FDA approves first therapy for Alexander disease
MDSpire News
September 4, 2026
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The FDA approved zilganersen (Zanvastro) for treating Alexander disease in pediatric and adult patients.
Alexander disease is a rare neurologic condition caused by mutations affecting glial fibrillary acidic protein production.
Zilganersen is an antisense oligonucleotide that reduces abnormal GFAP accumulation in the brain.
Clinical trials showed improved walking speed in patients aged 5 years and older receiving zilganersen.
Common adverse reactions to zilganersen include vomiting, back pain, cough, headache, and aseptic meningitis.
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