SMA Therapy in Poland: New Hopes and Challenges
DOI:
https://doi.org/10.12775/JEHS.2023.23.01.003Keywords
nusinersen, spinal muscular atrophy, pharmacological treatmentAbstract
Abstract: Spinal muscular atrophy (SMA) is a genetically inherited disease whose symptoms appear in children at a fairly early age. The main cause of the disease is a mutation of the SMN1 gene, which causes the lack of production of SMN This results in the disappearance of motoneurons, which consequently leads to the disappearance of the patient's ability to move and his death. An important element of coping with the disease is its early detection in newborn screening, because the earlier we start the drug, the greater the chance that the patient will maintain motor efficiency. The article describes treatment options for children in Poland, i. e. the use of such drugs as Nusinersen, which increases the amount of SMN protein, gene therapy Onasemnogen aeparvovec, which increases the amount of SMN gene, Ridisplam, which increases the amount of SMN protein, and salbutamol, which helps patients to breathe. The article also provides information about new drug therapies for the treatment of SMA and the stage of clinical trials at which they are currently being developed. It is important to look for new solutions in the treatment of SMA.
Objective: To familiarize the readers of the article with the problems of SMA treatment in Poland, as well as to broaden their knowledge of new available drugs for the treatment of this disease.
References
Verhaart IEC, et al., Prevalence, incidence and carrier frequency of 5q-linked spinal muscular atrophy-a literature review , Orphanet J Rare Dis . 2017 Jul 4;12(1):124. doi: 10.1186/s13023-017-0671-8..
Tiziano FD, Tizzano EF, 25 years of the SMN genes: the Copernican revolution of spinal muscular atrophy, Acta Myol., vol. 39, no. 4, p. 336, 2020, doi: 10.36185/2532-1900-037.
Vill K, et al., Newborn screening for spinal muscular atrophy in Germany: clinical results after 2 years, Orphanet J. Rare Dis., vol. 16, no. 1, Dec. 2021, doi: 10.1186/S13023-021-01783-8.
Sawada T, et al., Newborn screening for spinal muscular atrophy in Japan: One year of experience, Mol. Genet. Metab. Reports, vol. 32, p. 100908, Sep. 2022, doi: 10.1016/J.YMGMR.2022.100908.
Ministerstwo Zdrowia OBWIESZCZENIE REFUNDACYJNE NR 65 (1 WRZEŚNIA2022 r.) z 22.08.2022 https://www.gov.pl/web/zdrowie/obwieszczenie-ministra-zdrowia-z-dnia-22-sierpnia-2022-r-w-sprawie-wykazu-refundowanych-lekow-srodkow-spozywczych-specjalnego-przeznaczenia-zywieniowego-oraz-wyrobow-medycznych-na-1-wrzesnia-2022-r
Keinath MC, Prior DE, Prior TW, Spinal Muscular Atrophy: Mutations, Testing, and Clinical Relevance, Appl Clin Genet 2021 Jan 25;14:11-25. doi: 10.2147/TACG.S239603. eCollection 2021.
Kotulska-Jóźwiak K, Kostera-Pruszczyk A, Mazurkiewicz-Bełdzińska M. i wsp. Rdzeniowy zanik mięśni (SMA). Leczenie SMA w Polsce. Nowa jakość życia pacjentów i opiekunów – RAPORT, ISBN:978-83-962944-5-6, Wyd. Modern Healthcare Institute, Warszawa 2022 r.
Rządowy program badań przesiewowych noworodków w Polsce na lata 2019-2026. [Government programme for screening newborns in Poland for 2019-2026] https://www.gov.pl/web/zdrowie/program-badan-przesiewowych-noworodkow-w-polsce-na-lata-2019-2026
Newborn Screening Test. J Midwifery Womens Health. 2016;61(4):541-2. doi: 10.1111/jmwh.12508
Majchrzak-Celińska A, Warych A, Szoszkiewicz M; Rdzeniowy zanik mięśni – onasemnogene abeparvovec i inne opcje terapeutyczny, Farmacja Polska, ISSN 0014-826 2020, doi 10.32383/farmpol/118343
Schorling DC, Pechmann A, Kirschner J, Advances in Treatment of Spinal Muscular Atrophy - New Phenotypes, New Challenges, New Implications for Care, J Neuromuscul Dis. 2020;7(1):1-13. doi: 10.3233/JND-190424.
https://www.fsma.pl (dostęp 2023.01.10)
Improvements in medical diagnostics, Bednarski J, Pawlicka M, Bałabuszek K, Mroczek S, 2020r; ISBN 9788395071997
Quing L, Nusinersen as a Therapeutic Agent for Spinal Muscular Atrophy, Yonsei Med J . 2020 Apr;61(4):273-283. doi: 10.3349/ymj.2020.61.4.273
Chiriboga CA, Nusinersen for the treatment of spinal muscular atrophy, 2017 Oct; doi.org/10.1080/14737175.2017.1364159
Neil EE, Bisaccia EK, Nusinersen: A Novel Antisense Oligonucleotide for the Treatment of Spinal Muscular Atrophy, J Pediatr Pharmacol Ther . 2019 May-Jun;24(3):194-203. doi: 10.5863/1551-6776-24.3.194.
