FDA Approves First Cerebrotendinous Xanthomatosis Treatment
MDSpire News
February 21, 2025
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The FDA has approved Ctexli (chenodiol) as the first treatment for cerebrotendinous xanthomatosis in adults.
Ctexli reduces plasma cholestanol and urine 23S-pentol levels, biomarkers linked to metabolic dysfunction in CTX.
CTX is caused by mutations in the CYP27A1 gene, leading to impaired bile acid synthesis and abnormal cholesterol accumulation.
The efficacy of Ctexli was established in a 24-week, double-blind, placebo-controlled trial with significant results.
Common adverse events of Ctexli include diarrhea, headache, abdominal pain, and liver toxicity monitoring is recommended.
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