Inotersen

Inotersen, sold under the brand name Tegsedi, is a medication used for the treatment of nerve damage in adults with hereditary transthyretin-mediated amyloidosis.[1]

Inotersen
Clinical data
Trade namesTegsedi
Other namesGSK-2998728, ISIS-420915
AHFS/Drugs.comMonograph
License data
Routes of
administration		Subcutaneous injection
Drug classAntisense Oligonucleotides
ATC code
Identifiers
CAS Number
PubChem CID
DrugBank
UNII
KEGG
Chemical and physical data
FormulaC230H318N69O121P19S19
Molar mass7183.08 g·mol−1
3D model (JSmol)

The most common side effects are injection site reactions (redness, swelling, bleeding, pain, rash, and itching at the injection site), nausea, headache, tiredness, low platelet counts, and fever.[1]

Inotersen can cause serious side effects, including low platelet counts and kidney inflammation.[1] Because of these serious side effects, Inotersen is available in the United States only through a restricted program called the Tegsedi Risk Evaluation and Mitigation (REMS) Program.[1]

History

The U.S. Food and Drug Administration (FDA) approved inotersen in October 2018.[1] The application for inotersen was granted orphan drug designation.[2]

The FDA approved inotersen based on evidence from one clinical trial (Trial 1/NCT01737398) that included 172 patients with hereditary transthyretin-mediated amyloidosis.[1] The trial was conducted at 24 sites in Australia, Europe, South America, and the United States.[1]

The benefits and side effects of inotersen were evaluated in one clinical trial that enrolled patients with hereditary transthyretin-mediated amyloidosis.[1] Patients were randomly assigned to receive inotersen or placebo by subcutaneous injection given once a week for 65 weeks.[1] During the first week of treatment, patients received three doses of treatment, followed by once weekly subcutaneous injections for 64 weeks.[1] Neither the patients nor the health care providers knew which treatment was being given until after the trial was completed.[1]

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References
  1. "Drug Trial Snapshot: Tegsedi". U.S. Food and Drug Administration (FDA). 23 July 2019. Archived from the original on 19 December 2019. Retrieved 18 December 2019. This article incorporates text from this source, which is in the public domain.
  2. "Inotersen Orphan Drug Designation and Approval". U.S. Food and Drug Administration (FDA). 24 July 2012. Archived from the original on 19 December 2019. Retrieved 18 December 2019. This article incorporates text from this source, which is in the public domain.


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