Buckhannon man raises awareness on Rare Disease Day
SMA is a progressive neuromuscular disorder that affects functions like breathing, swallowing and walking. According to the SMA Foundation, there are 10,000-25,000 children and adults in the U.S. with the disease.
12 News spoke with Bryan Samples, a Buckhannon man who was diagnosed with SMA at 18 months old, and despite the disease creating hurdles in his life, he's been able to graduate, get married and live his life to the fullest.
With all of these accomplishments, Samples has a message of hope for others like him.
'If you want something, go after it, never think that you're less than anybody else. You can lead a normal life and you can do anything anybody else can do, you just might have to do it in a different way,' Bryan 'James' Samples, Advocate for Rare Disease Awareness said.
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Samples said he's looking forward to a world where there is a cure for SMA, thanks to advancements in medication Evrysdi, which he's been taking for a while now and has seen changes.
'As long as things keep on getting better, you know, in the future we might not even know that someone has spinal muscular atrophy and that's pretty amazing,'
To learn more about the medication, you can go here.
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Medscape
5 days ago
- Medscape
Start Spinal Muscular Atrophy Treatment at Birth?
Oral risdiplam (Evrysdi, Genentech) started in the first 6 weeks of life let most infants with presymptomatic spinal muscular atrophy (SMA) reach motor milestones typical of healthy babies, results of the RAINBOWFISH study showed. Infants treated before the development of clinical signs or symptoms of SMA had better functional and survival outcomes at 12 and 24 months than untreated infants in natural history studies. 'The impact of giving risdiplam soon after birth is quite dramatic. By age 2, we saw most of the children who we had treated were walking and in good general health,' Richard Finkel, MD, director of the experimental neuroscience program, St. Jude Children's Research Hospital, Memphis, Tennessee, said in a news release. The study was published online on August 13 in The New England Journal of Medicine . Altering Disease Trajectory SMA is a rare and often fatal genetic disease that causes progressive muscle weakness. It affects about 1 in 10,000 babies and is caused by a mutation in the survival motor neuron 1 ( SMN1 ) gene, which encodes the SMN protein, critical for the maintenance and function of motor neurons. Risdiplam is an orally administered, centrally and peripherally distributed small molecule that increases production of the SMN protein. As reported by Medscape Medical News , the FDA first approved oral risdiplam in 2020 for SMA in children older than 2 years. A label extension was approved 2 years later to include presymptomatic infants younger than 2 months with SMA, based on data from RAINBOWFISH. This new open-label study enrolled infants with genetically diagnosed SMA but no strongly suggestive clinical signs or symptoms. All infants were started on daily oral risdiplam (with the dose adjusted to 0.2 mg/kg of body weight) as early as 16 days of age. Of the eight children genetically predisposed to the most severe form of SMA, type 1, seven were able to sit at 12 months and five were able to walk by 24 months. Of the 18 children with three or more copies of the SMN2 gene (predicting less severe disease), all could sit by 12 months and walk by 24 months, with most reaching these milestones in timeframes comparable to those in children without SMA. The beneficial effects of risdiplam were evident across the spectrum of patients treated, but infants with higher SMN2 copy numbers and baseline ulnar compound muscle action potential (CMAP) amplitudes appeared to have more favorable responses, the researchers noted. All 23 infants who completed the 24-month assessment were alive without any respiratory support, and all maintained swallowing and oral feeding abilities. None of the children experienced any major treatment-related adverse events from daily risdiplam treatment. Early Treatment Critical 'For families facing a diagnosis of SMA, the results of this study offer real hope. Treating children before symptoms appear — when they are still developing normally — can change the entire trajectory of the disease. We are no longer just managing symptoms; we are preserving strength, function and quality of life from the very start,' study investigator Aledie Navas, MD, with Nemours Children's Hospital, Orlando, Florida, said in the release. The researchers are now testing the safety and efficacy of giving risdiplam prenatally, with promising early results reported earlier this year. In a linked editorial in The New England Journal of the Medicine , Charlotte Sumner, MD, with the Department of Neurology, Johns Hopkins University School of Medicine, Baltimore, Maryland, noted that risdiplam is one of three approved SMN-inducing treatments for SMA. The other two treatments are nusinersen, the intrathecally administered, splice-switching antisense oligonucleotide, and onasemnogene abeparvovec, the adeno-associated virus 9 gene-transfer therapy. 'All three drugs are substantially more effective when started before symptom onset, which has prompted neonatal screening programs for SMA in many countries to hasten treatment initiation,' Sumner pointed out. 'Sufficiently early SMA treatment probably not only halts irreversible neurodegeneration but also facilitates normal motor-neuron and muscle development,' Sumner noted.
