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US FDA approves Novartis' gene therapy for rare muscle disorder
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US FDA approves Novartis' gene therapy for rare muscle disorder
Nov 24, 2025 4:02 PM

Nov 24 (Reuters) -

The U.S. Food and Drug Administration has approved Novartis'

gene therapy for patients with a rare muscle disorder,

the drugmaker said on Monday.

The therapy, branded as Itvisma, was approved for the

treatment of spinal muscular atrophy patients of age two years

and older who have a confirmed mutation in the survival motor

neuron 1 gene.

Itvisma contains the same active ingredient as the Swiss

drugmaker's older therapy, Zolgensma, which is approved in the

U.S. to treat SMA patients less than 2 years of age.

The new treatment has a wholesale acquisition cost of

$2.59 million, compared with $2.1 million for Zolgensma.

Itvisma is the first and only gene replacement therapy

available for the broad population, Novartis said.

"(This) gives patients even more choice, which for any

patient is a good thing," Tracey Dawson, U.S. Therapeutic Area

Head of Neuroscience at Novartis, told Reuters ahead of the

approval.

In a late-stage trial, treatment with Itvisma led to a

statistically significant 2.39-point improvement on a scale that

assesses motor ability and disease progression.

Spinal muscular atrophy is a rare, genetic neuromuscular

disease caused by a mutated or missing SMN1 gene, which is

responsible for the production of a protein needed for muscle

function, including breathing, swallowing and basic movement.

It is the leading genetic cause of infant deaths and

about 9,000 people in the U.S. live with the condition.

Unlike Zolgensma, which is administered intravenously

based on patient weight, Itvisma is a concentrated formulation

administered directly to the central nervous system through the

spinal cord. The new treatment does not need to be adjusted for

the patient's weight, the company said.

Both therapies replace the SMN1 gene, offering the potential

to reduce the need for chronically administered treatment

associated with other available therapies for this population.

Zolgensma generated $925 million in global sales in the

first nine months of 2025.

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