Drugs / Givosiran
last change Nov 2021 re-read 9 days ago

Givosiran

also known as ALN-AS1

Small interfering RNA (siRNA) targets ALAS1 via inhibition

Developed for
acute intermittent porphyria · hepatic porphyria · hereditary coproporphyria · porphyria due to ALA dehydratase deficiency · variegate porphyria
Investigated by
Alnylam Pharmaceuticals

Regulatory milestones approvals, filings & regulatory actions · 6 recorded

MilestoneJurisdictionBrandIndicationDateSentence it was read from
Filed hepatic cutaneous porphyria 3 milestones
Filed EU (EMA) — hepatic cutaneous porphyria 2019-07-01

“the Marketing Authorisation Application (MAA) for givosiran has been submitted to and validated by the European Medicines Agency (EMA)” alnylam.com ↗

“today announced the submission of a Marketing Authorization Application (MAA) to the European Medicines Agency (EMA) for givosiran” alnylam.com ↗

Filed US (FDA) — hepatic cutaneous porphyria 2019-06-05

“announced today the completion of the rolling submission of a New Drug Application (NDA) to the U.S. Food and Drug Administration ( FDA ) for givosiran” alnylam.com ↗

“the U.S. Food and Drug Administration ( FDA ) has accepted the Company’s New Drug Application (NDA) for givosiran” alnylam.com ↗

Filed US (FDA) — hepatic cutaneous porphyria 2018-12-06

“Initiated rolling submission of a New Drug Application (NDA) with plans to pursue full approval based on complete results” alnylam.com ↗

“In addition, Alnylam announces initiation of a rolling submission of an NDA to the FDA for givosiran” alnylam.com ↗

“Rolling submission for a new drug application (NDA) has been recently initiated” alnylam.com ↗

Approved Indication not stated 3 milestones
Filed Other — — 2020-08-06

“Submitted a Marketing Authorization Application (MAA) for givosiran in Switzerland and Israel” alnylam.com ↗

“Submitted a Marketing Authorization Application (MAA) for givosiran in Switzerland” alnylam.com ↗

Approved EU (EMA) Givlaari — 2020-03-02 europa.eu ↗
Approved US (FDA) GIVLAARI — 2019-11-20 fda.gov ↗

Trials 4

20172018201920202021202220232024202520262027
PhaseRegistry idDatesIndicationSponsorStatusOutcome
Phase 11 trial
Phase 1 NCT03505853 Apr → Nov 2018 acute intermittent porphyria Alnylam Pharmaceuticals Completed No outcome recorded
Phase 1/21 trial
Phase 1/2 NCT02949830 Oct 2016 → Nov 2021 acute intermittent porphyria Alnylam Pharmaceuticals Completed No outcome recorded
Phase 31 trial · 1 met primary
Phase 3 NCT03338816 Nov 2017 → Jan 2019 acute intermittent porphyria, hereditary coproporphyria, porphyria due to ALA dehydratase deficiency, variegate porphyria Alnylam Pharmaceuticals Completed Met primary
Phase not stated1 trial
— NCT04056481 — hepatic porphyria Alnylam Pharmaceuticals Approved for marketing No outcome recorded
Comparator or background therapy1 trial
Phase 1 NCT02452372 Comparator May 2015 → Sep 2017 acute intermittent porphyria Alnylam Pharmaceuticals Completed No outcome recorded

