Roche Pharmaceutical Development and Sales Overview
Evrysdi (risdiplam, RG7916)
Oral SMN2 splicing modifier
Indication
Spinal muscular atrophy (SMA)
Phase/study
# of patients
Design
Phase II
RAINBOWFISH
N=25
Open-label, single-arm, multicenter study in infants aged from birth
to 6 weeks who have been genetically diagnosed with Spinal
muscular atrophy but are not yet presenting with symptoms
Primary endpoint
Status
CT Identifier
ARM A:
Phase II/III
MANATEE
N=180
Roche
☐
☐
Part I: GYM329 plus Evrysdi for 24 weeks, followed by GYM329 plus Evrysdi for
72 weeks
Part II: GYM329 plus Evrysdi for 72 weeks
ARM B:
Placebo plus Evrysdi comparator
Change from baseline in revised hammersmith scale (RHS) score after week 72
of treatment
Proportion of participants with two copies of the SMN2 gene
(excluding the known SMN2 gene modifier mutation c.859G>C) and
baseline CMAP>=1.5 millivolt who are sitting without support
FPI Q3 2019
Recruitment completed Q1 2022
Initial data presented at CureSMA, WMS 2021, MDA and WMS 2022
Filed in US and EU Q4 2021
Approved in US Q2 2022
■
Safety, PK/PD and muscle biomarkers
■ FPI Part I Q2 2022
Orphan Drug Designation granted by FDA in Q4 2021 for GYM329
NCT03779334
NCT05115110
In collaboration with PTC Therapeutics and SMA Foundation
SMN=survival motor neuron; CMAP=compound muscle action potential; PK/PD-Pharmacokinetics/Pharmacodynamics; WMS-World Muscle Society; CureSMA=Annual SMA Conference; MDA-Muscular Dystrophy Association
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