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Profiling tofersen as a treatment of superoxide dismutase 1 amyotrophic lateral sclerosis

dc.contributor.authorOliveira Santos, Miguel
dc.contributor.authorCarvalho, Mamede
dc.date.accessioned2024-05-28T11:27:18Z
dc.date.available2024-05-28T11:27:18Z
dc.date.issued2024
dc.description© 2024 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group. This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License (http://creativecommons.org/licenses/by-nc-nd/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited, and is not altered, transformed, or built upon in any way. The terms on which this article has been published allow the posting of the Accepted Manuscript in a repository by the author(s) or with their consent.pt_PT
dc.description.abstractIntroduction: Amyotrophic lateral sclerosis (ALS) is a rapidly progressive motor neuron disorder with a fatal outcome 3-5 years after disease onset due to respiratory complications. Superoxide dismutase 1 (SOD1) mutations are found in about 2% of all patients. Tofersen is a novel oligonucleotide antisense drug specifically developed to treat SOD1-ALS patients. Areas covered: Our review covers and discusses tofersen pharmacological properties and its phase I/II and III clinical trials results. Other available drugs and their limitations are also addressed. Expert opinion: VALOR study failed to meet the primary endpoint (change in the revised Amyotrophic Lateral Sclerosis Functional Rating Scale score from baseline to week 28, tofersen arm vs. placebo), but a significant reduction in plasma neurofilament light chain (NfL) levels was observed in tofersen arm (60% vs. 20%). PrefALS study has proposed plasma NfL has a potential biomarker for presymptomatic treatment, since it increases 6-12 months before phenoconversion. There is probably a delay between plasma NfL reduction and the clinical benefit. ATLAS study will allow more insights regarding tofersen clinical efficacy in disease progression rate, survival, and even disease onset delay in presymptomatic SOD1 carriers.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationExpert Rev Neurother. 2024 Jun;24(6):549-553pt_PT
dc.identifier.doi10.1080/14737175.2024.2355983pt_PT
dc.identifier.eissn1744-8360
dc.identifier.issn1473-7175
dc.identifier.urihttp://hdl.handle.net/10451/64903
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherTaylor & Francispt_PT
dc.relation.publisherversionhttps://www.tandfonline.com/journals/iern20pt_PT
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/pt_PT
dc.subjectAmyotrophic lateral sclerosispt_PT
dc.subjectAntisense oligonucleotidept_PT
dc.subjectGeneticspt_PT
dc.subjectNeurofilament light chainpt_PT
dc.subjectSuperoxide dismutase 1pt_PT
dc.subjectTofersenpt_PT
dc.titleProfiling tofersen as a treatment of superoxide dismutase 1 amyotrophic lateral sclerosispt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage553pt_PT
oaire.citation.issue6pt_PT
oaire.citation.startPage549pt_PT
oaire.citation.titleExpert Review of Neurotherapeuticspt_PT
oaire.citation.volume24pt_PT
person.familyNameOliveira Santos
person.familyNamede Carvalho
person.givenNameMiguel
person.givenNameMamede
person.identifier.ciencia-idB511-DD32-12D7
person.identifier.orcid0000-0002-8290-0410
person.identifier.orcid0000-0001-7556-0158
person.identifier.scopus-author-id57217474349
person.identifier.scopus-author-id7101893769
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT
relation.isAuthorOfPublicationeab02009-54a9-4518-8b22-9426433cea69
relation.isAuthorOfPublicationdd7f55d4-c2b5-4fd2-9bd1-a9542a62f58f
relation.isAuthorOfPublication.latestForDiscoveryeab02009-54a9-4518-8b22-9426433cea69

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