Eplontersen (1) – Wainzua®

Hereditary transthyretin amyloidosis with polyneuropathy (stage 1 or 2)

Characteristics

Start date 01.05.2025 – Marketing authorisation: 06.03.2025
Resolution 16.10.2025
INN Eplontersen
Brand name Wainzua®
Pharm. company AstraZeneca GmbH
G-BA Procedure ID D-1144
ATC code N07XX21 Other nervous system drugs (N07XX)
ICD-10 codes (AIS) E85.1Amyloid polyneuropathy (Portuguese), E85.2Heredofamilial amyloidosis, unspecified, E85.4Localized amyloidosis, E85.9Amyloidosis, unspecified
Alpha-ID codes (AIS) I129348Hereditary transthyretin amyloidosis, I24316Amyloidosis, I2491Neuropathic heredofamilial amyloidosis, I66392Localized amyloidosis
Therapeutic area Metabolic diseases
Reason for procedure Initial assessment

Therapeutic indication of the resolution

Wainzua is used to treat hereditary transthyretin amyloidosis (ATTRv) in adult patients with stage 1 or 2 polyneuropathy.

Subpopulation Indication Comparator
Erwachsene mit hereditärer Transthyretin-Amyloidose mit Polyneuropathie der Stadien 1 oder 2

Studies and Results

  • Clinical trials
    • The NEURO-TTRansform study, on which the marketing authorisation is based, is a randomised, open-label, Phase III study with a one-way crossover design.

Adults with hereditary transthyretin amyloidosis with stage 1 or 2 polyneuropathy

  • For adults with hereditary transthyretin amyloidosis with stage 1 or 2 polyneuropathy, the additional benefit is not proven.
  • For adults with hereditary transthyretin amyloidosis with stage 1 or 2 polyneuropathy, the additional benefit of eplontersen compared with the appropriate comparator therapy is not proven.
  • No relevant study was identified for the assessment of the additional benefit of eplontersen compared with the appropriate comparator therapy.
  • The study compares Eplontersen with Inotersen. Consequently, no comparative data are available against the appropriate comparator therapy, Vutrisiran.
  • Even though Inotersen, like Vutrisiran, is a TTR silencer, a comparison of eplontersen with inotersen – contrary to the pharmaceutical manufacturer’s assessment – does not allow any conclusions to be drawn regarding the classification of the additional benefit of eplontersen compared with the appropriate comparator therapy, vutrisiran.

Courtesy translation only, please refer to the German original.

Associated procedures

Eplontersen (1) Wainzua® AstraZeneca GmbH Metabolic diseases Hereditary transthyretin amyloidosis with polyneuropathy (stage 1 or 2) 360 100% additional benefit not proven


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