Yahoo
27-06-2025
- Yahoo
Biogen's Spinraza successor advances to Phase III
Biogen's antisense oligonucleotide (ASO), salanersen, is advancing to Phase III trials after it showed benefit with a lower dosing schedule than Spinraza (nusinersen) in patients with spinal muscular atrophy (SMA). Leveraging the same mechanism of action as Spinraza but designed to achieve greater potency, Biogen believes that salanersen has the potential to achieve high efficacy while enabling once yearly dosing. Meanwhile, Spinraza is dosed once every four months. Interim analysis of the Phase I study (NCT05575011) found that both dose levels tested, 40mg and 80mg, given once a year, were generally well-tolerated and led to substantial slowing of neurodegeneration. This was shown by a 70% mean reduction in neurofilament light chain (NfL) at six months. Half of the patients dosed with salanersen achieved new WHO motor milestones that they previously could not achieve on their own or required assistance to do, such as walking, crawling, standing, or sitting. These patients also experienced clinically meaningful improvements in motor function from baseline to one year, including a 3.3-point mean improvement from baseline on the Hammersmith Functional Motor Scale – Expanded (HFMSE) and a 5.3-point improvement on the Revised Upper Limb Module (RULM). Salanersen was generally well tolerated in both doses, with most adverse events (AEs) mild to moderate in severity. The most common AEs were pyrexia and upper respiratory tract infection. The interim analysis comes from Part B of the study, an open-label segment that enrolled paediatric SMA patients who previously received Novartis' Zolgensma (onasemnogene abeparvovec) and had investigator-reported suboptimal clinical status. The data is set to be presented at the SMA Research & Clinical Care Meeting hosted by Cure SMA in Anaheim, California, on 25 June. Biogen is now engaging with global health authorities to initiate Phase III studies. Biogen licensed the global development, manufacturing and commercialisation rights for salanersen from Ionis Pharmaceuticals. This is the second SMA collaboration between the pair, with Spinraza also originally coming from Ionis. GlobalData analysis shows that Spinraza made $1.57bn in sales in 2024, with 2030 sales projected to reach $1.19bn. This drop in sales is due in part to the therapy losing its US exclusivity in December 2023. GlobalData is the parent company of Clinical Trials Arena. Principal investigator for the salanersen Phase I trial and Clinical Center NeMO's clinical and scientific director Dr Valeria A Sansone said: 'Of the data generated, to me, it is neurofilament and the WHO milestones that are most easily interpretable, given these children had previously received gene therapy. To see a child dosed with gene therapy at one year of age and still unable to sit without support at age five, then gain the ability to sit independently just three months after initiating salanersen, that is unexpected.' SMA is a rare, genetic and neuromuscular disease that affects patients of all ages. It is characterised by a loss of motor neurons in the spinal cord and lower brain stem, resulting in progressive muscle atrophy and weakness. Roche's Evrysdi (risdiplam) is also approved for use in SMA, having gained US Food and Drug Administration (FDA) approval in August 2020. Scholar Rock's apetigromab has received priority review from the FDA with a Prescription Drug User Fee Act (PDUFA) target action date of 22 September 2025. According to GlobalData analysis, the SMA market across the seven major markets (7MM: France, Germany, Italy, Japan, Spain, the UK and the US) is set to grow from $2.7bn in 2023 to $3bn in 2033. "Biogen's Spinraza successor advances to Phase III" was originally created and published by Clinical Trials Arena, a GlobalData owned brand. The information on this site has been included in good faith for general informational purposes only. It is not intended to amount to advice on which you should rely, and we give no representation, warranty or guarantee, whether express or implied as to its accuracy or completeness. You must obtain professional or specialist advice before taking, or refraining from, any action on the basis of the content on our site. Sign in to access your portfolio
Yahoo
27-06-2025
- Yahoo
Ionis announces Biogen to advance salanersen into SMA registrational studies based on positive interim Phase 1 results
