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Patisiran information


Patisiran
Clinical data
Trade namesOnpattro
Other namesALN-18328
AHFS/Drugs.comMonograph
License data
  • US DailyMed: Patisiran
Pregnancy
category
  • AU: D[1][2]
Routes of
administration
Intravenous
ATC code
  • N07XX12 (WHO)
Legal status
Legal status
  • AU: S4 (Prescription only)[1][3][4]
  • CA: ℞-only[5][6]
  • US: ℞-only[7]
  • EU: Rx-only
Identifiers
CAS Number
  • 1420706-45-1
DrugBank
  • DB14582
UNII
  • 50FKX8CB2Y
KEGG
  • D11116
  • as salt: D10794
Chemical and physical data
FormulaC412H520N148O290P40
Molar mass13424.388 g·mol−1

Patisiran, sold under the brand name Onpattro, is a medication used for the treatment of polyneuropathy in people with hereditary transthyretin-mediated amyloidosis,[7] a fatal rare disease that is estimated to affect 50,000 people worldwide.[8][9]

It is the first small interfering RNA-based drug approved by the U.S. Food and Drug Administration (FDA) and the first drug approved by the FDA to treat this condition.[8] It is a gene silencing drug that interferes with the production of an abnormal form of transthyretin.[10] Patisiran utilizes a novel approach to target and reduce production of the TTR protein in the liver via the RNAi pathway.[11]

Patisiran was developed and is marketed by Alnylam.[12] The FDA considers it to be a first-in-class medication.[13]

  1. ^ a b "Onpattro". Therapeutic Goods Administration (TGA). 2 December 2022. Archived from the original on 5 February 2023. Retrieved 28 April 2023.
  2. ^ "Updates to the Prescribing Medicines in Pregnancy database". Therapeutic Goods Administration (TGA). 21 December 2022. Archived from the original on 3 April 2022. Retrieved 2 January 2023.
  3. ^ "Onpattro patisiran 10 mg/5 mL concentrated injection for infusion vial (380813)". Therapeutic Goods Administration (TGA). 22 November 2022. Archived from the original on 18 December 2022. Retrieved 28 April 2023.
  4. ^ "Onpattro (Alnylam Australia Pty Ltd)". Therapeutic Goods Administration (TGA). 5 December 2022. Archived from the original on 27 March 2023. Retrieved 28 April 2023.
  5. ^ "Onpattro PI" (PDF). Archived from the original (PDF) on 30 May 2022.
  6. ^ "Summary Basis of Decision (SBD) for Onpattro". Health Canada. 23 October 2014. Archived from the original on 31 May 2022. Retrieved 29 May 2022.
  7. ^ a b "Onpattro- patisiran injection, lipid complex". DailyMed. U.S. National Library of Medicine. 10 May 2021. Archived from the original on 4 May 2022. Retrieved 9 June 2022.
  8. ^ a b Loftus P (10 August 2018). "New Kind of Drug, Silencing Genes, Gets FDA Approval". The Wall Street Journal. Archived from the original on 10 August 2018. Retrieved 10 August 2018.
  9. ^ Elafros MA, Kvalsund MP, Callaghan BC (June 2022). "The Global Burden of Polyneuropathy-In Need of an Accurate Assessment". JAMA Neurology. 79 (6): 537–538. doi:10.1001/jamaneurol.2022.0565. PMC 9197927. PMID 35404377. S2CID 248083689.
  10. ^ Kristen AV, Ajroud-Driss S, Conceição I, Gorevic P, Kyriakides T, Obici L (February 2019). "Patisiran, an RNAi therapeutic for the treatment of hereditary transthyretin-mediated amyloidosis". Neurodegenerative Disease Management. 9 (1): 5–23. doi:10.2217/nmt-2018-0033. PMID 30480471.
  11. ^ "Onpattro (patisiran)". www.centerwatch.com. Archived from the original on 24 June 2021. Retrieved 18 June 2021.
  12. ^ Reidy C (22 October 2012). "Alnylam, Genzyme Form Alliance". The Boston Globe. Archived from the original on 7 May 2021. Retrieved 5 May 2021.
  13. ^ New Drug Therapy Approvals 2018 (PDF). U.S. Food and Drug Administration (FDA) (Report). January 2019. Archived from the original on 17 September 2020. Retrieved 16 September 2020.

