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The New England Journal of Medicine Publishes First Data to Demonstrate the Potential for Disease Modification in Dravet Syndrome

  • Stoke Therapeutics and Biogen announced publication of zorevunersen data in The New England Journal of Medicine from Phase 1/2a studies and open-label extensions.
  • Results demonstrate substantial, durable reductions in major motor seizure frequency & improvements in cognition, behavior, & quality of life for Dravet syndrome patients treated with zorevunersen plus standard anti-seizure medicines.
  • Clinical benefits observed in the initial Phase 1/2a period continued through three additional years of treatment in open-label extension studies.
  • The most significant seizure reductions occurred in patients receiving initial 70 mg doses of zorevunersen.
  • Zorevunersen is generally well-tolerated across 81 patients receiving over 800 doses, with the most common adverse event being elevated cerebrospinal fluid protein levels (44% in extensions) without related clinical manifestations.
  • One patient discontinued treatment due to elevated CSF protein, while all other serious adverse events were assessed as unrelated to the drug except for one suspected unexpected serious adverse reaction.
  • Zorevunersen is an investigational antisense oligonucleotide designed to increase NaV1.1 protein production from the unaffected SCN1A gene copy to address the underlying genetic cause of Dravet syndrome.
  • The drug holds orphan drug, rare pediatric disease, & Breakthrough Therapy designations from the FDA & EMA.
  • A global Phase 3 EMPEROR study is ongoing to evaluate efficacy, safety, & tolerability, with enrollment expected to complete in Q2 2026.
  • Data readout from the Phase 3 EMPEROR study is projected for mid-2027 to support a potential New Drug Application submission to the FDA.
  • Current treatments for Dravet syndrome do not modify the disease course, & up to 57% of patients fail to achieve a 50% reduction in seizure frequency with existing anti-seizure medicines.