– Investigational salanersen (ION306/BIIB115) developed using novel Ionis antisense chemistry with the potential to achieve high efficacy and once-yearly dosing – – Interim Phase 1 data show children with SMA previously treated with gene therapy experienced a substantial slowing of neurodegeneration and clinically meaningful improvements in motor function following initiation of salanersen – – Biogen is engaging with regulators to advance salanersen to registrational stage studies – CARLSBAD, Calif., June 25, 2025--(BUSINESS WIRE)--Ionis Pharmaceuticals, Inc. (Nasdaq: IONS) today announced that its partner, Biogen, shared positive topline results from the Phase 1 study of salanersen (ION306/BIIB115), an investigational antisense oligonucleotide (ASO) being developed for the potential treatment of spinal muscular atrophy (SMA). Leveraging the same mechanism of action as SPINRAZA® (nusinersen) but designed to achieve greater potency, salanersen has the potential to achieve high efficacy and enable once-yearly dosing. Both dose levels tested, 40 mg and 80 mg, given once a year, were generally well-tolerated and led to substantial slowing of neurodegeneration, as shown by reductions in neurofilament. Exploratory clinical outcome data show clinically meaningful improvements in function and attainment of new World Health Organization (WHO) milestones over one year. These data will be presented today at the SMA Research & Clinical Care Meeting hosted by Cure SMA in Anaheim, Calif. The Phase 1 single ascending dose study was designed to evaluate the safety, tolerability and pharmacokinetics of salanersen. The trial consisted of two parts: Part A, a randomized and placebo-controlled segment in healthy adult male volunteers and Part B, an open-label segment in pediatric participants with SMA who previously received ZOLGENSMA® (onasemnogene abeparvovec) and had investigator-reported suboptimal clinical status. Interim results are from Part B (n=24) in individuals who received either 40 mg or 80 mg salanersen once a year. In participants with elevated baseline concentrations of neurofilament light chain (NfL), indicating ongoing neurodegeneration, initiation of salanersen led to mean reductions in NfL of 70% at 6-months which were sustained through the one-year dosing interval. "These encouraging interim results reflect the potential of Ionis' leading technology to continue to improve the lives of people living with SMA," said Holly Kordasiewicz, Ph.D., senior vice president of neurology, Ionis. "We're proud to have discovered salanersen, which builds on the foundation we established with SPINRAZA and further supports Ionis' long-standing leadership in neurology and innovative RNA-targeted medicines. We are deeply grateful to the patients, families and investigators who participated in this study and look forward to continuing to work with Biogen to support the SMA community." Salanersen was invented by Ionis using a novel antisense chemistry designed to enhance potency, stability and durability. This advanced molecular design has the potential to deliver long-term results with long-interval dosing. In addition to safety and NfL, exploratory clinical outcome data were evaluated for the subgroup of participants with at least one year of follow-up at the time of the interim analysis (n=8 participants aged 2-12 who received 40 mg of salanersen). Half (4/8) of these participants achieved new WHO motor milestones that they previously could not achieve on their own or for which they required assistance, such as walking, crawling, standing or sitting. Furthermore, these participants experienced clinically meaningful improvements in motor function from baseline to one year, including a 3.3-point (SD 4.46) mean improvement from baseline on the Hammersmith Functional Motor Scale – Expanded (HFMSE) and a 5.3-point (SD 4.75) improvement on the Revised Upper Limb Module (RULM). "Despite the remarkable therapeutic advancements in the field of SMA over the past decade, there remains critical unmet needs. Salanersen represents the next phase of Biogen's ongoing pursuit to address these needs," said Stephanie Fradette, Pharm.D., Head of the Neuromuscular Development Unit at Biogen. "We are encouraged by the available data and eager to move salanersen into the next stage of development as quickly as possible. We are deeply grateful for the trial participants and their families, investigators, and site staff." The cumulative interim data from the Phase 1 study indicate that salanersen was generally well tolerated at the 40 mg and 80 mg doses, with most adverse events (AEs) mild to moderate in severity. The most common AEs were pyrexia and upper respiratory tract infection. Biogen is currently engaging with global health authorities regarding the design of the Phase 3 studies. Ionis discovered salanersen and licensed the global development, manufacturing and commercialization rights to Biogen Inc. About Spinal Muscular Atrophy (SMA) SMA is a rare, genetic, neuromuscular disease that affects individuals of all ages. It is characterized by a loss of motor neurons in the spinal cord and lower brain stem, resulting in progressive muscle atrophy and weakness. SMA is caused by a deficiency in the production of survival motor neuron (SMN) protein due to a damaged or missing SMN1 gene, with a spectrum of disease severity. Some individuals with SMA may never sit; some sit but never walk; and some walk but may lose that ability over time. In the absence of treatment, children with the most severe form of SMA would usually not be expected to reach their second birthday. SMA impacts approximately 1 in 10,000 live births, is a leading cause of genetic death