SOD1 Antisense Oligonucleotide
Edit / manage →Amyotrophic lateral sclerosis
Overview
- Disease area
- Neurodegeneration
- Indication
- Amyotrophic lateral sclerosisMONDO:0004976
- Mechanism of action
- Allele-selective knockdown of mutant SOD1 transcript
- Development stage
- Phase 1/2
- Institution
- Lakeshore Neuroscience Institute
- Principal investigators
- R. Halvorsen, D. Whitfield
- Targets
- SOD1
- Pathways
- Proteostasis
- Trial registry
- —
Intake & funding
- D. WhitfieldfundedUSD900,0002024-08-20Innovation award
- awardUSD900,000Innovation award2025-01-05
Timeline
state through time · newest first- Q2 2025Series B raisedMilestones
- ·Dose escalation completed
Accomplishments- ·Plasma NfL decline observed at high dose
- ·Intrathecal delivery well tolerated
Challenges- ·Small genetically defined population limits enrollment speed
Next steps- ·Open registrational cohort
- ·Align on accelerated approval package
Risk themes:Enrollment of rare SOD1 genotype - Q1 2025Grant + Series A blendedMilestones
- ·Phase 1/2 first cohort dosed
Accomplishments- ·Target engagement confirmed via CSF SOD1 reduction
Challenges- ·Neurofilament response heterogeneous across patients
Next steps- ·Escalate dose
- ·Pre-specify NfL responder analysis
Risk themes:Surrogate-endpoint acceptance risk
Scientific assessment
1 claims- Target ValidationStrong
Mutant SOD1 toxic gain-of-function is genetically validated; allele-selective knockdown is precedented by tofersen's neurofilament effect.
Translational assessment
1 claims- BiomarkersModerate
Plasma neurofilament light (NfL) provides an early pharmacodynamic readout supporting accelerated-approval framing.
Regulatory assessment
1 claims- Accelerated ApprovalModerate
NfL as a surrogate endpoint has supported accelerated approval in SOD1-ALS, establishing a viable regulatory precedent.
regulatoryaa-precedent
Commercial assessment
0 claimsNo evidence linked yet.
Execution assessment
0 claimsNo evidence linked yet.
Structured reviews
1 reviewsGenetically validated target; NfL surrogate precedent.
Heterogeneous biomarker response; small population.
Pre-specify responder analysis and enrollment plan.
Internal rubric input (reviewer scoring — not a success probability)
Outcome
- Clinical entryFirst-in-human Phase 1/2 dosing underway.2025-01-10
AI brief
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Evidence tiers and reviewer rubric scores are internal, qualitative inputs — [signal.] surfaces never show a numeric probability of success or buy/sell language.