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Species
Healthy rat and cynomolgus monkey (GLP); hemophilia A mouse, hemophilia A dog and induced-HA monkey models
“Repeat-dose toxicology studies were conducted in healthy rats for up to 26 weeks, healthy monkeys for up to 39 weeks, and in hemophilia mice for up to 26 weeks.”
✓ VerifiedFDA integrated review, p. 152Source ↗
Why that species
Antithrombin mRNA sequence highly conserved, so fitusiran is pharmacologically active in mouse, rat, monkey and dog
“Fitusiran is pharmacologically active in mice, rats, monkeys, and dogs because the antithrombin mRNA sequences are highly conserved across species.”
✓ VerifiedFDA integrated review, p. 152Source ↗
Surrogate molecule
No surrogate; clinical siRNA active in rodent and monkey; hemophilia animal models added to assess on-target risk
“To address the limitations of studies in healthy animals, the Applicant conducted extensive studies in animal models of hemophilia”
✓ VerifiedFDA integrated review, p. 88Source ↗
Species: general tox
Rat and cynomolgus monkey (healthy), plus hemophilia A mouse
“Repeat-dose toxicology studies were conducted in healthy rats for up to 26 weeks, healthy monkeys for up to 39 weeks, and in hemophilia mice for up to 26 weeks.”
✓ VerifiedFDA integrated review, p. 152Source ↗
Species: DART
Rat (male fertility within 26-week study only); no EFD studies in rats or rabbits as hemophilia is X-linked
“Because hemophilia is primarily an X-linked disease, no embryo-fetal toxicity studies in rats and rabbits have been performed.”
✓ VerifiedFDA integrated review, p. 182Source ↗
Species: carcinogenicity
Rat (2-year) and TgRasH2 mouse (26-week)
“The Sponsor submitted final reports for carcinogenicity studies of fitusiran 1. A 26-week study in TgRasH2 mouse study-at3-glp17-001.pdf, 2. A 2-year study in rats study-car0186.pdf.”
✓ VerifiedFDA integrated review, p. 327Source ↗
Surrogate used in
No surrogate used; fitusiran is active in mouse, rat, dog and monkey
“Fitusiran is pharmacologically active in mice, rats, dogs, and cynomolgus monkeys, as the AT mRNA target sequence is fully conserved (mice, rats, monkeys) or highly conserved (dogs) with the human sequence.”
✓ VerifiedFDA integrated review, p. 45Source ↗

Same question, other oligonucleotides

Amondys 45

casimersen · DMD exon 45 (PMO)
Adult male mouse and cynomolgus monkey; juvenile male rat

Amvuttra

vutrisiran · TTR (siRNA)
Rat and cynomolgus monkey (monkey only pharmacologically active; rat for off-target/class tox); rabbit EFD

Dawnzera

donidalorsen · Prekallikrein / KLKB1 (ASO)
Mouse (CD-1) and cynomolgus monkey

Defitelio

defibrotide · Fragmented DNA oligonucleotides
Rat and dog

Exondys 51

eteplirsen · DMD exon 51 (PMO)
Cynomolgus monkey and juvenile rat (eteplirsen); mdx/C57BL mouse incl. mouse surrogate

Givlaari

givosiran · ALAS1 (siRNA)
Rat and cynomolgus monkey (both pharmacologically active); rabbit inactive (EFD only)

Hibsago

bepirovirsen · HBV RNA (ASO)
Mouse and rabbit in labeled studies (carcinogenicity, reproduction); general-toxicity species not stated

Izervay

avacincaptad pegol · C5 (aptamer)
Rabbit and dog (IVT ocular studies); rat and cynomolgus monkey (7-day IV); monkey the only pharmacologically relevant species

Kynamro

mipomersen · APOB (ASO)
Mouse, rat and cynomolgus monkey (clinical ASO plus rodent surrogates)

Leqvio

inclisiran · PCSK9 (siRNA)
Rat and cynomolgus monkey (both pharmacologically active); rabbit for EFD

Macugen

pegaptanib · VEGF-165 (aptamer)
Rabbit and dog (pivotal IVT); rat IV for systemic; supportive monkey, mouse

Onpattro

patisiran · TTR (siRNA)
Rat and cynomolgus monkey (monkey pharmacologically active; rat off-target/LNP)

Oxlumo

lumasiran · HAO1 (siRNA)
Rat and cynomolgus monkey (both pharmacologically relevant); rabbit for EFD

Qalsody

tofersen · SOD1 (ASO)
Cynomolgus monkey (IT, relevant species), CD-1 mouse (SC) and rat single-dose IT

Redemplo

plozasiran · APOC3 (siRNA)
Rat (off-target toxicity) and cynomolgus monkey (pharmacologically relevant)

Rivfloza

nedosiran · LDHA (siRNA)
Cynomolgus monkey (relevant) plus mouse (nedosiran inactive; off-target assessment)

Rytelo

imetelstat · Telomerase (oligo)
Mouse and cynomolgus monkey (general tox); mouse and rabbit (EFD)

Spinraza

nusinersen · SMN2 (ASO)
Juvenile cynomolgus monkey (IT) and CD-1 mouse (SC, systemic effects)

Tegsedi

inotersen · TTR (ASO)
Mouse, rat and cynomolgus monkey; monkey the only pharmacologically relevant species

Tryngolza

olezarsen · APOC3 (ASO)
Mouse (with surrogate) and cynomolgus monkey

Viltepso

viltolarsen · DMD exon 53 (PMO)
Male CD-1 mouse and male cynomolgus monkey (plus juvenile male mouse)

Vitravene

fomivirsen · CMV IE2 mRNA (ASO)
Rabbit and monkey

Vyondys 53

golodirsen · DMD exon 53 (PMO)
Mouse, cynomolgus monkey (adult males) and juvenile rat

Wainua

eplontersen · TTR (ASO)
Mouse and cynomolgus monkey (monkey the pharmacologically relevant species)

Waylivra

volanesorsen · APOC3 (ASO)
Mouse, rat and cynomolgus monkey (rabbit for embryo-fetal); monkey most relevant

Zanvastro

zilganersen · GFAP (ASO)
Mouse (SC and ICV, juvenile) and juvenile monkey (intrathecal); mouse surrogate ASO arm

Summary across all 27 oligonucleotides →