5q spinal muscular atrophy (SMA)

Active Ingredient: Risdiplam

Indication for Risdiplam

Population group: only infants (40 days - 1 year old) , children (1 year - 12 years old) , adolescents (12 years - 18 years old) , adults (18 - 65 years old)
Therapeutic intent: Curative procedure

Risdiplam is indicated for the treatment of 5q spinal muscular atrophy (SMA) in patients 2 months of age and older, with a clinical diagnosis of SMA Type 1, Type 2 or Type 3 or with one to four SMN2 copies.

For this indication, competent medicine agencies globally authorize below treatments:

0.20 mg/kg once daily

For:

Dosage regimens

Oral, 0.2 milligrams risdiplam per kilogram of body weight, once daily.

Detailed description

2 months to <2 years of age:

Recommended daily dose: 0.20 mg/kg.

Dosage considerations

Risdiplam is taken orally once a day after a meal at approximately the same time each day, using the reusable oral syringe provided. In infants who are breastfed, risdiplam should be administered after breastfeeding. Risdiplam should not be mixed with milk or formula milk.

Risdiplam should be taken immediately after it is drawn up into the oral syringe. If it is not taken within 5 minutes, it should be discarded from the oral syringe and a new dose be prepared. If risdiplam spills or gets on the skin, the area should be washed with soap and water.

0.25-5.00 mg/kg once daily

For:

Dosage regimens

Regimen A: In case that patient weight is ≤ 20 kg, oral, 0.25 milligrams risdiplam per kilogram of body weight, once daily.

Regimen B: In case that patient weight is ≥ 20 kg, oral, 5 milligrams risdiplam, once daily.

Detailed description

The recommended once daily dose of risdiplam is determined by age and body weight.

Dosing regimen by age and body weight:

Age and body weight Recommended daily dose
≥2 years of age (<20 kg) 0.25 mg/kg
≥2 years of age (≥20 kg) 5 mg

Treatment with a daily dose above 5 mg has not been studied.

Dosage considerations

Risdiplam is taken orally once a day after a meal at approximately the same time each day, using the reusable oral syringe provided. Risdiplam should not be mixed with milk or formula milk.

Risdiplam should be taken immediately after it is drawn up into the oral syringe. If it is not taken within 5 minutes, it should be discarded from the oral syringe and a new dose be prepared. If risdiplam spills or gets on the skin, the area should be washed with soap and water.

Active ingredient

Risdiplam

Risdiplam is a survival of motor neuron 2 (SMN2) pre-mRNA splicing modifier designed to treat SMA caused by mutations of the SMN1 gene in chromosome 5q that lead to SMN protein deficiency. Functional SMN protein deficiency is directly linked to the SMA pathophysiology which includes progressive loss of motor neurons and muscle weakness. Risdiplam treats SMA by increasing and sustaining functional SMN protein levels.

Read more about Risdiplam

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