among infants and causes a range of disability in teenagers and adults. About SPINRAZA SPINRAZA® (nusinersen) 12 mg/5 mL injection is approved in more than 71 countries to treat infants, children and adults with spinal muscular atrophy (SMA). As a foundation of care in SMA, more than 14,000 individuals have been treated with SPINRAZA worldwide. SPINRAZA is an antisense oligonucleotide (ASO) that targets the underlying cause of motor neuron loss by continuously increasing the amount of full-length survival motor neuron (SMN) protein produced in the body. It is administered directly into the central nervous system, where motor neurons reside, to deliver treatment where the disease starts. SPINRAZA has shown efficacy across ages and SMA types with a well-established safety profile based on data in patients treated up to 10 years, combined with unsurpassed real-world experience. The most common adverse events observed in clinical studies were respiratory infection, fever, constipation, headache, vomiting and back pain. Laboratory tests can monitor for renal toxicity and coagulation abnormalities, including acute severe low platelet counts, which have been observed after administration of some ASOs. Biogen licensed the global rights to develop, manufacture and commercialize SPINRAZA from Ionis Pharmaceuticals, Inc. (Nasdaq: IONS). Please click here for Important Safety Information and full Prescribing Information for SPINRAZA in the U.S., or visit your respective country's product website. About Ionis Neurology Ionis has been at the forefront of discovering and developing leading neurological disease medicines, including SPINRAZA® (nusinersen), the first approved treatment for spinal muscular atrophy, WAINUA™ (eplontersen), a medicine to treat hereditary transthyretin-mediated amyloid polyneuropathy (ATTRv-PN), and QALSODY® (tofersen) for SOD1-ALS. The clinical-stage portfolio includes 13 therapies, of which eight are wholly owned by Ionis. Ionis' investigational portfolio includes medicines for which there are few or no disease modifying treatments, such as rare diseases including Angelman syndrome, Prion disease and Alexander disease and more common conditions such as Alzheimer's and Parkinson's disease. About Ionis Pharmaceuticals, Inc. For three decades, Ionis has invented medicines that bring better futures to people with serious diseases. Ionis currently has six marketed medicines and a leading pipeline in neurology, cardiology, and select areas of high patient need. As the pioneer in RNA-targeted medicines, Ionis continues to drive innovation in RNA therapies in addition to advancing new approaches in gene editing. A deep understanding of disease biology and industry-leading technology propels our work, coupled with a passion and urgency to deliver life-changing advances for patients. To learn more about Ionis, visit and follow us on X (Twitter), LinkedIn and Instagram. Ionis Forward-looking Statements This press release includes forward-looking statements regarding Ionis' business and the therapeutic and commercial potential of salanersen (ION306/BIIB115), our commercial medicines, additional medicines in development and technologies. Any statement describing Ionis' goals, expectations, financial or other projections, intentions or beliefs is a forward-looking statement and should be considered an at-risk statement. Such statements are subject to certain risks and uncertainties including those inherent in the process of discovering, developing and commercializing medicines that are safe and effective for use as human therapeutics, and in the endeavor of building a business around such medicines. Ionis' forward-looking statements also involve assumptions that, if they never materialize or prove correct, could cause its results to differ materially from those expressed or implied by such forward-looking statements. Although Ionis' forward-looking statements reflect the good faith judgment of its management, these statements are based only on facts and factors currently known by Ionis. Except as required by law, we undertake no obligation to update any forward-looking statements for any reason. As a result, you are cautioned not to rely on these forward-looking statements. These and other risks concerning Ionis' programs are described in additional detail in Ionis' annual report on Form 10-K for the year ended December 31, 2024, and most recent Form 10-Q, which are on file with the Securities and Exchange Commission. Copies of these and other documents are available from the Company. In this press release, unless the context requires otherwise, "Ionis," "Company," "we," "our" and "us" all refer to Ionis Pharmaceuticals and its subsidiaries. Ionis Pharmaceuticals® is a trademark of Ionis Pharmaceuticals, Inc. SPINRAZA® and QALSODY® are registered trademarks of Biogen. WAINUA™ is a registered trademark of the AstraZeneca group of companies. View source version on Contacts Ionis Investor Contact: D. Wade Walke, 760-603-2331 Ionis Media Contact: Hayley Soffermedia@ 760-603-4679 Sign in to access your portfolio