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SEP 23 2026
UPCOMING · 112 DAYS TO PDUFA

Ionis Pharmaceuticals zilganersen $IONS

for Alexander disease (GFAP-related leukodystrophy)

NDA · Priority Review · Breakthrough · Orphan

Accepted MAR 23 2026.

About

Alexander disease is a rare neurological disorder where faulty myelin production damages nerve fibers in the brain, causing developmental delays, seizures, and progressive loss of motor control in children. Zilganersen is an experimental drug injected into the spinal fluid that blocks the genetic instructions for making GFAP, the abnormal protein driving this damage. By reducing GFAP production at its source, the treatment could potentially slow or stabilize the disease's progression in affected patients.

Pivotal trial

NCT04849741 Phase 3 active not recruiting NCT04849741

The purpose of this study is to evaluate the safety and efficacy of zilganersen (ION373) in improving or stabilizing gross motor function across the full range of affected domains in patients with AxD.

Source: ClinicalTrials.gov