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Sarepta provided an 144 week update on eteplirsen at the World Muscle Society meeting. Here are some brief notes.
- Neutral charge as it passes through kidney; cleared through kidney
- IV QW
- Inclusion: >7 years to 13 years (original cohort 7-11 yr)
- ITT: 12 pts (4 each placebo, 30 & 50 mg/kg)
- 2 pts stopped walking prior to 24 week time point
- Data at 144 weeks for modified ITT: 10 pts (6 pts eteplirsen and 4 placebo delay)
- At 144, delta 75 m (-107 vs –32)
- Both groups start producing dystrophin after 12 wk Tx, increasing over time
- No complete resolution, plateau and then slow decline; imperfect drug
- Slower decline in walking than natural history
- Pulmonary function test; remain stable (no stat diff)
- MIP and MEP stable
- No AE at 144 wk; no liver enzymes, kidney fx, coagulation, etc.
- No ISRs, etc.
- Pooled the doses in the data; no diff between dose levels