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Patisiran

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Patisiran, sold under the brand name Onpattro, is a medication used for the treatment of polyneuropathy in people with hereditary transthyretin-mediated...

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Alnylam Pharmaceuticals

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In late 2016, the company's lead candidate in phase III studies was patisiran, a treatment targeting transthyretin (TTR) for the treatment of TTR-mediated...

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Amyloidosis

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European Union and in the USA. Patisiran functions similarly to inotersen. Moderate-certainty evidence suggests that patisiran mitigates worsening of peripheral...

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Vutrisiran

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vutrisiran to patisiran. 164 ATTRv amyloidosis patients were randomized 3:1 to subcutaneous vutrisiran 25 mg every 3 months or patisiran 0.3 mg/kg IV infusion...

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Antisense therapy

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developed by Ionis Pharmaceuticals and licensed to Akcea Therapeutics. Patisiran (sold under Onpattro) was developed by Alnylam Pharmaceuticals, and also...

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Orphan drug

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phospholipase 2G6-associated neurodegeneration (PLAN). The FDA granted Patisiran (Onpattro) orphan drug status and breakthrough therapy designation due...

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ATC code N07

Last Update:

Fampridine N07XX08 Tafamidis N07XX10 Laquinimod N07XX11 Pitolisant N07XX12 Patisiran N07XX13 Valbenazine N07XX14 Edaravone N07XX15 Inotersen N07XX16 Deutetrabenazine...

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Small interfering RNA

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first company to have a siRNA therapy approved by the FDA. Onpattro (patisiran) was approved for the treatment of polyneuropathy of hereditary transthyretin-mediated...

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RNA interference

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disorders. Patisiran is the first double stranded siRNA-based medication approved in 2018 and developed by Alnylam Pharmaceuticals. Patisiran uses the RNAi...

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Cardiac amyloidosis

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and medications that decreases the activity of the transthyretin genes (patisiran and inotersen). In patients with familial transthyretin mutations, liver...

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Transthyretin

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number NCT01960348 for "APOLLO: The Study of an Investigational Drug, Patisiran (ALN-TTR02), for the Treatment of Transthyretin (TTR)-Mediated Amyloidosis"...

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Solid lipid nanoparticle

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siRNA drugs. In 2018, the FDA approved Alnylam's siRNA drug Onpattro (patisiran), the first drug to use LNPs as the drug delivery system. By that point...

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Familial amyloid polyneuropathy

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transthyretin familial amyloid polyneuropathy. In August 2018, the FDA approved patisiran, an siRNA-based treatment, at an expected cost of up to $450,000 per year...

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Sanofi

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million in Alnylam. Under the deal, Genzyme obtained further rights to patisiran, an RNAi treatment for transthyretin-mediated amyloidosis – a condition...

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Human genetic enhancement

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many gene therapy based drugs became available, such as Zolgensma and Patisiran. Most of these approaches utilize viral vectors, such as adeno-associated...

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Arbutus Biopharma

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agreement with lower milestones and royalties, which covers Alnylam's product patisiran. Tekmira caught the world's attention and its stock rose dramatically...

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List of drugs granted breakthrough therapy designation

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Mogamulizumab-kpkc Kyowa Hakko Kirin mycosis fungoides or Sézary syndrome Patisiran Alnylam Pharmaceuticals hereditary transthyretin-mediated amyloidosis...

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Intracellular delivery

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compensate for the RPE65 mutation (US approval granted 2017). siRNA medicines: Patisiran (Onpattro) for the treatment of polyneuropathy in people with hereditary...

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NcRNA therapy

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years, but it wasn’t until 2018 that the EMA approved the drug called Patisiran/Onpattro. The drug uses ds-siRNA as a mechanism of action and is deemed...

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