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항목
CGTCurated CoreFDAstaleApproved
onasemnogene abeparvovec (Zolgensma, AVXS-101, onasemnogene abeparvovec-xioi)
Novartis·SMN1 (AAV9)
28 trials
Overview
Program
Zolgensma (onasemnogene abeparvovec)
Overview
Company
Novartis
Overview
Modality
CGT
Overview
Target
SMN1 (AAV9)
Overview
Indication
Spinal muscular atrophy (SMA) Type 1–3, pediatric
Overview
Phase
APPROVED
Overview
Status
APPROVED
Overview
Content status
Curated Core
Overview
Data Confidence
Editorial scope · Curated Core
Overview
Development Signal
Development Signal · Established
Overview
Approval status
FDA approved
Positioning
Key differentiator
Single-dose systemic SMN1 replacement vs chronic SMN2 splicing modulators
Positioning
Known limitation
Pre-existing anti-AAV9 neutralizing antibodies; irreversible hepatotoxicity risk
Positioning
Development positioning
Disease-modifying gene therapy (often 1L for eligible infants)
Technology
Vector
AAV9
MoA
Mechanism
Onasemnogene abeparvovec is a non-replicating AAV9 vector delivering a functional SMN1 transgene to motor neurons and other tissues, restoring SMN protein production in spinal muscular atrophy.
MoA
Biomarker
CHOP-INTEND, sitting/walking milestones, survival without permanent ventilation
Toxicology
Species
NHP, Mouse
Toxicology
Animal (cat.)
Mouse, NHP
Toxicology
Major finding
Dose-dependent hepatotoxicity; transient liver enzyme elevations in clinic
Toxicology
CRS
N/A (not CAR-T)
Clinical
Safety signal
Dose-dependent hepatotoxicity; transient liver enzyme elevations in clinic
Clinical
Program phase
APPROVED
Clinical
Trial activity
No active/completed counts