoing clinical development in several countries/regions, including the EU and Japan. This article summarizes the milestones in the development of delandistrogene moxeparvovec leading to this first approval in the USA for the treatment of ambulatory paediatric patients aged 4 through 5
  • ||||||||||  Review, Journal:  The potential role and mechanism of circRNA/miRNA axis in cholesterol synthesis. (Pubmed Central) -  Jun 20, 2023   
    Suppressing HMGCR, SQLE, and miR-122 with circRNA_ABCA1, circ-PRKCH, circEZH2, circRNA-SCAP, and circFOXO3 are the promising therapeutic target for drug development, specifically the circFOXO3. This review focuses on the role and mechanism of the circRNA/miRNA axis in cholesterol synthesis in the hope of providing knowledge to identify new targets.
  • ||||||||||  LYS-SAF302 / Lysogene, Sarepta Therap
    Journal, Gene therapy:  Focal lesions following intracerebral gene therapy for mucopolysaccharidosis IIIA. (Pubmed Central) -  Jun 19, 2023   
    This alters extracellular matrix composition, depletes heparan sulfate, impairs astrocyte and oligodendrocyte function, and causes cystic white matter degeneration at the site of highest gene expression. The AAVance trial results will reveal the potential benefit-risk ratio of this therapy.
  • ||||||||||  Exondys 51 (eteplirsen) / Sarepta Therap, Kyndrisa (drisapersen) / BioMarin
    Journal:  Next Generation Exon 51 Skipping Antisense Oligonucleotides for Duchenne Muscular Dystrophy. (Pubmed Central) -  Jun 8, 2023   
    These dystrophin levels allowed for normalization of creatine kinase (CK) and lactate dehydrogenase (LDH) levels, and improved motor function in hDMDdel52/mdx mice. As no major safety observation was obtained, the improved therapeutic index of these next generation AONs is encouraging for further (pre)clinical development.
  • ||||||||||  delandistrogene moxeparvovec (SRP-9001) / Sarepta Therap, Roche
    One-year data from ENDEAVOR, a Phase 1b trial of delandistrogene moxeparvovec in patients with DMD (Foyer 3B, 3rd Floor) -  May 29, 2023 - Abstract #EPNS2023EPNS_831;    
    P1
    Implementation of these practical considerations is recommended. Cohort 1 data suggest the safety and efficacy profile of intended commercial process delandistrogene moxeparvovec material is consistent with that of clinical process material, with no new safety signals identified, and robust SRP-9001 dystrophin expression and positive functional benefit observed.
  • ||||||||||  Vyondys 53 (golodirsen) / Sarepta Therap, Exondys 51 (eteplirsen) / Sarepta Therap, Amondys 45 (casimersen) / Sarepta Therap
    Interim Analysis of EVOLVE: A Long-term Observational Study Evaluating Eteplirsen, Golodirsen, or Casimersen in Routine Clinical Practice (Foyer 3B, 3rd Floor) -  May 29, 2023 - Abstract #EPNS2023EPNS_815;    
    Cohort 1 data suggest the safety and efficacy profile of intended commercial process delandistrogene moxeparvovec material is consistent with that of clinical process material, with no new safety signals identified, and robust SRP-9001 dystrophin expression and positive functional benefit observed. These real-world data from the interim analysis of EVOLVE support the safety profiles and will continue to describe long-term clinical outcomes of eteplirsen, golodirsen, and casimersen.