News releases announcing trial results or a regulatory action · 24

DateIssuerRelease
2020-06-30 Alnylam Pharmaceuticals Results Alnylam Reports New 12-Month Interim Data From the ENVISION Phase 3 Study of Givosiran in Acute Hepatic Porphyria alnylam.com ↗
2020-06-10 Alnylam Pharmaceuticals Results Alnylam Announces Publication of ENVISION Phase 3 Study Results for Givosiran in the New England Journal of Medicine alnylam.com ↗
2020-03-03 Alnylam Pharmaceuticals Regulatory Alnylam Announces Approval of GIVLAARI® (givosiran) in the European Union for the Treatment of Acute Hepatic Porphyria (AHP) in Adults and Adolescents alnylam.com ↗
Alnylam Pharmaceuticals, Inc. (Nasdaq: ALNY), the leading RNAi therapeutics company, today announced that the European Commission (EC) has granted marketing authorization for GIVLAARI ® (givosiran), an injection for subcutaneous use targeting aminolevulinic acid synthase 1 (ALAS1) for the treatment of acute hepatic porphyria (AHP) in adults and adolescents aged 12 years and older.
2020-01-31 Alnylam Pharmaceuticals Regulatory Alnylam Receives Positive CHMP Opinion for GIVLAARI™ (givosiran) for the Treatment of Acute Hepatic Porphyria in Adults and Adolescents alnylam.com ↗
2019-11-20 Alnylam Pharmaceuticals Regulatory Alnylam Announces Approval of GIVLAARI™ (givosiran) by the U.S. Food and Drug Administration (FDA) alnylam.com ↗
Alnylam Pharmaceuticals, Inc. (Nasdaq: ALNY), the leading RNAi therapeutics company, announced today that the U.S. Food and Drug Administration ( FDA ) approved GIVLAARI ™ (givosiran) injection for subcutaneous use for the treatment of adults with acute hepatic porphyria (AHP).
2019-09-10 Alnylam Pharmaceuticals Results Alnylam Presents New Clinical Results for Givosiran at the 2019 International Congress on Porphyrins and Porphyrias alnylam.com ↗
Porphyria Attack Reductions Observed in ENVISION Phase 3 Study Maintained with Ongoing Givosiran Dosing in Open-Label Extension (OLE) Study
2019-08-05 Alnylam Pharmaceuticals Regulatory Alnylam Announces U.S. Food and Drug Administration (FDA) Granted Priority Review of the Givosiran New Drug Application (NDA) for the Treatment of Acute Hepatic Porphyria alnylam.com ↗
The FDA has set an action date of February 4, 2020 under the Prescription Drug User Fee Act (PDUFA), and the agency has indicated that they are not currently planning an advisory committee meeting as part of the NDA review.
2019-07-01 Alnylam Pharmaceuticals Regulatory Alnylam Submits Marketing Authorization Application to the European Medicines Agency for Givosiran for the Treatment of Acute Hepatic Porphyria alnylam.com ↗
2019-06-05 Alnylam Pharmaceuticals Regulatory Alnylam Completes Rolling Submission of New Drug Application to U.S. Food and Drug Administration (FDA) for Givosiran for the Treatment of Acute Hepatic Porphyria alnylam.com ↗
We’re very pleased to have completed our NDA filing for givosiran, just 90 days since reporting our positive topline ENVISION Phase 3 study results, consistent with our commitment to bring givosiran to patients as rapidly as possible.
2019-04-12 Alnylam Pharmaceuticals Results Alnylam Presents Positive Complete Results from ENVISION Phase 3 Study of Givosiran, an Investigational RNAi Therapeutic for the Treatment of Acute Hepatic Porphyria alnylam.com ↗
The full ENVISION results demonstrated a 74 percent mean and 90 percent median reduction in the primary endpoint measure of annualized rate of composite attacks in patients on givosiran relative to placebo during the six-month double-blind period.
2019-03-06 Alnylam Pharmaceuticals Results Alnylam Reports Positive Topline Results from ENVISION Phase 3 Study of Givosiran in Acute Hepatic Porphyria alnylam.com ↗
We believe the ENVISION results demonstrate a robust therapeutic benefit of givosiran treatment on the debilitating aspects of this disease.
2019-02-06 Alnylam Pharmaceuticals Results Alnylam Announces Publication of Phase 1 Givosiran Data in The New England Journal of Medicine alnylam.com ↗
In the Phase 1 study, the proportion of patients reporting adverse events (AEs) was similar across treatment groups with no clear relationship with givosiran dose.

All press releases naming this drug 35 releases

DateIssuerRelease

Evidence & citations 6 cited values

Every value below carries the sentence it was read from. 6 sources stand behind the page.

FieldValueCited text
Known as Givosiran ClinicalTrials.gov intervention name — accepted as the source's own label NCT03338816 ↗
4

NCT03505853 ↗

NCT04056481 ↗

NCT02452372 ↗

NCT02949830 ↗

Known as ALN-AS1 “givosiran (ALN-AS1) administered as a subcutaneous (SC) injection” NCT04056481 ↗
1

“givosiran (ALN-AS1)” NCT02452372 ↗

Action Inhibit “inhibits hepatic ALAS1 synthesis” PMID 30726693 ↗ Feb 2019
Modality Small interfering RNA (siRNA) “RNA interference therapeutic agent” PMID 30726693 ↗ Feb 2019
Route Subcutaneous “Single or multiple doses of ALN-AS1 by subcutaneous (sc) injection” NCT02452372 ↗
Target ALAS1 “inhibits hepatic ALAS1 synthesis” PMID 30726693 ↗ Feb 2019