Drugs / zilganersen
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zilganersen

also known as ION-1166998 (free acid)
Developed for
Alexander disease
Investigated by
Ionis Pharmaceuticals, Inc.

Regulatory milestones approvals, filings & regulatory actions · 1 recorded

MilestoneJurisdictionBrandIndicationDateSentence it was read from
Filed US (FDA) — Alexander disease 2026-07-29

“Zilganersen Alexander disease U.S. submission Achieved” ionis.com ↗

Trials 1

20222023202420252026
PhaseRegistry idDatesIndicationSponsorStatusOutcome
Phase 31 trial · 1 met primary
Phase 3 NCT04849741 Jun 2021 → Aug 2025 overdue Alexander disease Ionis Pharmaceuticals, Inc. Active not recruiting Met primary
Comparator or background therapy1 trial
— NCT07487389 Background — Alexander disease Ionis Pharmaceuticals, Inc. Available No outcome recorded

News releases announcing trial results or a regulatory action · 8

DateIssuerRelease
2026-09-03 Ionis Pharmaceuticals Regulatory ZANVASTRO™ (zilganersen) approved by the FDA as the first and only disease modifying treatment for Alexander disease (AxD) in pediatric and adult patients ionis.com ↗
Ionis Pharmaceuticals, Inc. (Nasdaq: IONS) today announced that the U.S. Food and Drug Administration (FDA) has approved ZANVASTRO™ (zilganersen) for the treatment of Alexander disease (AxD) in pediatric and adult patients.
2026-04-29 Ionis Pharmaceuticals Regulatory Ionis reports first quarter 2026 financial results and highlights progress on key programs ionis.com ↗
Zilganersen NDA for Alexander disease accepted for Priority Review, paving way for Ionis’ first independent launch from leading neurology pipeline
2026-04-21 Ionis Pharmaceuticals Results Ionis presents new data from pivotal study of zilganersen in Alexander disease (AxD) at AAN 2026 Annual Meeting ionis.com ↗
Ionis Pharmaceuticals, Inc. (Nasdaq: IONS) today announced additional positive results from the pivotal study of zilganersen in children and adults living with Alexander disease (AxD), a rare, progressive and often fatal neurological condition with no approved disease-modifying treatments.
2026-03-23 Ionis Pharmaceuticals Regulatory Ionis announces zilganersen New Drug Application for Alexander disease (AxD) accepted by FDA for Priority Review ionis.com ↗
today announced that the U.S. Food and Drug Administration (FDA) has accepted for Priority Review the New Drug Application (NDA) for zilganersen, an investigational RNA-targeted medicine for Alexander disease (AxD), a rare, progressive and often fatal neurological condition.
2025-12-02 Ionis Pharmaceuticals Regulatory Ionis receives U.S. FDA Breakthrough Therapy designation for zilganersen for Alexander disease (AxD) ionis.com ↗
Ionis Pharmaceuticals, Inc. (Nasdaq: IONS) today announced that the U.S. Food and Drug Administration (FDA) has granted Breakthrough Therapy designation to zilganersen for the treatment of Alexander disease (AxD), a rare, progressive and often fatal neurological condition.
2025-10-07 Ionis Pharmaceuticals Results Ionis showcases transformational medicines and industry-leading pipeline at Innovation Day ionis.com ↗
Ionis will share additional details today about the positive topline results from the pivotal study of zilganersen for Alexander disease, a rare, progressive and often fatal neurological condition with no approved disease-modifying treatments.
2025-09-22 Ionis Pharmaceuticals Results Ionis announces positive topline results from pivotal study of zilganersen in Alexander disease ionis.com ↗
Ionis Pharmaceuticals, Inc. (Nasdaq: IONS) today announced positive topline results from the pivotal study of zilganersen in children and adults living with Alexander disease (AxD), a rare, progressive and often fatal neurological condition with no approved disease-modifying treatments.
2024-10-01 Ionis Pharmaceuticals Regulatory Zilganersen granted U.S. FDA Fast Track designation for people living with Alexander disease ionis.com ↗
Ionis Pharmaceuticals, Inc. (Nasdaq: IONS) announced today that the U.S. Food and Drug Administration (FDA) has granted zilganersen Fast Track designation for the treatment of children and adults with an ultra-rare, progressive and ultimately fatal neurological disorder known as Alexander disease (AxD).

All press releases naming this drug 10 releases

DateIssuerRelease

Evidence & citations 3 cited values

Every value below carries the sentence it was read from. 3 sources stand behind the page.

FieldValueCited text
Known as zilganersen ClinicalTrials.gov intervention name — accepted as the source's own label NCT04849741 ↗
1

NCT07487389 ↗

Known as ION-1166998 (free acid) ChEMBL registry synonym — accepted as the source's own label CHEMBL5095433 ↗
Route Intrathecal “Zilganersen will be administered by intrathecal bolus (ITB) injection” NCT04849741 ↗