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Zolgensma
  • Treatments
  • Spinal Muscular Atrophy

Zolgensma

Generic name:onasemnogene abeparvovec-xioi
Dosage form: intravenous (infusion) injection
Drug class:Miscellaneous uncategorized agents

Medically reviewed by N. France, BPharm. Last updated on Apr 7, 2022.

What is Zolgensma?

Zolgensama is a gene therapy used for spinal muscular atrophy (SMA). SMA is an inherited disorder that causes skeletal muscle weakness and wasting, which worsens with age.

SMA is caused when a gene, usually SMA1, is missing or doesn't work properly. Zolgensama provides a new functional or working copy of a human SMN gene.

Zolgensama is a one-time treatment given via an intravenous (IV) infusion. It was approved by the US Food and Drug Administration (FDA) in 2019.

What is Zolgensma used for?

Zolgensma is a prescription gene therapy used to treat children less than 2 years old with spinal muscular atrophy (SMA). Zolgensma is given as a one-time infusion into a vein. Zolgensma has not been evaluated in patients with advanced SMA.

Important information

  • Zolgensma can increase liver enzyme levels and cause acute serious liver injury or acute liver failure.
  • Your child will receive an oral corticosteroid before and after infusion with Zolgensma and will undergo regular blood tests to monitor liver function.
  • Contact your child's doctor immediately if the patient’s skin and/or whites of the eyes appear yellowish, if they miss a dose of corticosteroid or vomits it up, or if the patient experiences a decrease in alertness.

What should I tell my doctor before receiving Zolgensma?

Before receiving Zolgensma, talk with your child's doctor about:

  • Vaccinations to decide if adjustments to the vaccination schedule are needed to accommodate treatment with a corticosteroid.
  • Protection against respiratory syncytial virus (RSV), which is recommended.

How should I receive Zolgensma?

  • Zolgensma is administered by IV infusion over 60 minutes.
  • Zolgensma is administered alongside corticosteroid therapy. Corticosteroid therapy is started one day prior to infusion of Zolgensma and continued for a total of 30 days.
  • Contact your child's doctor immediately if your child's skin and/or whites of the eyes appear yellowish, if they miss a dose of corticosteroid or vomits it up, or if the patient experiences a decrease in alertness.
  • Before and after your child receives Zolgensma watch for:
    • Infections before or after Zolgensma infusion can lead to more serious complications. Contact the patient’s doctor immediately if you see any signs of a possible infection such as coughing, wheezing, sneezing, runny nose, sore throat, or fever.
    • Decreased platelet counts could occur following infusion with Zolgensma. Seek immediate medical attention if the patient experiences unexpected bleeding or bruising.
    • Thrombotic microangiopathy (TMA) has been reported to occur approximately one week after Zolgensma infusion. Caregivers should seek immediate medical attention if the patient experiences any signs or symptoms o..