FDA Approves Nonsteroidal Treatment for Duchenne Muscular Dystrophy
 
Published on MedED: 14 April 2024
Originally published: 12 March 2024
Source: FDA  Press Release 
 
Type of article: Novel Drug & Emergent Therapy News
MedED Catalogue Reference: MNDN006
Category: Paediatrics & Neonatology
Crossreference: Rare Diseases
Category tags: 
Duchenne Muscular Dystrophy, DMS, givinostat, Duvyzat, genetics

 

 

Product Category        Product Name Company Status

Pharmaceutical

Duvyzat (givinostat) 

Italfarmaco

Completed


March 21, 2024/ FDA Press Release

The U.S. Food and Drug Administration (FDA) has approved Duvyzat (givinostat) as an oral medication for treating Duchenne Muscular Dystrophy (DMD) in patients aged six years and older. 

DMD is a rare neurological disorder predominantly affecting males, characterized by progressive muscle weakness due to insufficient dystrophin protein. Duvyzat, the first nonsteroidal drug sanctioned for all genetic variants of DMD, functions as a histone deacetylase (HDAC) inhibitor, targeting pathological mechanisms to mitigate inflammation and muscle degeneration.

In a phase 3 study, Duvyzat's effectiveness in treating Duchenne Muscular Dystrophy (DMD) was assessed through a randomized, double-blind, placebo-controlled trial spanning 18 months.

The primary outcome measure was the change in muscle function, evaluated by the time taken to climb four stairs from baseline to month 18.
  • Participants continued a standard steroid regimen during the study, and those treated with Duvyzat exhibited a statistically significant reduction in the time taken to climb stairs compared to the placebo group, with a mean change of 1.25 seconds versus 3.03 seconds respectively.
  • Additionally, as a secondary endpoint, the North Star Ambulatory Assessment (NSAA) was used to assess physical function, showing less deterioration in NSAA scores over the 18-month period in patients treated with Duvyzat compared to those on placebo. 

Despite its efficacy, Duvyzat is associated with common side effects like diarrhoea, abdominal pain, and decreased platelets. There are also warnings regarding platelet counts, triglyceride levels, and QTc prolongation.

Duvyzat's approval was granted priority review and fast-track designation, and the drug received orphan drug and rare pediatric disease designations.


 

Clinical Trials & Supporting Information
 

Study Phase                    ClinicalTrial.gov Registration Clinical Trial Study Name

 Phase 3 Study

NCT02851797

Clinical Study to Evaluate the Efficacy and Safety of Givinostat in Ambulant Patients With Duchenne Muscular Dystrophy

Access Original Press Release

21 March 2024.FDA Approves Nonsteroidal Treatment for Duchenne Muscular Dystrophy


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