Day JW, Finkel RS, Chiriboga CA, et al; Onasemnogene abeparvovec gene therapy for symptomatic infantile-onset spinal muscular atrophy in patients with two copies of SMN2 (STR1VE): an open-label, single-arm, multicentre, phase 3 trial; Lancet Neurol . 2021 Apr;20(4):284-293. doi: 10.1016/S1474-4422(21)00001-6
Kirschner J, Butoianu N, Goemans N, et al, European ad-hoc consensus statement on gene replacement therapy for spinal muscular atrophy, Eur J Paediatr Neurol. 2020 Sep;28:38-43. doi: 10.1016/j.ejpn.2020.07.001.
Baranello G, Darras BT, Day JW, et al. FIREFISH Working Group ,,Risdiplam in Type 1 Spinal Muscular Atrophy, N Engl J Med . 2021 Mar 11;384(10):915-923. doi: 10.1056/NEJMoa2009965.
Paik J, Risdiplam: A Review in Spinal Muscular Atrophy, N Engl J Med. 2021 Mar 11;384(10):915-923. doi: 10.1056/NEJMoa2009965.
Khirani S, Dabaj I, Amaddeo A.,et al, Effect of Salbutamol on Respiratory Muscle Strength in Spinal Muscular Atrophy; Pediatr Neurol. 2017 Aug;73:78-87.e1. doi: 10.1016/j.pediatrneurol.2017.04.013.
https://www.curesma.org/wp-content/uploads/2021/12/2021_Nov-Graphic-Pipeline_FINAL.pdf (dostęp 2023.01.10)
Barrett D, Bilic S, Chyung Y, et al., A Randomized Phase 1 Safety, Pharmacokinetic and Pharmacodynamic Study of the Novel Myostatin Inhibitor Apitegromab (SRK-015): A Potential Treatment for Spinal Muscular Atrophy, Adv Ther . 2021 Jun;38(6):3203-3222. doi: 10.1007/s12325-021-01757-z.
https://clinicaltrials.gov/ct2/show/NCT05156320 (dostęp 2023.01.10)
https://investors.scholarrock.com/news-releases/news-release-details/positive-phase-2-topaz-trial-extension-data-demonstrate-sizable/ (dostęp 2023.01.10)
https://clinicaltrials.gov/ct2/show/NCT05089656 (dostęp 2023.01.10)
https://clinicaltrials.gov/ct2/show/NCT04851873 (dostęp 2023.01.10)
https://cytokinetics.com/reldesemtiv/ (dostęp 2023.01.10)
Rudnicki S, Andrews JA, Duong T, et al, Reldesemtiv in Patients with Spinal Muscular Atrophy: a Phase 2 Hypothesis-Generating Study, Neurotherapeutics. 2021 Apr;18(2):1127-1136. doi: 10.1007/s13311-020-01004-3.
https://clinicaltrials.gov/ct2/show/NCT05115110 (dostęp 2023.01.10)
Berdigaliyew N, Aljofan M, An overview of drug discovery and development, Future Med Chem . 2020 May;12(10):939-947. doi: 10.4155/fmc-2019-0307.
Rao VK, Kapp D, Schroth M, Gene, Therapy for Spinal Muscular Atrophy: An Emerging Treatment Option for a Devastating Disease, J Manag Care Spec Pharm . 2018 Dec;24(12-a Suppl):S3-S16. doi: 10.18553/jmcp.2018.24.12-a.s3.
Kariyawasam D, Carey KA, Jones KJ, et al, New and developing therapies in spinal muscular atrophy, Paediatr Respir Rev. 2018 Sep;28:3-10. doi: 10.1016/j.prrv.2018.03.003.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 Iwona Welian, Karolina Gendek, Ilona Jastrzębska, Karolina Maliszewska, Magdalena Chrościńska-Krawczyk
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
The periodical offers access to content in the Open Access system under the Creative Commons Attribution-NonCommercial-ShareAlike 4.0
Stats
Number of views and downloads: 457
Number of citations: 0